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European Archives of Oto-Rhino-Laryngology

, Volume 276, Issue 5, pp 1501–1508 | Cite as

Long-term health-related quality of life after mandibular resection and reconstruction

  • Anton WarshavskyEmail author
  • Dan M. Fliss
  • Gal Frenkel
  • Aviv Kupershmidt
  • Nuphar Moav
  • Roni Rosen
  • Melissa Sechter
  • Udi Shapira
  • Sara Abu-Ghanem
  • Moshe Yehuda
  • Arik Zaretski
  • Ravit Yanko-Arzi
  • Vadim Reiser
  • Gilad Horowitz
Head & Neck

Abstract

Purpose

To compare short- and long-term quality of life (QOL) scores in patients undergoing mandibular resection and reconstruction.

Materials and methods

All the patients who underwent resection and reconstruction of the mandible between 2000 and 2015 at a large tertiary center were retrospectively reviewed. Their QOL was measured by the University of Washington QOL questionnaire. Between 12 and 189 months (median 83.5 months) had elapsed since the end of treatment. The QOL of the short-term (< 5 years) and long-term (> 5 years) follow-up groups was compared and analyzed.

Results

Fifty-eight patients completed the questionnaire. The scores for physical function, emotional function, activity, recreation, and taste domains were significantly higher for the long-term follow-up group. The activity and pain domains posed a significant problem for significantly more patients in the short-term follow-up group.

Conclusion

Comparison of the short- and long-term QOL scores of patients undergoing mandibular resection and reconstruction revealed that the scores for the latter were significantly higher in several domains. This finding might be indicative of a cumulative effect of time on patients’ QOL, even many years post-treatment.

Keywords

Mandibulectomy Quality of life (QOL) Long term Follow-up 

Notes

Funding

None.

Compliance with ethical standards

Conflict of interest

None declared.

Ethical approval

The study was approved by the institutional ethics committee board.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

405_2019_5371_MOESM1_ESM.docx (17 kb)
Supplementary material 1 (DOCX 17 KB)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Anton Warshavsky
    • 1
    Email author
  • Dan M. Fliss
    • 1
  • Gal Frenkel
    • 1
  • Aviv Kupershmidt
    • 1
  • Nuphar Moav
    • 1
  • Roni Rosen
    • 1
  • Melissa Sechter
    • 1
  • Udi Shapira
    • 1
  • Sara Abu-Ghanem
    • 1
  • Moshe Yehuda
    • 1
  • Arik Zaretski
    • 2
  • Ravit Yanko-Arzi
    • 2
  • Vadim Reiser
    • 1
  • Gilad Horowitz
    • 1
  1. 1.The Department of Otolaryngology Head and Neck SurgeryTel-Aviv Sourasky Medical Center (affiliated to the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel)Tel-AvivIsrael
  2. 2.The Department of Plastic and Reconstructive SurgeryTel-Aviv Sourasky Medical Center (affiliated to the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel)Tel AvivIsrael

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