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Related Concept Videos

Larynx01:21

Larynx

The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids, corniculates, and...
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Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
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Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
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Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...

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Sexual problems after total or partial laryngectomy.

Susanne Singer1, Helge Danker, Andreas Dietz

  • 1Department of Social Medicine, University of Leipzig, Leipzig, Germany. susanne.singer@medizin.uni-leipzig.de

The Laryngoscope
|November 26, 2008
PubMed
Summary
This summary is machine-generated.

Sexual problems like reduced libido are common after laryngeal cancer surgery. Psychological distress, not treatment, significantly impacts these issues, alongside age and disease stage.

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Area of Science:

  • Oncology
  • Sexual Medicine
  • Psychological Health

Background:

  • Laryngeal and hypopharyngeal cancers significantly impact patients' quality of life.
  • Sexual dysfunction is a frequently reported, yet often unaddressed, post-treatment complication.

Purpose of the Study:

  • To investigate the prevalence of sexual problems following laryngeal and hypopharyngeal cancer surgery.
  • To identify factors influencing sexual difficulties in this patient population.

Main Methods:

  • A multi-institutional cross-sectional study involving 206 patients.
  • Utilized validated questionnaires (EORTC QLQ-H&N35, Hospital Anxiety and Depression Scale) and structured interviews.
  • Assessed sociodemographic data, lifestyle factors, and specific sexual issues, correlating with medical records.

Main Results:

  • Over 50% of patients reported decreased libido and sexual enjoyment.
  • Sexual difficulties were independent of gender, education, alcohol/tobacco use, surgery type, radiotherapy, and tumor site.
  • Psychological distress demonstrated a strong independent impact (F = 46.27, P < .001), while disease stage (F = 4.50, P < .05) and age (F = 4.79, P < .05) had a moderate impact.

Conclusions:

  • Reduced libido and sexual enjoyment are prevalent issues post-laryngeal and hypopharyngeal cancer surgery.
  • These sexual problems are more closely linked to the cancer itself than the oncological treatment.
  • Depression is a significant comorbidity; addressing sexual health and psychological distress in consultations is crucial for patient care.