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Posttherapeutische Lebensqualität nach Behandlung von Speicheldrüsenkarzinomen

Posttherapeutic quality of life after treatment of salivary gland cancer

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Zusammenfassung

Hintergrund

Neben dem Gesamtüberleben und rezidivfreien Intervall hat sich die posttherapeutische Lebensqualität als eigenständiges Kriterium zur Therapiebeurteilung etabliert. Dabei stellen sowohl die spezifischen Veränderungen im Kopf-Hals-Bereich als auch deren Objektivierung eine besondere Herausforderung für die Erfassung der Lebensqualität dar. Verschiedene validierte Fragebögen stehen zur Verfügung.

Ziel der Arbeit

Anhand der Literatur wird ein Überblick über die relevanten Fragebogeninstrumente gegeben, und die spezifischen Aspekte bei Patientinnen und Patienten mit Speicheldrüsenkarzinomen werden dargestellt.

Material und Methoden

In einer selektiven Literaturrecherche wurden Publikationen erfasst, die sich mit der gesundheitsbezogenen Lebensqualität bei Kopf-Hals-Tumorpatienten befassen. Die Arbeiten wurden kritisch bewertet und zusammengefasst.

Ergebnisse

Es stehen einige validierte Fragebögen zur Messung der Lebensqualität bei Patienten mit Kopf-Hals-Tumoren sowie wenige spezifische Fragebögen für Patienten nach Parotidektomie zur Verfügung.

Schlussfolgerung

Durch die Erfassung der Lebensqualität mithilfe standardisierter Fragebogeninstrumente können Krankheits- und Therapiefolgen objektiviert werden. Dadurch kann auch der Bedarf supportiver Maßnahmen, z. B. zur Rehabilitation bei Fazialisparese, verlässlicher erkannt werden.

Abstract

Background

In addition to overall survival and recurrence-free interval, posttherapeutic quality of life has been established as an independent criterion for treatment evaluation. Thereby, both the specific changes in the head and neck region and their objectification represent a particular challenge for the assessment of quality of life. There are different validated questionnaires available.

Objective

Based on the literature, an overview of the relevant questionnaire instruments is given and the specific aspects in patients with salivary gland cancer are presented.

Materials and methods

A selective literature search was conducted to collect publications dealing with the assessment of health-related quality of life in head and neck tumor patients. The papers were critically appraised and summarized.

Results

There are some validated questionnaires available to measure quality of life in patients with head and neck tumors as well as a few specific questionnaires for patients after parotidectomy.

Conclusion

By assessing quality of life using standardized questionnaire instruments, disease and treatment consequences can be objectified. Thus, the need for supportive measures, e.g., for rehabilitation in facial nerve palsy, can be identified more reliably.

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Authors and Affiliations

  1. Universitätsklinikum Freiburg, Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Killianstraße 5, 79106, Freiburg, Deutschland

    Valentin Burkhardt &  Christoph Becker

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Correspondence to Christoph Becker.

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V. Burkhardt und C. Becker geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Burkhardt, V., Becker, C. Posttherapeutische Lebensqualität nach Behandlung von Speicheldrüsenkarzinomen. HNO 71, 250–255 (2023). https://doi.org/10.1007/s00106-023-01286-x

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