Swallowing-related quality of life after free flap surgery due to cancer of the head and neck

Lahtinen, Sanna; Koivunen, Petri; Ala-Kokko, Tero; Kaarela, Outi; Laurila, Päivi; Liisanantti, Janne H. (2018-11-13)
 
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URL:
https://doi.org/10.1007/s00405-018-05264-w

Lahtinen, Sanna
Koivunen, Petri
Ala-Kokko, Tero
Kaarela, Outi
Laurila, Päivi
Liisanantti, Janne H.
Springer Nature
13.11.2018

Lahtinen, S., Koivunen, P., Ala-Kokko, T. et al. Eur Arch Otorhinolaryngol (2019) 276: 821. https://doi.org/10.1007/s00405-018-05264-w

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© The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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doi:https://doi.org/10.1007/s00405-018-05264-w
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Abstract

Purpose: Treatment of head and neck cancers (HNC) often leads to impairment in speech and swallowing functions. This study evaluated swallowing problems and the impact of complications on swallowing-related QOL after free flap surgery for HNC.

Methods: Swallowing-related QOL was assessed using MDADI and SWAL questionnaires.

Results: Of 45 assessed patients, 25 (45.5%) had at least one postoperative complication. Patients reported less than <86 points in 8/9 SWAL-QOL domains. The SWAL-QL total score or MDADI composite scores were not related to surgical complications. Those with medical complications had lower scores in SWAL-QOL domains of mental health (82.8 (21.8) vs 65.5 (24.2), p = 0.024) and sleep (77.6 (23.0) vs 52.3 (24.3), p = 0.003).

Conclusions: In conclusion, swallowing related QOL is significantly impaired after 2 years of the tumor resection and free flap reconstruction for cancer of the head and neck, when using the cut-off value of 86 points in SWAL-QOL assessment tool. Surgical complications did not have an impact on swallowing-related QOL but medical complications were related to impairment in general QOL-related domains.

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