Author/Editor		Hočevar-Boltežar, Irena; Šmid, Lojze; Žargi, Miha; Župevc, Avgust; Fajdiga, Igor; Fischinger, Janez; Jarc, Ana
Title		Factors influencing rehabilitation in patients with head and neck cancer
Translated title		Dejavniki, ki vplivajo na rehabilitacijo bolnikov z rakom glave in vratu
Type		članek
Source		Radiol Oncol
Vol. and No.		Letnik 34, št. 3
Publication year		2000
Volume		str. 289-94
Language		eng
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 surgery on 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 capability of 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 that have undergone surgery for head and neck cancer.
Summary		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 vrste kirurškega 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 bil najslabši 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.
Descriptors		HEAD AND NECK NEOPLASMS NEOPLASM STAGING DENTAL HEALTH SURVEYS LUNG SPIROMETRY SPEECH DISORDERS HEARING DISORDERS