Author/Editor		Hočevar-Boltežar, Irena; Šmid, Lojze; Radšel, Zora; Žargi, Miha; Župevc, Avgust; Fajdiga, Igor; Fischinger, Janez; Bašić-Narić, Bbranka; Jarc, Ana
Title		Celovita rehabilitacija po kirurškem zdravljenju raka glave in vratu
Translated title		Total rehabilitation after the surgical treatment of head and neck cancer
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 35, št. Suppl 6
Publication year		1996
Volume		str. 203-11
Language		slo
Abstract		One hundred and ten patients with head and neck cancer who were surgically treated at the Department of Otorhinolaryngology and Cervicofacial Surgery in Ljubljana in the years 1990-1992 were included into the total rehabilitation program. Agroup of professionals tried to identify the unfavourable factors that could hinder the rehabilitation and reintegration of the patients in his home environment after treatment. The rehabilitation was planned with regard to the findings. In more than one half of the patients, at least one unfavourable factor was found (sequellae of past illnesses, impaired hearing or sight, impaired pulmonary function, defective teeth, vocal or speech disorders). The success of the rehabilitation was evaluated 9 or 12 months after treatment. The speech was significantly impaired in 40,9 % of patients. 33,6 % of patients had difficulty chewing. 20 % of patients had trouble swallowing. A any rate, more than two thirds of all patients were satisfied with their reintegration in their home environment. In conclusion, only individually planned rehabilitation can enable a suitable quality of life for a patient after the treatment of head and neck cancer.
Summary		Avtorji so v program celovite rehabilitacije vključili 110 bolnikov, ki so bili kirurško zdravljeni zaradi raka glave in vratu na Kliniki za otorinolaringologijo in cervikofacialno kirurgijo v Ljubljani od leta 1990 do 1992. Že pred pričetkom zdravljenja je skupina strokovnjakov iz anamnestičnih podatkov, s kliničnim pregledom in ustreznimi preiskavami poskušala odktiri neugodne dejavnike, ki bi lahko otežili rehabilitacijo in vključevanje bolnika nazaj v njegovo okolje, ter glede na ugotovljeno načrtovala rehabilitacijo. Pri več jkot polovici bolnikov so odkrili vsaj enega od neugodnih dejavnikov (posledice prebolelih bolezni, naglušnost, slabši vid, slabše pljučne zmogljivosti, pomanjkljivo zobovje, glasovne in govorne mornje). Uspeh rehabilitacije so avtorji ocenjevali 9 oziroma 12 mesecev po končanem zdravljenju. Govorno sporazumevanje je bilo slabo pri 40,9 % bolnikov, težave z grizenjem in žvečenjem je imelo 33,6 % bolnikov, težave pri požiranju pa 20 % bolnikov. Kljub temu se je več kot dve tretjini bolnikov zadovoljivo ali dobro vključilo nazaj v svoje okolje. Avtorji menijo, da le s skrbno individualno načrtovano rehabilitacijo lahko omogočimo bolnikom z rakom glave in vratu kakovostno življenje tudi po zdravljenju maligne bolezni.
Descriptors		HEAD AND NECK NEOPLASMS POSTOPERATIVE PERIOD NEOPLASM STAGING VOICE QUALITY MASTICATION DEGLUTITION REHABILITATION, VOCATIONAL