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Long-term quality of life and its predictive factors after oncologic surgery and microvascular reconstruction in patients with oral or oropharyngeal cancer

  • Head and Neck
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Abstract

The aims of this study were to evaluate long-term quality of life (QoL) and to determine its predictive factors after oncologic surgery and free flap reconstruction in patients with oral or oropharyngeal cancer. Patients treated at our institution between 2000 and 2009, who are alive and disease-free at least 1 year after therapy, completed the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 questionnaire and the specific H&N35 module. Eighty patients were included in our study. Global QoL score was 69.3 ± 22.7 %. Global QoL and general symptoms were correlated with T stage, whereas head and neck symptoms were correlated with T stage and tumor involvement of the tongue base. Emotional and social functioning scales, and resumption of professional activity were significantly associated with global QoL. In conclusion, T stage, tumor involvement of the tongue base, professional status and emotional and social functions were the main determinants of QoL in our study.

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References

  1. Urken ML (2003) Advances in head and neck reconstruction. Laryngoscope 113:1473–1476

    Article  PubMed  Google Scholar 

  2. Hidalgo DA, Pusic AL (2002) Free-flap mandibular reconstruction: a 10-year follow-up study. Plast Reconstr Surg 110:438–449

    Article  PubMed  Google Scholar 

  3. Dassoville O, Poissonnet G, Chamorey E et al (2008) Head and neck reconstruction with free flaps: a report on 213 cases. Eur Arch Otorhinolaryngol 265:85–95

    Article  Google Scholar 

  4. Dean NR, Wax MK, Virgin FW, Magnuson JS, Carroll WR, Rosenthal EL (2012) Free flap reconstruction of lateral mandibular defects: indications and outcomes. Otolaryngol Head Neck Surg 146:547–552

    Article  PubMed Central  PubMed  Google Scholar 

  5. Bozec A, Poissonnet G, Chamorey E et al (2009) Radical ablative surgery and radial forearm free flap (RFFF) reconstruction for patients with oral or oropharyngeal cancer: postoperative outcomes and oncologic and functional results. Acta Otolaryngol 129:681–687

    Article  PubMed  Google Scholar 

  6. Rogers SN, Lowe D, Brown JS, Vaughan ED (1999) The University of Washington head and neck cancer measure as a predictor of outcome following primary surgery for oral cancer. Head Neck 21:394–401

    Article  CAS  PubMed  Google Scholar 

  7. Schliephake H, Jamil MU (2002) Prospective evaluation of quality of life after oncologic surgery for oral cancer. Int J Oral Maxillofac Surg 31:427–433

    Article  CAS  PubMed  Google Scholar 

  8. Bozec A, Poissonnet G, Chamorey E et al (2009) Quality of life after oral and oropharyngeal reconstruction with a radial forearm free flap: prospective study. J Otolaryngol Head Neck Surg 38:401–408

    PubMed  Google Scholar 

  9. Bozec A, Poissonnet G, Chamorey E et al (2008) Free-flap head and neck reconstruction and quality of life: a 2-year prospective study. Laryngoscope 118:874–880

    Article  PubMed  Google Scholar 

  10. Kaplan MH, Feinstein AR (1974) The importance of classifying initial comorbidity in evaluating the outcome of diabetes mellitus. J Chron Dis 27:387–404

    Article  CAS  PubMed  Google Scholar 

  11. Hanna E, Sherman A, Cash D et al (2004) Quality of life for patients following total laryngectomy vs chemoradiation for laryngeal preservation. Arch Otolaryngol Head Neck Surg 130:875–879

    Article  PubMed  Google Scholar 

  12. de Graeff A, de Leeuw JR, Ros WJ et al (2001) Sociodemographic factors and quality of life as prognostic indicators in head and neck cancer. Eur J Cancer 37:332–339

    Article  PubMed  Google Scholar 

  13. Rogers SN, Hannah L, Lowe D, Magennis P (1999) Quality of life 5–10 years after primary surgery for oral and oro-pharyngeal cancer. J Craniomaxillofac Surg 27:187–191

    Article  CAS  PubMed  Google Scholar 

  14. Pourel N, Peiffert D, Lartigau E, Desandes E, Luporsi E, Conroy T (2002) Quality of life in long-term survivors of oropharynx carcinoma. Int J Radiat Oncol Biol Phys 54:742–751

    Article  PubMed  Google Scholar 

  15. Fang FM, Liu YT, Tang Y, Wang CJ, Ko SF (2004) Quality of life as a survival predictor for patients with advanced head and neck carcinoma treated with radiotherapy. Cancer 100:425–432

    Article  PubMed  Google Scholar 

  16. Scharloo M, Baatenburg de Jong RJ, Langeveld TP, van Velzen-Verkaik E, Doorn-op den Akker MM, Kaptein AA (2005) Quality of life and illness perceptions in patients with recently diagnosed head and neck cancer. Head Neck 27:857–863

    Article  PubMed  Google Scholar 

  17. Tschudi D, Stoeckli S, Schmid S (2003) Quality of life after different treatment modalities for carcinoma of the oropharynx. Laryngoscope 113:1949–1954

    Article  PubMed  Google Scholar 

  18. Ronis DL, Duffy SA, Fowler KE, Khan MJ, Terrell JE (2008) Changes in quality of life over 1 year in patients with head and neck cancer. Arch Otolaryngol Head Neck Surg 134:241–248

    Article  PubMed  Google Scholar 

  19. Bertrand J, Luc B, Philippe M, Philippe P (2000) Anterior mandibular osteotomy for tumor extirpation: a critical evaluation. Head Neck 22:323–327

    Article  CAS  PubMed  Google Scholar 

  20. Bozec A, Poissonnet G, Chamorey E et al (2009) Transoral and cervical approach without mandibulotomy for oropharynx cancer with fasciocutaneous radial forearm free flap reconstruction. Ann Otolaryngol Chir Cervicofac 126:182–189

    Article  CAS  PubMed  Google Scholar 

  21. Langendijk JA, Doornaert P, Verdonck-de Leeuw IM, Leemans CR, Aaronson NK, Slotman BJ (2008) Impact of late treatment-related toxicity on quality of life among patients with head and neck cancer treated with radiotherapy. J Clin Oncol 26:3770–3776

    Article  PubMed  Google Scholar 

  22. Ramaekers BL, Joore MA, Grutters JP et al (2011) The impact of late treatment-toxicity on generic health-related quality of life in head and neck cancer patients after radiotherapy. Oral Oncol 47:768–774

    Article  PubMed  Google Scholar 

  23. Machtay M, Rosenthal DI, Algazy KM et al (2000) Pilot study of organ preservation multimodality therapy for locally advanced resectable oropharyngeal carcinoma. Am J Clin Oncol 23:509–515

    Article  CAS  PubMed  Google Scholar 

  24. Bansal M, Mohanti BK, Shah N, Chaudhry R, Bahadur S, Shukla NK (2004) Radiation related morbidities and their impact on quality of life in head and neck cancer patients receiving radical radiotherapy. Qual Life Res 13:481–488

    Article  CAS  PubMed  Google Scholar 

  25. Mowry SE, Ho A, Lotempio MM, Sadeghi A, Blackwell KE, Wang MB (2006) Quality of life in advanced oropharyngeal carcinoma after chemoradiation versus surgery and radiation. Laryngoscope 116:1589–1593

    Article  PubMed  Google Scholar 

  26. Beausang ES, Ang EE, Lipa JE, Irish JC, Brown DH, Gullane PJ, Neligan PC (2003) Microvascular free tissue transfer in elderly patients: the Toronto experience. Head Neck 25:549–553

    Article  PubMed  Google Scholar 

  27. Nao EE, Dassonville O, Poissonnet G et al (2011) Ablative surgery and free flap reconstruction for elderly patients with oral or oropharyngeal cancer: oncologic and functional outcomes. Acta Otolaryngol 131:1104–1109

    Article  PubMed  Google Scholar 

  28. Vilaseca I, Chen AY, Backscheider AG (2006) Long-term quality of life after total laryngectomy. Head Neck 28:313–320

    Article  PubMed  Google Scholar 

  29. Hassanein KA, Musgrove BT, Bradbury E (2005) Psychological outcome of patients following treatment of oral cancer and its relation with functional status and coping mechanisms. J Craniomaxillofac Surg 33:404–409

    Article  PubMed  Google Scholar 

  30. Demiral AN, Sen M, Demiral Y, Kinay M (2008) The effect of socioeconomic factors on quality of life after treatment in patients with head and neck cancer. Int J Radiat Oncol Biol Phys 70:23–27

    Article  PubMed  Google Scholar 

  31. Vartanian JG, Carvalho AL, Toyota J, Kowalski IS, Kowalski LP (2006) Socioeconomic effects of and risk factors for disability in long-term survivors of head and neck cancer. Arch Otolaryngol Head Neck Surg 132:32–35

    Article  PubMed  Google Scholar 

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Correspondence to Alexandre Bozec.

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Pierre, C.S., Dassonville, O., Chamorey, E. et al. Long-term quality of life and its predictive factors after oncologic surgery and microvascular reconstruction in patients with oral or oropharyngeal cancer. Eur Arch Otorhinolaryngol 271, 801–807 (2014). https://doi.org/10.1007/s00405-013-2592-z

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  • DOI: https://doi.org/10.1007/s00405-013-2592-z

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