Perspectives on quality of life following total laryngectomy.

Quality of life (QOL) considerations are uniquely important in head and neck oncology outcomes research due to the multidimensional impact of these tumors and their treatment. The impact of a head and neck cancer diagnosis on the person and the consequences of its treatment cross multiple functional domains that have a clear and direct influence on one's post-treatment well-being and associated QOL. Total laryngectomy can result in significant alterations in the physical, psychological, social, and emotional domains with an ultimate influence on the individual's judgment of his or her own QOL. Loss of voice, altered swallowing and a permanent tracheostoma, together with the uncertainty of cure, have a profound effect on the patient's physical and psychological rehabilitation. The evaluation of QOL and performance outcome in laryngectomees remains critical to optimal patient care, comprehensive evaluation of treatment alternatives, and the development of informed rehabilitative services and patient education.