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Risk Acceptance and Expectations of Laryngeal Allotransplantation
조현교,박장완,황재하,김광석,이삼용,신준호 대한성형외과학회 2014 Archives of Plastic Surgery Vol.41 No.5
Background: Laryngeal allotransplantation (LA) is a technique involving transplantation of adeceased donor’s larynx into a recipient, and it may be substituted for conventional laryngealreconstruction. There are widely different views on LA, as the recipient is administeredcontinuous, potentially life-threatening, immunosuppressive therapy for a functional oraesthetic result, which is not directly related to life extension. The purpose of this study wasto analyze the difference in risk acceptance and expectations of LA between four populationgroups. Methods: A survey was performed to examine patients’ risk acceptance and expectations ofLA. The survey included 287 subjects in total (general public, n=100; kidney transplant recipients,n=53; post-laryngectomy patients, n=34; doctors, n=100), using a Koreantranslated version of the louisville instrument for transplantation (LIFT) questionnaire. Results: All four groups responded differently at various levels of their perception in riskacceptance and expectations. The kidney transplant recipients reported the highest risk acceptanceand expectations, and the doctor group the lowest. Conclusions: This study examined the disparate perception between specific population groupsof the risks and benefits of using LA for the promotion of the quality of life. By addressing theinformation gaps about LA in the different populations that have been highlighted from thissurvey, we suggest that LA can become a more