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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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[Fear of Recurrence (FoR) after Partial Laryngectomy (PA)]
M J Asen1, A Dietz2, E F Meister3
1Abteilung für Medizinische Psychologie und Medizische Soziologie, Universitätsklinikum Leipzig AöR, Leipzig.
Laryngo- Rhino- Otologie
|April 23, 2015
Summary
Fear of recurrence (FoR) is a significant concern for cancer patients post-laryngeal surgery (PL). This study found that younger patients, those with swallowing issues, and those attributing cancer to smoking or inner conflicts reported higher FoR.
Area of Science:
- Oncology
- Psycho-oncology
- Rehabilitation Medicine
Context:
- Fear of recurrence (FoR) is prevalent in cancer patients.
- Limited data exists on FoR extent in patients post-laryngeal surgery (PL).
- This study investigates FoR and coping strategies in cancer survivors after PL.
Purpose:
- To assess the extent of FoR in cancer patients following PL.
- To identify coping strategies employed by these patients.
- To explore associations between FoR and various patient parameters.
Summary:
- A multicentre study of 154 cancer patients post-PL revealed low FoR and high coping levels.
- Higher FoR correlated with younger age, use of medical rehabilitation, attributing cancer to smoking/inner conflicts, and swallowing problems.
- FoR decreased over time since laryngeal surgery.
Impact:
- Swallowing problems and internal cancer attributions (e.g., smoking) significantly increase FoR.
- Psycho-oncological support is recommended for patients with high FoR.
- Younger patients and those with swallowing difficulties require increased clinical attention.
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