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" Psychosocial Repercussions On Patients Submitted To Total Laryngectomy For Larynx Cancer:
A Clinic-Qualitative Study."

W. L. Bruscato1,
L. N. F. Barbosa1,
D. Achette1, M. X. G. Amaral1,
A. J. Gonçalves 2
1Psychology Services at Santa Casa de São Paulo, Brazil; 2 Dept. of Surgery at Santa Casa de São Paulo, Brazil
Objective: It is known that treatments on head and neck region cause some aesthetic and functional alteration. This study have the aim to evaluate those repercussion on the performance of social rules, the emotional expression and the communication of the patients.

Methods: Through a clinic and qualitative study, we seek to understand how these repercussions affect the patient who is submitted to the total laringectomy on the larynx cancer cases.

Results: It has become evident that the diagnosis of the cancer and the experience of the total laringectomy cause psychosocial repercussions, specially, the social contact damage, because of the voice losing and the presence of tracheostomal. Although this, the perception of the treatment allowed the individuals to continue alive with the chance to restart their projects. It has made possible a positive appreciation from the patients related to the surgery. We also have noticed a passive and resigned position across from their life, presented on the patients’ speech, and, on this context, aspects as religiousness, familiar support and handling of the interdisciplinary team had been considered as motivation for the treatment.

Conclusions: The cancer presents multiples meanings and affects psychosocial aspects significantly on a patient’s life. The team support, the clarification of doubts and the psychological support contribute for an anxiety relief and an emotional balance during the treatment and in the rehabilitation.


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