Benedicta E Beck-Broichsitter1, Jörn Huck2, Thomas Küchler3, Daniela Hauke4, Jürgen Hedderich5, Jörg Wiltfang2, Stephan T Becker2. 1. Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Campus Forschung Gebäude N27, 20246, Hamburg, Germany. b.beck-broichsitter@uke.de. 2. Department of Oral and Maxillofacial Surgery, Schleswig-Holstein University Hospital, Arnold-Heller-Straße 3, Haus 26, 24105, Kiel, Germany. 3. Reference Center on Quality of Life in Oncology, Schleswig-Holstein University Hospital, Arnold-Heller-Straße 3, Haus 18, 24105, Kiel, Germany. 4. Kaufbeuren Hospital, Kemnater Str. 16, 87600, Kaufbeuren, Germany. 5. Institute of Medical Informatics and Statistics, Schleswig-Holstein University Hospital, Brunswiker Straße 10, 24105, Kiel, Germany.
Abstract
PURPOSE: The extent of functional impairment after ablative surgery in the orofacial region may be directly reflected in a reduction in Quality of Life. This study intended to compare the patients' perception with an objective functional evaluation of the orofacial system in order to bilaterally distinguish direct influence factors. METHODS: A total of 45 patients were included in this study and were asked to complete the European Organisation for Research and Treatment of Cancer Core Questionnaire (EORTC QLQ-30) and the Head and Neck 35 Module (H&N 35). Afterward one independent speech therapist evaluated the patients applying the Frenchay Dysarthria Assessment regarding four main categories: mouth opening, tongue motility, swallowing and intelligibility. Comparisons between groups were performed using Whitney-Mann U-Wilcoxon test and calculating Spearman's rho. RESULTS: Overall the professional assessments by the speech therapists revealed significantly higher scores regarding intelligibility, swallowing and mouth opening when compared to the patients' self-perception. Smaller tumor sizes, no bone resection and local reconstruction techniques led to significantly better functional outcomes, when assessed by speech therapists. Swallowing was perceived significantly better by patients in cases of local reconstruction. CONCLUSIONS: From the professionals' point of view differences were perceived in more items compared to the patients' self-assessments, who widely experienced a more severe functional impairment. Physicians should take this into account when discussing adverse therapy effects with the patients.
PURPOSE: The extent of functional impairment after ablative surgery in the orofacial region may be directly reflected in a reduction in Quality of Life. This study intended to compare the patients' perception with an objective functional evaluation of the orofacial system in order to bilaterally distinguish direct influence factors. METHODS: A total of 45 patients were included in this study and were asked to complete the European Organisation for Research and Treatment of Cancer Core Questionnaire (EORTC QLQ-30) and the Head and Neck 35 Module (H&N 35). Afterward one independent speech therapist evaluated the patients applying the Frenchay Dysarthria Assessment regarding four main categories: mouth opening, tongue motility, swallowing and intelligibility. Comparisons between groups were performed using Whitney-Mann U-Wilcoxon test and calculating Spearman's rho. RESULTS: Overall the professional assessments by the speech therapists revealed significantly higher scores regarding intelligibility, swallowing and mouth opening when compared to the patients' self-perception. Smaller tumor sizes, no bone resection and local reconstruction techniques led to significantly better functional outcomes, when assessed by speech therapists. Swallowing was perceived significantly better by patients in cases of local reconstruction. CONCLUSIONS: From the professionals' point of view differences were perceived in more items compared to the patients' self-assessments, who widely experienced a more severe functional impairment. Physicians should take this into account when discussing adverse therapy effects with the patients.
Authors: K Bjordal; E Hammerlid; M Ahlner-Elmqvist; A de Graeff; M Boysen; J F Evensen; A Biörklund; J R de Leeuw; P M Fayers; M Jannert; T Westin; S Kaasa Journal: J Clin Oncol Date: 1999-03 Impact factor: 44.544
Authors: Raghav C Dwivedi; Suzanne St Rose; Edward J Chisholm; Christos Georgalas; Brian Bisase; Furrat Amen; Cyrus J Kerawala; Peter M Clarke; Christopher M Nutting; Peter H Rhys-Evans; Kevin J Harrington; Rehan Kazi Journal: Dysphagia Date: 2012-02-21 Impact factor: 3.438
Authors: Martin Canis; Bernhard G Weiss; Friedrich Ihler; Eva Hummers-Pradier; Christoph Matthias; Hendrik A Wolff Journal: Head Neck Date: 2015-06-16 Impact factor: 3.147