Objective: This study aimed to reveal the relationship between anxiety and depression and personal attributes or difficulties in daily life in patients after total laryngectomy. Methods: An anonymous questionnaire was mailed to 135 members of a self-help patient group. The questionnaire included the following items: personal attributes, difficulties in daily life, and anxiety and depression (according to the Nottingham Adjustment Scale-Japanese Laryngectomy Version). Multiple regression analysis was conducted with anxiety-depression score as the dependent variable and personal attributes and difficulties in daily life as independent variables. Results: Among the 57 patient respondents, 43 provided valid answers and were selected for analysis (valid response rate: 36.8%, 41 men and 2 women, mean age: 67.5±10.6 years). Results revealed that presence of anxiety and depression were significantly associated with patient age (β=−0.369, p=0.004) and difficulties pertaining to speech/performance during outings and engaging in hobbies (β=0.419, p=0.002). Conclusions: Our findings indicate that there is an increased risk of anxiety and depression in patients are young or middle aged and have difficulties in outings and engaging hobbies. Therefore, in clinical practice, nurses should carefully assess the mental state and difficulties in daily life in these patients after total laryngectomy. Moreover, nurses should continuously provide psychosocial support to patients and their families in order to help patients prevent psychological problems even after they are discharged from hospital.

We retrospectively evaluated 21 patients with resected lung metastases from head and neck cancers (oral cavity, pharynx, larynx, and others) in our department between April 2009 and December 2016. The 5-year overall survival after lung resection was 56.7％ and median survival time was 21 months, which was good compared with findings in the literature. Tumor size of lung metastatic lesion≥2.0cm was a significant prognostic factor (p＝0.0157). No independent prognostic factors were identified in multivariate analysis. Aggressive resection was suggested to contribute to prognosis, especially for pulmonary metastasis with diameter<2.0cm. These findings may have wide implications for social medicine.