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Assessment of Quality of Life in Head-and-Neck Oncologic Patients with Intraoral Soft-Tissue Defects Reconstructed with Buccinator Myomucosal Flap

The aim of this study is to evaluate the functional outcomes and quality of life (QoL) in oncologic patients with intraoral defects reconstructed with the buccinator myomucosal flap. A retrospective study was performed involving 39 patients with intraoral soft-tissue defects, reconstructed with a bu...

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Autores principales: Agea Martínez, Marc, Antúnez-Conde, Raúl, Navarro Cuéllar, Carlos, Tousidonis Rial, Manuel, Navarro Cuéllar, Ignacio, López López, Ana María, Gascón Alonso, Dafne, Sada Urmeneta, Ángela, Zamorano-León, José J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780850/
https://www.ncbi.nlm.nih.gov/pubmed/36556074
http://dx.doi.org/10.3390/jcm11247458
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author Agea Martínez, Marc
Antúnez-Conde, Raúl
Navarro Cuéllar, Carlos
Tousidonis Rial, Manuel
Navarro Cuéllar, Ignacio
López López, Ana María
Gascón Alonso, Dafne
Sada Urmeneta, Ángela
Zamorano-León, José J.
author_facet Agea Martínez, Marc
Antúnez-Conde, Raúl
Navarro Cuéllar, Carlos
Tousidonis Rial, Manuel
Navarro Cuéllar, Ignacio
López López, Ana María
Gascón Alonso, Dafne
Sada Urmeneta, Ángela
Zamorano-León, José J.
author_sort Agea Martínez, Marc
collection PubMed
description The aim of this study is to evaluate the functional outcomes and quality of life (QoL) in oncologic patients with intraoral defects reconstructed with the buccinator myomucosal flap. A retrospective study was performed involving 39 patients with intraoral soft-tissue defects, reconstructed with a buccinator myomucosal flap during a six-year period. Patients completed the European Organization for Research and Treatment of Cancer questionnaires, the standard questionnaire (QLQ-C30) and the head-and-neck specific module (QLQ-H&N35). Thirty-nine patients with a mean age of 61.23 ± 15.80 years were included in the study. Thirty-three patients were diagnosed with an oncological condition (84.61%). Six patients (15.38%) developed orosinusal communication and underwent extensive debridement. The median global-health-status score was 79.27 and emotional performance was the lowest scoring, with a mean score of 76.93. As for the symptom items, the most outstanding were dental problems (33.33), oral opening (31.62) and dry mouth (37.61), followed by sticky saliva (24.79), problems with social eating (21.15) and pain (19.87). The most significant symptoms were radiotherapy-related adverse effects such as pain, fatigue, dental problems and dry mouth. Patients reconstructed with the buccinator myomucosal flap develop a good quality of life for all types of activities, and a correct function and aesthetics. Postoperative radiotherapy is associated with a poorer quality of life, and can lead to impairment of several symptoms such as swallowing, oral opening and dry mouth.
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spelling pubmed-97808502022-12-24 Assessment of Quality of Life in Head-and-Neck Oncologic Patients with Intraoral Soft-Tissue Defects Reconstructed with Buccinator Myomucosal Flap Agea Martínez, Marc Antúnez-Conde, Raúl Navarro Cuéllar, Carlos Tousidonis Rial, Manuel Navarro Cuéllar, Ignacio López López, Ana María Gascón Alonso, Dafne Sada Urmeneta, Ángela Zamorano-León, José J. J Clin Med Article The aim of this study is to evaluate the functional outcomes and quality of life (QoL) in oncologic patients with intraoral defects reconstructed with the buccinator myomucosal flap. A retrospective study was performed involving 39 patients with intraoral soft-tissue defects, reconstructed with a buccinator myomucosal flap during a six-year period. Patients completed the European Organization for Research and Treatment of Cancer questionnaires, the standard questionnaire (QLQ-C30) and the head-and-neck specific module (QLQ-H&N35). Thirty-nine patients with a mean age of 61.23 ± 15.80 years were included in the study. Thirty-three patients were diagnosed with an oncological condition (84.61%). Six patients (15.38%) developed orosinusal communication and underwent extensive debridement. The median global-health-status score was 79.27 and emotional performance was the lowest scoring, with a mean score of 76.93. As for the symptom items, the most outstanding were dental problems (33.33), oral opening (31.62) and dry mouth (37.61), followed by sticky saliva (24.79), problems with social eating (21.15) and pain (19.87). The most significant symptoms were radiotherapy-related adverse effects such as pain, fatigue, dental problems and dry mouth. Patients reconstructed with the buccinator myomucosal flap develop a good quality of life for all types of activities, and a correct function and aesthetics. Postoperative radiotherapy is associated with a poorer quality of life, and can lead to impairment of several symptoms such as swallowing, oral opening and dry mouth. MDPI 2022-12-15 /pmc/articles/PMC9780850/ /pubmed/36556074 http://dx.doi.org/10.3390/jcm11247458 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Agea Martínez, Marc
Antúnez-Conde, Raúl
Navarro Cuéllar, Carlos
Tousidonis Rial, Manuel
Navarro Cuéllar, Ignacio
López López, Ana María
Gascón Alonso, Dafne
Sada Urmeneta, Ángela
Zamorano-León, José J.
Assessment of Quality of Life in Head-and-Neck Oncologic Patients with Intraoral Soft-Tissue Defects Reconstructed with Buccinator Myomucosal Flap
title Assessment of Quality of Life in Head-and-Neck Oncologic Patients with Intraoral Soft-Tissue Defects Reconstructed with Buccinator Myomucosal Flap
title_full Assessment of Quality of Life in Head-and-Neck Oncologic Patients with Intraoral Soft-Tissue Defects Reconstructed with Buccinator Myomucosal Flap
title_fullStr Assessment of Quality of Life in Head-and-Neck Oncologic Patients with Intraoral Soft-Tissue Defects Reconstructed with Buccinator Myomucosal Flap
title_full_unstemmed Assessment of Quality of Life in Head-and-Neck Oncologic Patients with Intraoral Soft-Tissue Defects Reconstructed with Buccinator Myomucosal Flap
title_short Assessment of Quality of Life in Head-and-Neck Oncologic Patients with Intraoral Soft-Tissue Defects Reconstructed with Buccinator Myomucosal Flap
title_sort assessment of quality of life in head-and-neck oncologic patients with intraoral soft-tissue defects reconstructed with buccinator myomucosal flap
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780850/
https://www.ncbi.nlm.nih.gov/pubmed/36556074
http://dx.doi.org/10.3390/jcm11247458
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