Quality of life, psychological well-being, and socioeconomic burden in survivors of total laryngectomy: A mixed-methods study from LMIC setting.

Survivorship after total laryngectomy is associated with profound functional, social, and economic changes. While impairments in communication and employment are well recognised, their relationship with psychological well-being and quality of life remains less clearly understood, particularly in low- and middle-income settings (LMIC). This cross-sectional mixed-methods study included 87 patients who had undergone total laryngectomy and were on follow-up at a tertiary cancer centre. Quality of life was assessed using the EORTC QLQ-H&N35, psychological distress using the DASS-21, financial toxic