Perioperative symptom burden and its influencing factors in patients with oral cancer: A longitudinal study

Ou, Meijun; Wang, Guifen; Chen, Hong; Xu, Xianghua

doi:10.1016/j.apjon.2022.100073

Cited by 7 publications

(4 citation statements)

References 41 publications

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“…Moreover, the duration of surgeries was somehow longer in comparison with other studies [25][26][27] since our institution is a teaching super-specialized hospital. We also focused only on PPCs until the fifth postoperative day; however, these patients have multiple symptom burdens, which may appear later in the hospitalization course [28] and which probably overlap with each other, and so focusing on only one event in a limited time frame might not be sufficient to significantly change the prognosis and outcome. Finally, the retrospective collection of data and the monocentric specificity of this study do not permit a generalization of the results.…”

Section: Discussionmentioning

confidence: 99%

Impact of Preemptive Postoperative Pressure Support Ventilation and Physiotherapy on Postoperative Pulmonary Complications after Major Cervicofacial Cancer Surgery: A before and after Study

et al. 2023

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Introduction: Complex cervicofacial cancer surgery with free flap reconstruction is known to have a high incidence of postoperative pulmonary complications (PPCs). We hypothesized that by implementing an optimized respiratory protocol, including preemptive postoperative pressure support ventilation, physiotherapy, and critical respiratory support and follow-up, we could decrease the incidence of PPCs. Patients and methods: We evaluated the incidence of PPCs over two periods in two groups of patients having a routine or optimized postoperative respiratory protocol: 156 adult patients undergoing major cervicofacial cancer surgery were assessed; 91 were in Group 1 (routine) and 65 were in Group 2 (optimized). In Group 1, no ventilatory support sessions were performed. The incidence of pulmonary complications in both groups was compared using a multivariate analysis. Mortality was also compared until one year postoperatively. Results: In Group 2 with an optimized protocol, the mean number of ventilatory support sessions was 3.7 ± 1 (minimum 2, maximum 6). The incidence of respiratory complications, which was 34% in Group 1 (routine), was reduced by 59% OR = 0.41 (0.16; 0.95), p = 0.043) to 21% for the optimized Group 2. No difference in mortality was found. Conclusions: The present retrospective study showed that using an optimized preemptive respiratory pressure support ventilation combined with physiotherapy after a major cervicofacial surgery could possibly help reduce the incidence of pulmonary complications. Prospective studies are needed to verify these findings.

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Section: Discussionmentioning

confidence: 99%

Impact of Preemptive Postoperative Pressure Support Ventilation and Physiotherapy on Postoperative Pulmonary Complications after Major Cervicofacial Cancer Surgery: A before and after Study

et al. 2023

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“…Penelitian longitudinal terkini yang dilakukan Ou M., dkk. (2022) pada pasien kanker mulut dengan berbagai gejala berat memiliki kebiasaan menyirih sebanyak 53,3% (22). Dari penelitian ini dapat disimpulkan bahwa menyirih merupakan donor kasus kanker mulut terbanyak kedua dibandingkan dengan penyebab lain seperti konsumsi alkohol dan tertinggi pada kebiasaan merokok (22).…”

Section: Pembahasanunclassified

Efek Kebiasaan Menyirih terhadap Kesehatan Gigi dan Mulut : Literature Review

Azraliani,

Dien Anshari

2023

Media Publ. Promosi Kesehat. Indones

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Latar belakang: Perilaku menjaga kesehatan gigi dan mulut tidak terlepas dari kebiasaan yang dibentuk oleh tradisi dan budaya di masyarakat, seperti kebiasaan menyirih di nusantara. Studi terdahulu menunjukkan kebiasaan menyirih membawa efek samping bagi kesehatan gigi dan mulut. Tujuan: Tinjauan sistematis ini bertujuan untuk mengidentifikasi dampak dari kebiasaan menyirih terhadap kesehatan gigi dan mulut yang telah ditemukan dari penelitian-penelitian terdahulu. Metode: Tinjauan sistematis ini menggunakan pendekatan Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) dalam memilih artikel-artikel penelitian terdahulu. Artikel penelitian didapatkan dengan mengakses tiga database elektronik yaitu Science Direct, Pubmed dan Google Scholar, dengan menggunakan kata kunci “Betel Chewing AND Effect AND Oral Health” dengan pembatasan tahun terbit 2015-2022 dan kriteria inklusi artikel berfokus pada dampak dari kebiasaan menyirih serta tersedia naskah lengkap. Analisis tematik dilakukan pada 12 artikel yang memenuhi kriteria. Hasil: Secara umum, kebiasaan menyirih berdampak pada jaringan keras dan jaringan lunak gigi dan mulut. Dampak terhadap jaringan keras meliputi ragam masalah gigi (seperti diskolorasi, abrasi, atrisi, dan karies), masalah jaringan periodontal (seperti periodontitis, clinical attachment loss, dan tooth loss), serta masalah sendi rahang (seperti temporomandibular joint disfunction syndrome). Sementara dampak pada jaringan lunak meliputi masalah gingiva, xerostomia, lesi oral pra-kanker, dan kanker mulut. Adapun faktor-faktor yang ditemukan berhubungan dengan dampak dari kebiasann menyirih antara lain adalah durasi dan frekuensi menyirih, serta pengetahuan akan bahaya dari kebiasaan menyirih. Kesimpulan: Kebiasaan menyirih memiliki beragam dampak pada kesehatan gigi dan mulut. Penelitian lanjutan perlu dilakukan untuk mendalami persepsi masyarakat di wilayah yang rentan dengan kebiasaan menyirih untuk mengembangkan program edukasi mengenai bahaya dari kebiasaan menyirih yang tepat sasaran.

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“…A longitudinal assessment of preoperative speech function and postoperative changes in patients diagnosed with TSCC helps accelerate the recovery of speech function. However, to the best of our knowledge, few studies have specifically focused on the longitudinal speech function of patients diagnosed with TSCC [ 13 ], particularly from a subjective and objective perspective.…”

Section: Introductionmentioning

confidence: 99%

Speech disorders in patients with Tongue squamous cell carcinoma: A longitudinal observational study based on a questionnaire and acoustic analysis

et al. 2023

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Background Speech disorders are common dysfunctions in patients with tongue squamous cell carcinoma (TSCC) that can diminish their quality of life. There are few studies with multidimensional and longitudinal assessments of speech function in TSCC patients. Methods This longitudinal observational study was conducted at the Hospital of Stomatology, Sun Yat-sen University, China, from January 2018 to March 2021. A cohort of 92 patients (53 males, age range: 24–77 years) diagnosed with TSCC participated in this study. Speech function was assessed from preoperatively to one year postoperatively using the Speech Handicap Index questionnaire and acoustic parameters. The risk factors for postoperative speech disorder were analyzed by a linear mixed-effects model. A t test or Mann‒Whitney U test was applied to analyze the differences in acoustic parameters under the influence of risk factors to determine the pathophysiological mechanisms of speech disorders in patients with TSCC. Results The incidence of preoperative speech disorders was 58.7%, which increased up to 91.4% after surgery. Higher T stage (P＜0.001) and larger range of tongue resection (P = 0.002) were risk factors for postoperative speech disorders. Among the acoustic parameters, F2/i/decreased remarkably with higher T stage (P = 0.021) and larger range of tongue resection (P = 0.009), indicating restricted tongue movement in the anterior-posterior direction. The acoustic parameters analysis during the follow-up period showed that F1 and F2 were not significantly different of the patients with subtotal or total glossectomy over time. Conclusions Speech disorders in TSCC patients is common and persistent. Less residual tongue volume led to worse speech-related QoL, indicating that surgically restoring the length of the tongue and strengthening tongue extension postoperatively may be important.

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Perioperative symptom burden and its influencing factors in patients with oral cancer: A longitudinal study

Cited by 7 publications

References 41 publications

Impact of Preemptive Postoperative Pressure Support Ventilation and Physiotherapy on Postoperative Pulmonary Complications after Major Cervicofacial Cancer Surgery: A before and after Study

Impact of Preemptive Postoperative Pressure Support Ventilation and Physiotherapy on Postoperative Pulmonary Complications after Major Cervicofacial Cancer Surgery: A before and after Study

Efek Kebiasaan Menyirih terhadap Kesehatan Gigi dan Mulut : Literature Review

Speech disorders in patients with Tongue squamous cell carcinoma: A longitudinal observational study based on a questionnaire and acoustic analysis

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