SURGICAL FACTORS INFLUENCING QUALITY OF LIFE IN CARCINOMA ORAL CAVITY PATIENTS IN TERITIARY HEALTH CARE CENTRE
DR.DEEPAK .G
, DR.N.MANICKAVEL
HRQOL: Health-Related Quality of Life; PMMC pectorlis major myocutaneous flap
ABSTRACT BACKGROUND In India most common cancer is carcinoma oral cavity. Most of the patients will present late to the physician so it will end up in devastating surgery and complex reconstruction. This results in poor quality of life. So it is important to diagnose and treat early for better survival AIM The aim of this study was to determine tumor charecteristics, surgical and reconstructional methods influencing the quality of life(QOL) in oral cancer patients. MATERIALS AND METHODS A prospective cross-sectional study, 30 surgically treated carcinoma oral cavity patients in our hospital, from august 2018 to march 2020 were included in the study. During follow-up, all patients completed the University of Washington Quality of Life Questionnaire (UW-QOL) containing 12 targeted questions about the head and neck. ANALYSIS Analysis were made with Quality of life scores comparing with infratemporal fossa clearance, buccal pad of fat removed or not, type of reconstruction, bipaddle or unipaddle, mode of node dissection, type of surgery, whether the surgery involving tongue, anterior tonsillar pillar removed or not, site of the tumor and stage of the tumor RESULTS In our study, quality of life scores were low in patients with advanced disease needing additional intervention in terms of extension of surgery. Physical domains of appearance and chewing p value of 0.05 and 0.06 respectively in patients undergoing wide local excision and split skin graft. Surgery involving the tongue had poor QOL scores in swallowing, chewing and speech all measuring p value <0.2 compared with other sites. Bipedal flap and submental flaps showed equal cosmetic results as compared with unipedal PMMC flaps. CONCLUSION Consequence of the function deficit and morbidity depends upon the tumor and the surgery. As much as possible preserve anatomy and have been called ‘organ preservation’ such that anterior tonsillar pillar and bucaal pad of fat should be preserved. Infratemporal fossa clearance is needed who have upper maxillary involvement. Submental flaps and split skin grafts should be promoted in early cases which has good quality of life outcomes. Reconstruction confers substantial benefit in reducing the morbidity. Early diagnosis and intervention is given priority to oral cancer patients such that extensive surgery can be avoided.
"SURGICAL FACTORS INFLUENCING QUALITY OF LIFE IN CARCINOMA ORAL CAVITY PATIENTS IN TERITIARY HEALTH CARE CENTRE", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.7, Issue 11, page no.1068 - 1073, November-2022, Available :https://ijsdr.org/papers/IJSDR2211159.pdf
Volume 7
Issue 11,
November-2022
Pages : 1068 - 1073
Paper Reg. ID: IJSDR_202712
Published Paper Id: IJSDR2211159
Downloads: 000347212
Research Area: Medical Science
Country: CHENNAI, TAMILNADU, INDIA
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
