Free‐Flap Head and Neck Reconstruction and Quality of Life: A 2‐Year Prospective Study

Bozec, Alexandre; Poissonnet, G.; Chamorey, Emmanuel; Casanova, Cédric; Vallicioni, J; Démard, F; Mahdyoun, P.; Peyrade, Fréd́eric; Follana, Philippe; Bensadoun, René-Jean; Bénézery, Karen; Thariat, Juliette; Marcy, Pierre-Yves; Sudaka, Anne; Dassonville, O.

doi:10.1097/mlg.0b013e3181644abd

Cited by 89 publications

(66 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Here, however, the surgically treated group included just 13/26 cases that were reconstructed with microvascular free Xaps. Functional outcome seems to improve with microvascular free Xap reconstruction [11].…”

Section: Introductionmentioning

confidence: 99%

Functional outcome in patients with advanced head and neck cancer: surgery and reconstruction with free flaps versus primary radiochemotherapy

Tschiesner

Schuster

Strieth

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

The objective was to compare functional outcome in patients with advanced head and neck cancer (HNC) treated with (a) surgical resection and reconstruction with microvascular free flaps (MVFF) followed by radiochemotherapy versus (b) primary radiochemotherapy (RCT) on the basis of the International Classification of Functioning, Disability and Health (ICF) from WHO. This was a cross-sectional, multi-institutional study. The outcome measures included ICF Core Sets for HNC, the EORTC-QLQ, modules c30 + hn35 and the University of Washington-Quality of life Questionnaire (UW-QOL). Analyses included descriptive statistics, ranking exercises, and regression analyses in a cumulative logit model; 27 patients were treated with MVFF and 22 with RCT. Global Quality of life scores suggested a slightly better functional outcome for the surgical approach. The majority of ICF categories (81/93, 87%) did not show a difference in functional outcome between the two treatment approaches. In the remaining 12 ICF categories, n = 3 body structures were more affected in the MVFF group, while n = 3 body functions, and n = 6 activities/participations were more problematic in the RCT group. This included oral swallowing and weight maintenance functions as well as social relationships, acquiring a job, and economic self-sufficiency. In addition, nine contextual environmental factors were more relevant to the RCT group. Both treatment approaches seemed appropriate to advanced HNC from the perspective of functional outcome. The influence of treatment modalities on the social and economic lives of cancer survivors needs to be explored further. In order to guide rehabilitation according to patients' needs, the ICF offers a multidimensional view comprising body structures, body functions, and activities and participation in life.

show abstract

Section: Introductionmentioning

confidence: 99%

Functional outcome in patients with advanced head and neck cancer: surgery and reconstruction with free flaps versus primary radiochemotherapy

Tschiesner

Schuster

Strieth

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…The functional consequences of highdose radiation therapy with or without concomitant chemotherapy can now be surgically addressed in the cured patient to improve quality of life, 1 swallowing, and deglutition. 2 Nowhere is this concept more evident than in the case of osteoradionecrosis (ORN) of the mandible.…”

mentioning

confidence: 99%

Free flap reconstruction for osteoradionecrosis of the jaws—Outcomes and predictive factors for success

Cannady¹,

Dean

Kroeker

et al. 2011

Head & Neck

View full text Add to dashboard Cite

show abstract

“…La chirurgie garde une place majeure dans le traitement de ces cancers que ce soit à la phase initiale ou en situation de rattrapage après échec de thérapeutiques non chirurgicales associant chimiothérapie (CT) et radiothérapie (RT) [2]. Les traitements de ces tumeurs sont responsables d'alté-ration de fonctions majeures telles que la déglutition, la phonation et la respiration, de même que de troubles esthétiques qui peuvent retentir lourdement sur la vie sociale et plus géné-ralement sur la qualité de vie des patients [3]. En plus d'assurer une exérèse complète de la tumeur, le chirurgien garde donc toujours à l'esprit la nécessité de minimiser autant que possible les séquelles chirurgicales.…”

Section: Introductionunclassified

Head and neck oncologic surgery today and tomorrow

Bozec

Céruse

2015

Oncologie

View full text Add to dashboard Cite

Reçu le 25 février 2015 ; accepté le 28 avril 2015 © Lavoisier SAS 2015Résumé La chirurgie garde une place centrale dans le traitement des cancers de la face et du cou. Elle s'intègre dans le cadre d'une prise en charge multidisciplinaire globale et personnalisée du patient. Tout en respectant les règles générales de la chirurgie oncologique, elle devient de plus en plus ciblée sur les structures anatomiques réellement atteintes et donc conservatrice des tissus sains environnants. Les progrès des voies d'abord chirurgical, le développement de la chirurgie endoscopique et transorale (laser, chirurgie assistée par robot), de même que les avancées de la chirurgie reconstructive ont permis de diminuer la morbidité chirurgicale et d'améliorer les résultats fonctionnels postopératoires.Mots clés Cancers de la face et du cou · Chirurgie oncologique · Chirurgie assistée par robot · Prise en charge personnalisée Abstract Surgery plays a central role in the multimodal and personalized therapeutic management of head and neck cancers. While complying with general rules of oncologic surgery, head and neck surgery has become more conservative. Head and neck surgery removes more selectively the anatomical structures that are invaded by the tumor and spares the normal healthy tissues. Progress of surgical approaches, endoscopic and transoral (laser, robot-assisted surgery) surgery development, as well as advances in reconstructive surgery have led to reduction in surgical morbidity and improvement in postoperative surgical outcomes.

show abstract

Free‐Flap Head and Neck Reconstruction and Quality of Life: A 2‐Year Prospective Study

Abstract: Despite some functional impairments, global QOL was preserved after major head and neck ablative surgery and microvascular free-flap reconstruction.

Cited by 89 publications

References 23 publications

Functional outcome in patients with advanced head and neck cancer: surgery and reconstruction with free flaps versus primary radiochemotherapy

Functional outcome in patients with advanced head and neck cancer: surgery and reconstruction with free flaps versus primary radiochemotherapy

Free flap reconstruction for osteoradionecrosis of the jaws—Outcomes and predictive factors for success

Head and neck oncologic surgery today and tomorrow

Contact Info

Product

Resources

About