University of Oulu

Lahtinen, S., Koivunen, P., Ala-Kokko, T. et al. Eur Arch Otorhinolaryngol (2019) 276: 821. https://doi.org/10.1007/s00405-018-05264-w

Swallowing-related quality of life after free flap surgery due to cancer of the head and neck

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Author: Lahtinen, Sanna1; Koivunen, Petri2; Ala-Kokko, Tero1;
Organizations: 1Research Group of Surgery, Anesthesia and Intensive Care, Department of Anesthesiology, Medical Research Center, Oulu University Hospital, University of Oulu, Oulu, Finland
2PEDEGO Research Unit, Department of Otorhinolaryngology and Head and Neck, Medical Research Center, Oulu University Hospital, University of Oulu, Oulu, Finland
3Research Group of Surgery, Anesthesia and Intensive Care, Department of Surgery, Medical Research Center, Oulu University Hospital, University of Oulu, Oulu, Finland
4Division of Operative Care and Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.6 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2019060719473
Language: English
Published: Springer Nature, 2019
Publish Date: 2019-06-07
Description:

Abstract

Purpose: Treatment of head and neck cancers (HNC) often leads to impairment in speech and swallowing functions. This study evaluated swallowing problems and the impact of complications on swallowing-related QOL after free flap surgery for HNC.

Methods: Swallowing-related QOL was assessed using MDADI and SWAL questionnaires.

Results: Of 45 assessed patients, 25 (45.5%) had at least one postoperative complication. Patients reported less than <86 points in 8/9 SWAL-QOL domains. The SWAL-QL total score or MDADI composite scores were not related to surgical complications. Those with medical complications had lower scores in SWAL-QOL domains of mental health (82.8 (21.8) vs 65.5 (24.2), p = 0.024) and sleep (77.6 (23.0) vs 52.3 (24.3), p = 0.003).

Conclusions: In conclusion, swallowing related QOL is significantly impaired after 2 years of the tumor resection and free flap reconstruction for cancer of the head and neck, when using the cut-off value of 86 points in SWAL-QOL assessment tool. Surgical complications did not have an impact on swallowing-related QOL but medical complications were related to impairment in general QOL-related domains.

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Series: European archives of oto-rhino-laryngology
ISSN: 0937-4477
ISSN-E: 1434-4726
ISSN-L: 0937-4477
Volume: 276
Issue: 3
Pages: 821 - 826
DOI: 10.1007/s00405-018-05264-w
OADOI: https://oadoi.org/10.1007/s00405-018-05264-w
Type of Publication: A1 Journal article – refereed
Field of Science: 3125 Otorhinolaryngology, ophthalmology
3122 Cancers
Subjects:
Funding: Open access funding provided by University of Oulu including Oulu University Hospital.
Copyright information: © The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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