This was a prospective clinical study and the purpose was to assess the quality of life (QoL) as the primary endpoint for patients given prospective treatment for cancer of the oral cavity that required reconstruction using various reconstruction methods in Azerbaijan. All patients who were operated on during the year 2017 to 2018 were entered into the study. Quality of life was assessed six months postoperatively using the European Organization for Research and Cancer Treatment Core Cancer Quality of Life (EORTC QLQ-C30) and the Head and Neck Specific Quality of Life (QLQ-H&NN43) questionnaires. A total of 96 patients completed the questionnaires. There were 36 patients who did not receive a flap, 31 patients received a local flap, and 29 patients had distant-regional flaps. QoL assessed by the EORTC QLQ-C30, and the QLQ-H&N43 was lower in patients who received a local flap. In general, the results showed that the reconstruction with a distant-regional flap compared with no flap and local flap leads to improved quality of life of patients with oral cancer.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to British Journal of Oral and Maxillofacial Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- The textbook of oral and maxillofacial surgery.7th ed. People’s Health Publishing House, Beijing2012: 280-341 (in Chinese)
- Oral cancer prevention and control-the approach of the World Health Organization.Oral Oncol. 2009; 45: 454-460
- Development and evaluation of oral cancer quality-of-life questionnaire (QOL-OC).BMC Cancer. 2018; 18: 523
- Quality of life perspectives in patients with oral cancer.Oral Oncol. 2010; 46: 445-447
- Assessment of the quality of life of mandible defect after reconstruction with fibula flap.Zhonghua Kou Qiang Yi Xue Za Zhi. 2018; 53 (in Chinese): 408-412
- Patients’ experience of recurrent/metastatic head and neck squamous cell carcinoma and their perspective on the EORTC QLQ-C30 and QLQ-H&N35 questionnaires.J Patient Rep Outcomes. 2018; 2: 33
- Health-related quality of life in patients with T1N0 oral squamous cell carcinoma: selective neck dissection compared with wait and watch surveillance.Br J Oral Maxillofac Surg. 2019; 57: 649-654
- Anterolateral thigh flap combined with reconstruction plate versus double free flaps for composite mandibular reconstruction: A propensity score-matched study.Ann Surg Oncol. 2018; 25: 829-836
- Digitised evaluation of speech intelligibility using vowels in maxillectomy patients.J Oral Rehabil. 2018; 45: 216-221
- Postradiotherapy prosthetic management of mandible reconstructed with fibular graft.J Craniofac Surg. 2018; 29: e31-3
- Quality of life after free fibula flap reconstruction of segmental mandibular defects.J Reconstr Microsurg. 2018; 34: 108-120
- Maxillofacial prosthetic treatment factors affecting oral health-related quality of life after surgery for patients with oral cancer.J Prosthet Dent. 2018; 119: 663-670
- Simultaneous vascularized bony reconstruction of the maxilla and mandible using a single fibula: A case report.Microsurgery. 2017; 37: 243-247
- The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology.J Natl Cancer Inst. 1993; 85: 365-376
- Measuring quality of life in patients with head and neck cancer: Update of the EORTC QLQ-H&N Module, Phase III.Head Neck. 2015; 37: 1358-1367
- Health-related quality of life: a retrospective study on local vs. microvascular reconstruction in patients with oral cancer.BMC Oral Health. 2019; 19: 62
- Quality of life in patients after reconstruction with the supraclavicular artery island flap (SCAIF) versus the radial free forearm flap (RFFF).Eur Arch Otorhinolaryngol. 2019; 276: 2311-2318
- Comparison of the reconstruction of through-and-through cheek defects involving the labial commissure following tumor resection using four types of local and pedicle flaps.Head Face Med. 2019; 15: 12
- Long-term speech and swallowing function after primary resection and sentinel node biopsy for early oral squamous cell carcinoma.Oral Oncol. 2019; 89: 127-132
Published online: July 06, 2020
© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.