title: [Laryngeal and pharyngolaryngeal cancers: evaluation of the laryngectomy's quality of life].
abstract: The concept of life quality plays a more and more significant role in the caring of cancer patients, because the illness and the therapies used have a strong influence at the physical, psychological and relational level. The laryngeal and pharyngolaryngeal cancers have two characteristics: they challenge the life prognosis by affecting three essential functions: breathing, phonation and feeding and they disrupt the relation life. The locoregional treatments are mainly based on surgery and radiotherapy. In surgery, there are two tendencies: the saving techniques and the necessity of carrying out strong mutilations, such as laryngectomy or total pharyngolaryngectomy. To adapt to the illness and the after-effects of therapeutic caring, the patient must cope with multiple difficulties. Measuring life quality will allow the caretakers to evaluate the needs of the patient in the prospect of contributing to his reintegration in his family, society and professional life. This procedure must prove useful in the eyes of the patients, their environment and the caring teams.
authors.affiliation: Centre Hospitalier intercommunal Le Raincy-Monfermeil.
authors.forename: E
authors.initials: E
authors.lastname: Rispal
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D001294:Attitude to Health; D001828:Body Image; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects* / Q000379:methods / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D015404:Nursing Methodology Research; D018579:Patient Selection; D010610:Pharyngeal Neoplasms / Q000601:surgery; D011379:Prognosis; D011788:Quality of Life; D012919:Social Behavior; D011795:Surveys and Questionnaires