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Assessment of quality of life after soft tissue resection of head and neck carcinoma and reconstruction with double-paddle peroneal artery perforator free flap

  • Peijun Song
    Affiliations
    Department of Plastic and Cosmetic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu, China

    Department of Plastic Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China
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  • Jiancheng Li
    Affiliations
    Department of Stomatology, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China
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  • Dongkun Yang
    Affiliations
    Department of Stomatology, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China
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  • Kai Hu
    Affiliations
    Department of Stomatology, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China
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  • Tianlan Zhao
    Correspondence
    Corresponding author at: Department of Plastic and Cosmetic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu, China
    Affiliations
    Department of Plastic and Cosmetic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu, China
    Search for articles by this author
Published:January 20, 2023DOI:https://doi.org/10.1016/j.bjoms.2022.10.008

      Abstract

      We aimed to assess the quality of life for head and neck carcinoma (HNC) patients who underwent soft tissue resection and reconstruction with double-paddle peroneal artery perforator (DPAP) free flap. The quality of life was assessed by means of the University of Washington quality of life (UW-QOL) and the 14-item Oral Health Impact Profile (OHIP-14) questionnaires at 12 months postoperatively. A total of 57 patients was retrospectively analyzed. Amongst, 51 patients were at TNM stage III or IV. Finally, 48 patients finished and returned the two questionnaires. In the UW-QOL questionnaire, the higher scores were pain (76.5, SD: 6.4), shoulder (74.3, SD: 9.6) and activity (71.6, SD: 6.1), whereas the lower scores were chewing (49.7, SD: 5.2), taste (51.1, SD: 7.7) and saliva (56.7, SD: 7.4). In the OHIP-14 questionnaire, the higher-scoring domains were psychological discomfort (69.3, SD: 9.6) and psychological disability (65.2, SD: 5.8), whereas the lower-scoring domains were handicap (28.7, SD: 4.3) and physical pain (30.4, SD: 8.1). DPAP free flap significantly improved appearance, activity, shoulder, mood, psychological discomfort and handicap compared with pedicled pectoralis major myocutaneous flap reconstruction. In conclusion, DPAP free flap for reconstruction of tissue defects after soft tissue resection of HNC significantly improved the patients' QOL compared to pedicled pectoralis major myocutaneous flap reconstruction.

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