Assessment quality of life in patients with advanced oral cancer who underwent mandibulectomy with or without bone reconstruction
Carregando...
Citações na Scopus
1
Tipo de produção
article
Data de publicação
2018
Título da Revista
ISSN da Revista
Título do Volume
Editora
ASSOC MEDICA BRASILEIRA
Autores
SOARES, Jose Roberto Netto
DIAS, Fernando Luiz
LIMA, Roberto Rego Monteiro de Araujo
TOSCANO, Ullyanov Bezerra
PONTES, Ana Carolina Pastl
BOTINELLY, Ruiter Diego
SOUZA, Fernando Gonzalez Rocha
Citação
REVISTA DA ASSOCIACAO MEDICA BRASILEIRA, v.64, n.8, p.710-716, 2018
Resumo
Malignant neoplasms of the head and neck, due to its anatomical location, can cause significant alterations in vital functions related to feeding, communication and social interaction of the affected patients. Objective: To analyze the quality of life of patients with advanced malignant neoplasms of the oral cavity and submitted to radical operations with curative intent. Material and methods: 47 patients with oral cavity squamous cell carcinoma (SCC), in stages III and IV, underwent surgical treatment with segmental mandibulectomy and complementary radiotherapy. The patients were submitted to the quality of life questionnaires after a minimum time of six months after the surgical treatment. Results: Of the 183 patients, only 47 (25.7%) were able to answer the questionnaire and were included as the sample of the study. The majority of patients selected were male (39; 82.9%). The mean age was 64.4 years. The majority of the patients presented clinical stage IV (83%) and were submitted to adjuvant radiotherapy (95.4%). The mean score obtained after the questionnaires were applied was 64.6. The worst scores were found in swallowing and chewing. Conclusion: There were no statistically significant differences in the domains of quality of life between the two groups studied (with bone reconstruction versus no bone reconstruction). Patients interviewed 2 years or more after treatment presented higher scores (p = 0.02).
Palavras-chave
Quality of life, Mouth neoplasms, Mandibular reconstruction, Carcinoma, squamous cell, Bone transplantation, Mandibular osteotomy
Referências
- Li XR, 2014, WORLD J SURG ONCOL, V12, DOI 10.1186/1477-7819-12-201
- Lin CS, 2017, HEAD NECK-J SCI SPEC, V39, P960, DOI 10.1002/hed.24714
- Lopez-Jornet P, 2012, J CRANIO MAXILL SURG, V40, P614, DOI 10.1016/j.jcms.2012.01.011
- Nemoto RP, 2015, BRAZ J OTORHINOLAR, V81, P44, DOI 10.1016/j.bjorl.2014.03.002
- Rigoni L, 2016, BRAZ J OTORHINOLAR, V82, P680, DOI 10.1016/j.bjorl.2015.12.012
- Sanabria A, 2007, LARYNGOSCOPE, V117, P835, DOI 10.1097/MLG.0b013e3180337827
- Silveira Augusta, 2012, Rev. bras. epidemiol., V15, P38
- Thomas L, 2012, ANN OTO RHINOL LARYN, V121, P395, DOI 10.1177/000348941212100606
- Vartanian J. G., 2007, REV BRAS CIR CABECA, V36, P108
- Vartanian JG, 2004, ORAL ONCOL, V40, P223, DOI 10.1016/j.oraloncology.2003.08.007
- Vartanian JG, 2009, ARCH OTOLARYNGOL, V135, P376, DOI 10.1001/archoto.2009.5
- Weymuller EA, 2000, ARCH OTOLARYNGOL, V126, P329, DOI 10.1001/archotol.126.3.329