Quality of Life in Patients with Reconstructions After Resections for Oral Cavity Cancers.

Bibliographic Details
Title: Quality of Life in Patients with Reconstructions After Resections for Oral Cavity Cancers.
Authors: Patro, Sourabha K., Panda, Naresh K., Bakshi, Jaimanti, Verma, Roshan K, Kumar, Parmod, Gaba, Sunil, John, Jerry R.
Source: Indian Journal of Otolaryngology & Head & Neck Surgery; Oct2019 Supplement 1, Vol. 71, p291-300, 10p
Subject Terms: ORAL cancer, VIDEOFLUOROSCOPY, FREE flaps, QUALITY of life, POSTOPERATIVE period, TUMOR classification
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Indian Journal of Otolaryngology & Head & Neck Surgery is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Quality of Life in Patients with Reconstructions After Resections for Oral Cavity Cancers.
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  Data: <searchLink fieldCode="AR" term="%22Patro%2C+Sourabha+K%2E%22">Patro, Sourabha K.</searchLink><br /><searchLink fieldCode="AR" term="%22Panda%2C+Naresh+K%2E%22">Panda, Naresh K.</searchLink><br /><searchLink fieldCode="AR" term="%22Bakshi%2C+Jaimanti%22">Bakshi, Jaimanti</searchLink><br /><searchLink fieldCode="AR" term="%22Verma%2C+Roshan+K%22">Verma, Roshan K</searchLink><br /><searchLink fieldCode="AR" term="%22Kumar%2C+Parmod%22">Kumar, Parmod</searchLink><br /><searchLink fieldCode="AR" term="%22Gaba%2C+Sunil%22">Gaba, Sunil</searchLink><br /><searchLink fieldCode="AR" term="%22John%2C+Jerry+R%2E%22">John, Jerry R.</searchLink>
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  Data: Indian Journal of Otolaryngology & Head & Neck Surgery; Oct2019 Supplement 1, Vol. 71, p291-300, 10p
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22ORAL+cancer%22">ORAL cancer</searchLink><br /><searchLink fieldCode="DE" term="%22VIDEOFLUOROSCOPY%22">VIDEOFLUOROSCOPY</searchLink><br /><searchLink fieldCode="DE" term="%22FREE+flaps%22">FREE flaps</searchLink><br /><searchLink fieldCode="DE" term="%22QUALITY+of+life%22">QUALITY of life</searchLink><br /><searchLink fieldCode="DE" term="%22POSTOPERATIVE+period%22">POSTOPERATIVE period</searchLink><br /><searchLink fieldCode="DE" term="%22TUMOR+classification%22">TUMOR classification</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Indian Journal of Otolaryngology & Head & Neck Surgery is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s12070-018-1282-y
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        Text: English
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        Type: general
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              Text: Oct2019 Supplement 1
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              Y: 2019
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