Longterm impact on swallowing quality-of-life after partial laryngectomy
10.3760/cma.j.issn.1673-0860.2012.08.009
- VernacularTitle:喉部分切除术对患者吞咽相关生存质量的远期影响
- Author:
Mao-Xiao YAN
1
;
Ren-Yu LIN
;
Jian-Fu CHEN
;
Fan YE
Author Information
1. 温州医学院附属第一医院
- Keywords:
Laryngectomy;
Deglutition disorders;
Quality of life;
Questionnaires
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2012;47(8):651-656
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the longterm quality-of-life related to swallowing function after different partial laryngectomy.Methods The worldwide known swallow quality-of-life questionnaire (SWAL -QOL,Hongkong,Chinese edition) ; was used in this research to evaluate the swallowing QOL on 96 postoperative patients who underwent different kinds of partial laryngectomy more than one year before.The patients were divided into 4 groups:supracricoid partial laryngectomy-cricohyoidopexy (SCPL-CHP),supracricoid partial laryngectomy-cricohyoidoepiglottopexy (SCPL-CHEP),horizontal superagllotic partial laryngectomy (horizontal PL),and vertical partial laryngectomy (vertical PL).Results A one-way MANOVA revealed a significant multivariate (the 11 scales of SWAL-QOL) main effect for groups (P ＜0.01 ),and significant univariate main effects were obtained for groups in 9 scales out of 11 ( P ＜0.01 ).In all the 9 scales vertical PL group acquired near full scores except the communication scale,and was significantly higher than the other 3 groups in many scales ( P ＜ 0.05 ).CHP group acquired the worst scores of the 4 groups,showing significant differences in most of the 9 scales ( P ＜ 0.05 ).No significant difference was found between Horizontal PL and CHEP except in communication (P ＞ 0.05).Patients with deglutition disorders (choke/cough) had a lower score in the social function scale.Conclusions Swallowing quality-of-life of postoperative patients was deeply influenced even when more than one year had passed after surgery.Some of them felt deeply burdened by deglutition disorder.Patients after CHP proved to have a worst quality of life than the others,while vertical PL the best.The QOL between Horizontal PL and CHEP was shown to be almost the same.The influence over QOL from longterm dysphagia was multi-dimensional,containing the degeneration of social function.
