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Laryngectomy: the patient's view.

S Jay¹, J Ruddy, R J Cullen

¹ENT Department, North Staffordshire Royal Infirmary, Stoke on Trent.

The Journal of Laryngology and Otology

|November 1, 1991

Summary

Most patients found total laryngectomy worthwhile despite post-surgery disabilities. This study assessed the incidence of these disabilities and patient acceptance of the procedure.

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Area of Science:

Otolaryngology
Head and Neck Surgery
Rehabilitation Medicine

Background:

Laryngectomy, the surgical removal of the larynx, often results in significant patient disabilities.
Understanding the spectrum and severity of these post-surgical challenges is crucial for patient care and surgical decision-making.

Purpose of the Study:

To assess the incidence of disabilities following total laryngectomy.
To evaluate the acceptability of total laryngectomy from the patient's perspective.
To correlate patient-reported disabilities with overall surgical satisfaction.

Main Methods:

A questionnaire-based study was conducted.
Sixty-five patients who had undergone total laryngectomy participated.
Data on experienced disabilities and overall satisfaction were collected and analyzed.

Main Results:

The study identified and discussed the specific disabilities experienced by patients post-laryngectomy.
A majority of the participating patients reported that total laryngectomy was a worthwhile procedure.
Patient acceptance was high despite the acknowledged post-operative challenges.

Conclusions:

Total laryngectomy, while causing significant disabilities, is generally considered a worthwhile operation by patients.
Patient-reported outcomes highlight the importance of managing post-laryngectomy disabilities effectively.
The findings support the continued use of total laryngectomy when indicated, with a focus on supportive care for associated disabilities.

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