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.
Keywords
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Article info
Publication history
Accepted:
October 10,
2022
Received in revised form:
September 28,
2022
Received:
August 24,
2022
Publication stage
In Press Accepted ManuscriptIdentification
Copyright
© 2023 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons.
