Quality of life after free flap surgery for cancer of the head and neck in patients with or without postoperative complications

被引：14
|
作者：
Lahtinen, Sanna [1 ,2 ,3 ,6 ]
Koivunen, Petri [4 ]
Ala-Kokko, Tero [1 ]
Laurila, Paivi [1 ,2 ,3 ]
Kaarela, Outi [5 ]
Liisanantti, Janne H. [1 ,2 ,3 ]
机构：
[1] Univ Oulu, Oulu Univ Hosp, Res Grp Surg Anaesthesiol & Intens Care, Div Intens Care,Med Res Ctr, Oulu, Finland
[2] Univ Oulu, Res Grp Surg Anaesthesiol & Intens Care, Oulu Univ Hosp, Med Res Ctr, Oulu, Finland
[3] Univ Oulu, Dept Surg, Oulu Univ Hosp, Med Res Ctr, Oulu, Finland
[4] Univ Oulu, Dept Otorhinolaryngol & Head & Neck, PEDEGO Res Unit, Oulu Univ Hosp,Med Res Ctr, Oulu, Finland
[5] Univ Oulu, Oulu Univ Hosp, Div Operat Care, Med Res Ctr, Oulu, Finland
[6] Oulu Univ Hosp, Dept Anaesthesia & Intens Care, POB 21, Oulu 90029, Finland
来源：
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY | 2018年 / 275卷 / 10期
关键词：
Quality of life; Free flap surgery; Postoperative complications; Cancer of the head and neck; OROPHARYNGEAL CANCER; EUROPEAN-ORGANIZATION; RECONSTRUCTION; OUTCOMES; PREDICTORS; EXPERIENCE; FAILURE; INDEX;
D O I：
10.1007/s00405-018-5103-4
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
BackgroundDespite advances in surgical techniques, postoperative complications are frequent after free flap surgery for cancer of the head and neck. The present study assessed quality of life (QOL) in patients with and without postoperative complications.MethodsQOL was evaluated using RAND-36, EORTC-C30 and H&N-35, and UW-QOL questionnaires.ResultsOf 53 assessed patients, 29 (54.7%) had at least one complication. Those with medical complications (n=12, 22.6%) had significantly lower QOL in all domains of RAND-36 except emotional well-being. They also reported lower scores in EORTC-C30 domains of financial difficulties, pain, and insomnia and UW-QOL domains of pain, activity, and recreation. The QOL for patients without complications was comparable to the general population.ConclusionQOL after free flap surgery for cancer of the head and neck is reduced in patients with postoperative medical complications.
引用
收藏
页码：2575 / 2584
页数：10
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