Irena Hočevar-Boltežar (Author), Alojz Šmid (Author), Miha Žargi (Author), Avgust Župevc (Author), Igor Fajdiga (Author), Janez Fischinger (Author), Ana Jarc (Author)

Abstract

Purpose. The purpose of the prospective study was to identify the factors adversely influencing the post-treatment rehabilitation in patients with head and neck cancer. Patients and methods. One hundred and ten patients with oral cavity, pharyngeal and laryngeal cancer were examined before surgical treatment in order to find unfavorable factors: hearing loss, defective teeth,impaired pulmonary function, and speech disorders. The patients evaluated the success of their rehabilitation 12 months after the treatment. The influence of possible unfavorable factors, tumor site, and type of surgeryon speech, swallowing and reintegration competence was determinated. Results. The site of the tumor and the type of surgery did not influence the quality of rehabilitation in general. Defective teeth influenced the ability of swallowing but not the speech. Hearing loss impaired the patient's reintegration in their home environment. Impaired pulmonary function did not affect patient's speech. Speech was the poorest in laryngectomized patients. However, about two thirds of the patients were satisfied with their capabilityof speech, swallowing and their rehabilitation in general. Conclusions. Early identification of unfavorable factors, and individually planned rehabilitation can ensure a suitable quality of life for patients thathave undergone surgery for head and neck cancer.

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Data

Language: English
Year of publishing:
Typology: 1.01 - Original Scientific Article
Organization: OI - Institute of Oncology
Publisher: Slovenian Medical Association - Slovenian Association of Radiology, Nuclear Medicine Society, Slovenian Society far Radiotherapy and Oncology, and Slovenian Cancer Society
UDC: 616-006
COBISS: 11945945 Link will open in a new window
ISSN: 1318-2099
Views: 16
Downloads: 3
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Secondary language: Slovenian
Secondary title: [Dejavniki, ki vplivajo na rehabilitacijo bolnikov z rakom glave in vratu]
Secondary abstract: Namen raziskave. S prospektivno raziskavo so avtorji poskušali ugotoviti, kateri dejavniki negativno vplivajo na rehabilitacijo bolnikov z rakom glave in vratu po končanem zdravljenju. Bolniki in metode dela. Pri 110 bolnikih z rakom ustne votline, žrela in grla so avtorji pred kirurškim zdravljenjem ugotavljali morebitne neugodne dejavnike: naglušnost, pomanjkljivo zobovje, zmanjšano pljučno funkcijo in govorne motnje. Dvanajst mesecev po končanem zdravljenju so bolniki ocenjevali uspešnost rehabilitacije. Avtorji so ugotavljali vpliv naštetih neugodnih dejavnikov, lokalizacije tumorja in vrstekirurškega zdravljenja na bolnikov govor, sposobnost požiranja in reintegracije v domače okolje. Rezultati. Lokalizacija tumorja in vrsta kirurškega zdravljenja nista vplivali na splošno uspešnost rehabilitacije. Pomanjkljivo zobovje je zmanjševalo sposobnost požiranja, ni pa vplivalo na govor. Naglušnost je negativno vplivala na vključevanje bolnika v domače okolje. Zmanjšana pljučna funkcija ni vplivala na bolnikov govor. Govor je bilnajslabši pri laringektomiranih bolnikih. Kljub temu sta bili dve tretjini bolnikov zadovoljni s svojo sposobnostjo govora, požiranja in rehabilitacije po zdravljenju na splošno. Zaključki. Zgodnje odkrivanje neugodnih dejavnikov in individualno načrtovana rehabilitacija lahko omogočita primerno kakovost življenja bolnikov, kirurško zdravljenih zaradi raka glave in vratu.
Secondary keywords: Head and neck neoplasms;Rehabilitation;Neoplasm staging;Lung;Radiography;Spirometry;Speech disorders;Hearing disorders;Dental health surveys;
Source comment: BSDOCID54014;
Pages: str. 289-294
Volume: ǂLetn. ǂ34
Issue: ǂšt. ǂ3
Chronology: 2000
ID: 22609136