[Supracricoid partial laryngectomy: quality of life assessment].

J A Márquez Moyano, R Sánchez Gutiérrez, J Roldán Nogueras, P Ostos Aumente, C Poyato Zamorano
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Abstract

Objectives: To assess quality of life in patients diagnosed with epidermoid carcinoma of the larynx, after supracricoid partial laryngectomy (SCPL). To examine how quality-of-life may be associated to the treatment received.

Patients and method: A descriptive, observational, cross-sectional study was conducted involving 32 patients out of a group of 57. They were all males with an average age of 63.3 years at the time of the interview. We used the disease-specific quality of life questionnaire devised by the University of Michigan: the Head and Neck Cancer-specific Quality of life instrument (HNQOL).

Results: During an average follow-up period of 86 months, 3 patients (5.26%) suffered a recurrence. Estimated survival after 3, 5 and 10 years was 94.73%. Communication and overall bother caused by treatment were found to be the two quality-of-life domains mainly affected. Patients who had received CHP, radiotherapy, those who had not had their tracheal cannula removed or had undergone neck dissection were the most affected.

Conclusions: SCPL as a surgical technique allows good control of the condition and has a low impact on the patient's quality of life.

[肩胛上肌部分喉切除术:生活质量评估]。
目的:评估诊断为喉表皮样癌的患者,在肩胛上部分喉切除术(SCPL)后的生活质量。研究生活质量与所接受治疗的关系。患者和方法:对57例患者中的32例进行了描述性、观察性、横断面研究。他们都是男性,在采访时平均年龄为63.3岁。我们使用由密歇根大学设计的疾病特异性生活质量问卷:头颈部癌症特异性生活质量工具(HNQOL)。结果:平均随访86个月,复发3例(5.26%)。3年、5年和10年后的估计生存率为94.73%。研究发现,沟通和治疗引起的整体困扰是两个主要受影响的生活质量领域。接受过CHP、放疗、未拔除气管插管或进行过颈部清扫的患者受影响最大。结论:SCPL作为一种外科技术可以很好地控制病情,对患者的生活质量影响较小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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