FACTORS AFFECTING PSYCHOLOGIC ADJUSTMENT IN THE LARYNGECTOMIZED PATIENT

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Abstract
LARYNGEAL surgery, particularly laryngectomy, has assumed a large place in the practice of otolaryngology during the past 10 or 15 years. During the last five years, at least 400 articles have appeared in the medical literature on the treatment of laryngeal carcinoma; this number testifies to the widespread interest in the subject and to the fact that surgical treatment is now generally available to the victims of this disease. From the medical and surgical standpoint, the results of laryngectomy are favorable for the survival of the patients and the cure of the lesions, but the fact that the patients recover satisfactorily does not cancel out the striking disability they have to face after the operation; that is, the loss of normal speech. The capacity for articulate speech is the most important feature distinguishing man from the animals. When a man can no longer talk, he feels himself less a man,

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