Quality of Life in Patients with Reconstructions After Resections for Oral Cavity Cancers.
Oral cavity cancers
Oral squamous cell carcinoma
QOL after reconstruction
Quality of life
Journal
Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India
ISSN: 2231-3796
Titre abrégé: Indian J Otolaryngol Head Neck Surg
Pays: India
ID NLM: 9422551
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
15
01
2018
accepted:
15
02
2018
entrez:
20
11
2019
pubmed:
20
11
2019
medline:
20
11
2019
Statut:
ppublish
Résumé
To determine effects of reconstruction in advanced oral cavity cancers in achieving a quality of life (QOL), which can help patients to cope with their routine day to day activity. A Cross sectional analysis involving 32 patients of stage III and IV oral cavity cancers already operated in the department of otolaryngology and head and neck surgery was carried out. All these patients had resection of their tumors along with reconstruction. Patients who consented for QOL assessment and follow up through personal visit and telephonic interviews were included in the study. Voice related quality of life; Swallowing related QOL; overall Quality of life (WHO QOL BREF II) and disability assessment scale (WHO DAS II) were used for assessing the various QOL parameters during post-operative period. Patients with stage T3 tumors had better QOL compared to patients with T4 stage tumors. Patients who had reconstruction with free flaps had better QOL compared to those with Pectoralis Major myocutaneous (PMMC) flaps or those reconstructed with combinations of flaps involving delto-pectoral flaps or local flaps along with a free flap or PMMC. Patients with lower stage tumors have better QOL even after reconstruction. If available, free flaps should be preferred over local flaps. Delto-pectoral flaps should be a less preferred option in terms of QOL. Every patient should be counseled accordingly while any reconstruction plan is included in the management of cancers of oral cavity.
Identifiants
pubmed: 31741975
doi: 10.1007/s12070-018-1282-y
pii: 1282
pmc: PMC6848641
doi:
Types de publication
Journal Article
Langues
eng
Pagination
291-300Informations de copyright
© Association of Otolaryngologists of India 2018.
Déclaration de conflit d'intérêts
Conflicts of interestNone.
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