Abstract
Donor site complications, following microvascular free tissue transfer, can limit
recovery in patients treated for head and neck cancer, with a curative intent. The
Patient Concerns Inventory (PCI-HN) is a prompt list that provides patients with repeated
opportunities to raise issues they feel are important and want to discuss. Here, we
look at baseline results from a cluster preference randomised control trial with consultants
either “using” or “not using” the PCI package in clinic to identify patient concerns.
UWQOL results were presented from 67 consecutive patients having reconstruction with
free tissue transfer and PCI results from 25 of these patients in the PCI arm of the
trial. During early review consultations patients most wanted to discuss issues related
to dental health, dry mouth, and chewing. Donor site morbidity, in our patient sample,
did not appear to be an issue that patients wanted to discuss.
Keywords
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References
- Controversies in free tissue transfer for head and neck cancer: a review of the literature.Head Neck. 2019; 41: 3457-3463
- Long-term functional donor site morbidity of the free radial forearm flap in head and neck cancer survivors.J Otolaryngol Head Neck Surg. 2014; 43: 1
- Donor site morbidity of the fasciocutaneous radial forearm flap: what does the patient really bother?.Eur Arch Otorhinolaryngol. 2007; 264: 929-934
- A systematic review of anterolateral thigh flap donor site morbidity.Can J Plast Surg. 2012; 20: 17-23
- Comparison of morbidity after reconstruction of tongue defects with an anterolateral thigh cutaneous flap compared with a radial forearm free flap: a meta-analysis.Br J Oral Maxillofac Surg. 2016; 54: 1095-1101
- Head and neck reconstruction with free flaps based on the thoracodorsal system.Oral Oncol. 2017; 75: 46-53
- Mandibular reconstruction with the scapula tip free flap.Head Neck. 2019; 41: 2353-2358
- The development of a patients concerns inventory (PCI) to help reveal patients concerns in the head and neck clinic.Oral Oncol. 2009; 45: 555-561
- Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial.BMC Cancer. 2018; 18: 444
- The physical function and social-emotional function subscales of the University of Washington Quality of Life Questionnaire.Arch Otolaryngol Head Neck Surg. 2010; 136: 352-357
Article info
Publication history
Published online: July 01, 2020
Accepted:
June 5,
2020
Identification
Copyright
© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.