Squamous cell carcinoma of the head and neck (HNSCC) is a common malignancy often diagnosed in the advanced stage with a complex negative influence on the patient’s quality of life (QoL). Given its multi-modal treatment, the first step is to adequately balance the needs of the patient, and the second step includes the consultations, interventions, and care provided by the medical team, with the purpose of improving the overall management of the HNSCC. Current attempts to develop and validate quality-of-life instruments specific to cancers of the head and neck have been reported, and certain questionnaires are now available. We performed a retrospective study in a tertiary centre, involving 89 patients who survived 3 years after HNSCC surgery. A patient-related outcome measurement was made using the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and QLQ-H&N35 instruments to assess QoL at admission and 3 years after treatment. The 3-year survivors reported an overall improvement in QoL compared with those in the pre-treatment period. The unique details of head and neck cancer treatments outline the importance of considering the characteristics of the patient population in quality-of-life research and also identify how quality-of-life data can contribute to the care provided by the multi-disciplinary team involved in a patient’s follow-up.
Méthodes de reconstruction des défauts de la tête après excision du cancer de la peau -série de casIntroduction. La chirurgie du cancer implique souvent des excisions qui conduisent à des défauts anatomiques remarquables. Les méthodes de reconstruction suite à une chirurgie ablative pour un cancer de la peau de la tête sont uniques et nécessitent une attention particulière, tant pour la forme que pour la fonction. L'utilisation de greffes de peau d'épaisseur fractionnée ou peu pleine épaisseur est indiquée pour les parties du visage avec un mouvement minimal. Présentations de cas. Nous présentons quatre cas de cancer de la peau nécessitant un lambeau pour la reconstruction des défauts post-excision. Le premier cas est celui d'un homme de 90 ans atteint d'un carcinome épidermoïde préauriculaire droit. L'ablation de la masse tumorale cutanée pré-auriculaire droite a été réalisée et le défaut restant a été reconstruit avec une greffe de peau pleine épaisseur prélevée du bras. Le deuxième cas est d'un patient de 45 ans avec un ABSTRACT Introduction. Cancer surgery often involves excisions that lead to important anatomical defects. The reconstruction methods following an ablative surgery for head skin cancer are unique and require special attention for both shape and function. Utilisation of split-thickness or full-thickness skin grafts is indicated for face regions with minimal motion. Case presentations. We present four cases of skin cancer, who required a flap for the reconstruction of post-excision defects. The first case is of a 90-year-old male with a right preauricular squamous cell carcinoma. The remaining defect after tumour ablation was reconstructed with a full-thickness skin graft harvested from the arm. The second case is of a 45-year-old male with a malignant melanoma of the scalp. The defect on the scalp was also covered with a skin graft. The third case is of a 51-year-old diabetic woman with left nasal skin cell carcinoma. The defect left after excision was reconstructed with a nasolabial flap and a free cartilage graft harvested from the concha. The fourth case is of a 65-year-old male with a basal cell carcinoma of
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