“…51 Various tools and questionnaires were used for measuring QOL as the EORTC Head and Neck 35 assessment ,the University of Washington Head and Neck Questionnaire (UW-QOL) , the Oral Health Impact Profile -14 (OHIP-14) , Visual Analogue Scale (VAS), the Obturator Functioning Scale (OFS), Mental Regarding the defect classifications, one of the selected studies used Aramany classification, 49 one used Brown classification system of defects, 50 one used Okay et al classification, 32 one used new classification 51,53 and one study described only the extension of the surgical resection. 52 The most common defect type was IIa-b Brown classification and class II okay classification. 32,[49][50][51][52] One study reported that the size of the defect affects significantly the difference between QOL scores for both lines of treatment, 50 as well as, other study reported that the size and shape of the defect, especially in patients who receive radiation therapy, represent one of the most significant negative points.…”