Abstract MANY PEOPLE who have had a laryngectomy return to work following their surgery. Several investigators1-3 have found that from 60% to 80% of such patients were able to return to employment, many doing heavy manual labor. Other than these epidemiologic studies, very few data exist which furnish objective measurement of the work capacity of the laryngectomee. There are obviously many variables to be considered. Tsukerber2 has shown that the state of respiratory and cardiovascular functions following removal of the larynx does not change from preoperative values. In his study 26 patients were also observed on a stationary dynamometer and were found to have only a 3% to 5% reduction in strength following their surgery. In spite of these convincing studies, there is still prevalent today the idea that the laryngectomee cannot lift and is thus disabled. This idea may persist because several noted laryngologists4,5 have stated that References 1. Gardner, W.: Neck Breathers in Industry , Arch Environ Health 9:777-789 ( (Dec) ) 1964.Crossref 2. Tsukerber, L.I.: Capacity for Work After Laryngectomy , Prob Oncol 6:820-828 ( (Dec) ) 1960. 3. Hunt, R.B.: Rehabilitation of the Laryngectomee , Laryngoscope 74:382-395 ( (March) ) 1964.Crossref 4. Jackson, C., and Jackson, C.L.: Diseases of the Larynx , ed 2, New York: Macmillan Co., 1942, pp 449-450. 5. Thomson, S., and Negus, V.E.: Diseases of the Nose and Throat , ed 5 London: Cassell, 1955, pp 537-654. 6. Bartelnick, D.L.: The Role of Abdominal Pressure in Relieving the Pressure of the Lumbar Intervertebral Disc , J Bone Joint Surg 39B:718-725 ( (Nov) ) 1957. 7. Morris, J.M.; Lucas, D.B.; and Bresler, M.S.: Role of the Trunk in Stability of the Spine , J Bone Joint Surg 43:327-351 ( (April) ) 1961. 8. Floyd, W.F., and Silver, P.H.S.: Electromyographic Study of Patterns of Activity of the Anterior Abdominal Wall Muscles in Man , J Anat 84:132-145 ( (April) ) 1950. 9. Negus, V.E.: The Mechanism of the Larynx , London: William Heinmann Ltd., 1929, p 246. 10. Pressman, J.J.: Effect of the Sphinteric Action of the Larynx on Intra-Abdominal Pressure , Arch Otolaryng 39:14-42 ( (Jan) ) 1944.Crossref
Archives of Otolaryngology – American Medical Association
Published: Jul 1, 1968
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