Retrospektive Analyse sinunasaler Erkrankungen bei 104 Patienten nach Laryngektomie

Patienten, die sich aufgrund eines Malignoms des Kehlkopfes oder des Hypopharynx einer totalen Laryngektomie unterziehen müssen, sind im postoperativen Verlauf mit einer Vielzahl physischer und psychischer Herausforderungen konfrontiert. Durch die genannte Operation kommt es zu einer vollständigen T...

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Bibliographic Details
Main Author: Fiedler, Gordon
Contributors: Sesterhenn, Andreas M. (Dr.) (Thesis advisor)
Format: Doctoral Thesis
Published: Philipps-Universität Marburg 2008
Online Access:PDF Full Text
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Table of Contents: Patients who have a total laryngectomy for cancer of the larynx or the hypopharynx are faced with tremendous physical and emotional challenges. Since nasal airflow bringing potentially pathogenic substances into the nose is almost completely interrupted after laryngectomy, these patients are estimated to suffer less frequently from sinunasal diseases. The aim of this study was to evaluate the incidence of sinunasal disorders in post laryngectomy patients retrospectively. A non standardised questionnaire was answered by 104 laryngectomised patients. Commom colds occurred less frequently (p<0.0000) compared to the preoperative status. Also the incidence of acute and chronic sinusitis has reduced after laryngectomy (p=0.0168). The incidence of suppuration of the sinuses reduced likewise obviously (p=0.0546). Compared to that, the incidence of rhinorrhea increased significantly (p<0.0000) after laryngectomy. Medical interventions for sinunasal diorders are rare and surgical interventions reserved for exceptional cases. In conclusion it can be stated that sinunasal diseases seem to affect the laryngectomised patient less frequently than "healthy" individuals.