Measures of health-related quality of life and functional status in survivors of oral cavity cancer who have had defects reconstructed with radial forearm free flaps

Smith, Grahame; Yeo, Dannel; Clark, Jonathan R.; Choy, E.T.; Gao, Kan; Oates, Justine; O’Brien, Catherine

doi:10.1016/j.bjoms.2005.06.022

Cited by 40 publications

(38 citation statements)

References 24 publications

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“…In order to prevent these, various skin-grafting techniques to the donor site, post operative wound site care, and modified flaps or different donor sites have been advocated [6,8,12]. Few studies have reported on the patients’ subjective views of the donor site satisfaction [6,14,18]. Also, there are very few studies reporting follow up regarding donor site morbidity in long term survivors [6,7].…”

Section: Introductionmentioning

confidence: 99%

Long-term functional donor site morbidity of the free radial forearm flap in head and neck cancer survivors

Orlík

Horwich

Bartlett

et al. 2014

J of Otolaryngol - Head & Neck Surg

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BackgroundTo assess the functional donor site morbidity of the forearm free flap in patients surviving at least 2 years after ablative head and neck cancer surgery in a tertiary care centre.MethodsThis study involved nine long-term survivors (2 year post-operative) who had forearm free flaps to reconstruct head and neck defects. All flaps were raised from the non-dominant arm. The non-donor side acted as a control for all patients. Objective measurements were as follows: grip, tip pinch and key pinch strength measured with dynamometers; flexion, extension, radial and ulnar deviation and pronation and supination range of motion at the wrist measured with goniometry; A timed manual dexterity task was performed with a grooved pegboard test, and sensation of the radial nerve was tested with Semmes Weinstein monofilaments. Subjective measurements included a validated patient questionnaire of hand function and opinions of scar appearance as well as a validated scar assessment from two different observers.ResultsPronation at the wrist, manual dexterity and sensation were found to be significantly reduced in the donor side compared to the non-donor side. Inter-rater agreement between the two observers was found to be poor, except for an acceptable correlation between overall scar opinions. No correlations were found between any subjective or objective items or between the patient’s and the observers’ subjective evaluations.ConclusionsDonor site morbidity can be demonstrated with objective testing however this is accepted and well tolerated by head and neck cancer patients.

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Section: Introductionmentioning

confidence: 99%

Long-term functional donor site morbidity of the free radial forearm flap in head and neck cancer survivors

Orlík

Horwich

Bartlett

et al. 2014

J of Otolaryngol - Head & Neck Surg

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“…Furthermore, most of them are with short-term follow-up. 7,8,13,14 Although recovery from surgery may take only 3 to 6 months, there is significant recovery after radiotherapy-up to 1 to 2 years. Thus, functional outcomes from more than 2 years after the last treatment are likely to show stable functional status.…”

Section: Discussionmentioning

confidence: 98%

“…7,8 In this study, juvenile patients with unilateral DDWR who was successfully treated by anterior repositioning appliance (ARS) were selected. Because the magnetic resonance imagings (MRIs) permit accurate evaluation of the disk and the structures of the joint, MRIs were chosen to detect alterations on internal derangement of the TMJs.…”

Section: Discussionmentioning

confidence: 99%

“…Most previous studies had often focused on the survival rate of RFFF and technical advances rather than patients' QoL and oral function. Furthermore, the existing studies 7,8 regarding patients' QoL after RFFF reconstruction were done soon after treatment, and it was inadequate apparently. The aim of our study was to assess the long-term QoL using the University of Washington Quality of Life (UW-QOL, version 4) questionnaire in head and neck cancer survivors who have had reconstructions with RFFF.…”

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confidence: 98%

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Long-Term Quality of Life in Survivors of Head and Neck Cancer Who Have had Defects Reconstructed With Radial Forearm Free Flaps

Zhang

Luo

Zhao

et al. 2015

Journal of Craniofacial Surgery

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The purpose of our study was to investigate (by postal questionnaire) the long-term quality of life (QoL) in Chinese patients who have had resections of head and neck cancer and immediate reconstruction by radial forearm free flaps. We performed a retrospective questionnaire survey and case series in the Affiliated Tumor Hospital of Zhengzhou University. The subjects were consecutive patients treated for head and neck cancers during a 13-year period. The patients completed the University of Washington Quality of Life (version 4) questionnaires. Among the 178 patients treated during the course of 13 years, 87 were alive and disease free. Fifty-six (64.4%) of the 87 questionnaires were returned. The mean follow-up duration was 7.9 years (range, 3-13 y). Of the 12 disease-specific domains on the University of Washington Quality of Life, the best-scoring domain was pain, followed by mood, anxiety, and shoulder, whereas the lowest scores were for saliva, taste, and speech. The domains considered as the most important were saliva, speech, and taste. We conclude that the radial forearm free flap for the reconstruction of defects of the head and neck after resection for cancer significantly influenced the patients' long-term QoL.

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“…Like all FACT scales, the FACT-H & N uses a 7-day response period and a 5-point Likert-type response scale of 0 = Not at All, 1 = A little bit, 2 = Somewhat, 3 = Quite a bit, and 4 = Very much. The scale was developed and validated with patients with head and neck cancer [2,18] and has been used extensively in this population (e.g., [19][20][21][22]). …”

Section: Fact-h and Nmentioning

confidence: 99%

A randomized validation study comparing embedded versus extracted FACT Head and Neck Symptom Index scores

Yount

List

et al. 2007

Qual Life Res

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Measures of health-related quality of life and functional status in survivors of oral cavity cancer who have had defects reconstructed with radial forearm free flaps

Cited by 40 publications

References 24 publications

Long-term functional donor site morbidity of the free radial forearm flap in head and neck cancer survivors

Long-term functional donor site morbidity of the free radial forearm flap in head and neck cancer survivors

Long-Term Quality of Life in Survivors of Head and Neck Cancer Who Have had Defects Reconstructed With Radial Forearm Free Flaps

A randomized validation study comparing embedded versus extracted FACT Head and Neck Symptom Index scores

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