Functional and psychological evaluation after flap reconstruction plus radiotherapy in oral cancer
- 21 March 2011
- journal article
- research article
- Published by Wiley in Head & Neck
- Vol. 33 (4), 458-468
- https://doi.org/10.1002/hed.21471
Abstract
Background Head and neck tumors and their treatments negatively affect speech, swallowing, body image, and quality of life (QOL). The purpose of this study was to allow us to evaluate the impact of flap reconstructive surgery with adjuvant radiotherapy (RT) on QOL and psychological functioning. Methods Thirty-six of 153 consecutive patients surgically treated for carcinoma of the oral cavity received adjuvant RT. Late effects of RT and psycho-oncological assessment were performed. Results In more than 50% of the cases examined, moderate to severe late toxicity was observed, regarding subcutaneous tissues, salivary function, dysphagia, and taste impairment. Patients with severe dysphagia showed higher levels of depression and anxiety (p < .05). Dysphagia and taste impairment were seen to be associated with lower global health and QOL. The Draw a Person Test (DAP) showed severe problems in self-perceived body image in 33% of the sample. Conclusion Dysphagia and taste impairment are associated with QOL and depression; our data suggest a different evaluation between self-reported and clinician-rating scales. DAP is a provocative tool that merits further research. © 2010 Wiley Periodicals, Inc. Head Neck, 2011Keywords
This publication has 54 references indexed in Scilit:
- Factors Associated With Severe Late Toxicity After Concurrent Chemoradiation for Locally Advanced Head and Neck Cancer: An RTOG AnalysisJournal of Clinical Oncology, 2008
- Health-related quality of life in patients with pharyngeal carcinoma: A five-year follow-upHead & Neck, 2006
- Influence of psychological response on breast cancer survival: 10-year follow-up of a population-based cohortEuropean Journal Of Cancer, 2005
- The Mini-Mental Adjustment to Cancer (Mini-MAC) scale: construct validation with a Greek sample of breast cancer patientsPsycho‐Oncology, 2005
- Depressive symptom patterns and their consequences for diagnosis of affective disorders in cancer patientsSupportive Care in Cancer, 2004
- Psychological distress in patients attending an oncology clinic after definitive treatment for maxillofacial malignant neoplasiaInternational Journal of Oral & Maxillofacial Surgery, 1993
- The European Organization for Research and Treatment of Cancer QLQ-C30: A Quality-of-Life Instrument for Use in International Clinical Trials in OncologyJNCI Journal of the National Cancer Institute, 1993
- Rehabilitation of Swallowing and Communication Following GlossectomyRehabilitation Nursing Journal, 1991
- The Hospital Anxiety and Depression ScaleActa Psychiatrica Scandinavica, 1983
- A New Depression Scale Designed to be Sensitive to ChangeThe British Journal of Psychiatry, 1979