scholarly journals Analysis of the frequency and degree of temporomandibular disorder in patients with head and neck cancer undergoing radiotherapy

2016 ◽  
Vol 29 (2) ◽  
pp. 361-368 ◽  
Author(s):  
Douglas Roberto Pegoraro ◽  
Barbara Zanchet ◽  
Caroline de Oliveira Guariente ◽  
Josemara de Paula Rocha ◽  
Juliana Secchi Batista
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Temporomandibular Disorder ◽  
Malignant Neoplasm ◽  
Post Treatment ◽  
Chi Square ◽  
Significance Level ◽  
Chi Square Test ◽  
Quantitative Descriptive

Abstract Introduction: Head and neck cancer is responsible for an increasing incidence of primary malignant neoplasm cases worldwide. Radiotherapy is one of the treatments of choice for this type of cancer, but it can cause adverse effects, such as temporomandibular disorder. The objective of this study was to characterize the degree and frequency of temporomandibular disorder in patients with head and neck cancer undergoing radiotherapy. Method: This research was quantitative, descriptive and exploratory. The sample consisted of 22 patients that answered assessment questions and the Helkimo anamnestic questionnaire, modified by Fonseca (1992). The data were collected from May to October 2014, and statistically analyzed using the Chi-square test, with a significance level of p ≤ 0.05. Results: Of the 22 patients, 86.4 % were male, with a mean age of 58.86 ± 9.41 years. Temporomandibular disorder was present in 31.8% of the subjects, based on the assessment prior to radiotherapy, and in 59.1% in the post-treatment assessment. Among all questions, the most frequent was "Do you use only one side of the mouth to chew?" with 22.7% "yes" answers, both at the first assessment and at the post treatment. Conclusion: According to the results of this study, temporomandibular disorder is a disease that is present with a high prevalence in people diagnosed with head and neck cancer undergoing radiotherapy.

Osteomyocutaneous Free Fibula Flap Prevents Osteoradionecrosis and Osteomyelitis in Head and Neck Cancer Reconstruction

2021 ◽  
Author(s):  
Kuan-Ying Wang ◽  
Wen-Chung Liu ◽  
Chun-Feng Chen ◽  
Lee-Wei Chen ◽  
Hung-Chi Chen ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Muscle Flap ◽  
Flexor Hallucis Longus ◽  
Free Fibula Flap ◽  
Chi Square ◽  
Fibula Flap ◽  
Free Fibula ◽  
Chi Square Test

Abstract Background Osteoradionecrosis (ORN) is one of the most severe complications of free fibula reconstruction after radiotherapy. The gold standard treatment of osteomyelitis involves extensive debridement, antibiotics, and sufficiently vascularized muscle flap coverage for better circulation. Therefore, we hypothesized that free fibula flap with muscle could decrease the risk of ORN. Methods This study consisted of 85 patients who underwent reconstruction with free fibula flap in head and neck cancer by a single reconstructive surgeon at Kaohsiung Veterans General Hospital over a period of 19 years (1998–2016). Patients with postoperative adjuvant radiotherapy were included in the study and were grouped by either free fibula osteocutaneous flap or free fibula osteomyocutaneous flap (with flexor hallucis longus muscle), and the incidence of ORN was compared. Results Of the 85 patients, 15 were reconstructed with osteocutaneous fibula flap and 70 were with osteomyocutaneous fibula flap. The rate of ORN or osteomyelitis was significantly lower in the muscle group (18.6%, n = 13/70 vs. 46.7%, n = 7/15, p = 0.020, Chi-square test). Conclusion Vascularized muscle transfer increases perfusion of surrounding tissues and the bone flap, thereby decreasing the incidence of osteomyelitis or osteonecrosis.

Post‐Treatment Head and Neck Cancer Care: National Audit and Analysis of Current Practice in the United Kingdom

2020 ◽  
Vol 46 (1) ◽  
pp. 284-294
Author(s):  
◽  
Matthew Ellis ◽  
George Garas ◽  
John Hardman ◽  
Maha Khan ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
United Kingdom ◽  
Head And Neck ◽  
Neck Cancer ◽  
Cancer Care ◽  
Current Practice ◽  
Post Treatment ◽  
National Audit ◽  
The United Kingdom

scholarly journals Head and neck cancer survivors’ preferences for and evaluations of a post-treatment dietary intervention

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Sylvia L. Crowder ◽  
Katherine G. Douglas ◽  
Andrew D. Frugé ◽  
William R. Carroll ◽  
Sharon A. Spencer ◽  
...  
Keyword(s):  
Program Evaluation ◽  
Head And Neck Cancer ◽  
Cancer Survivors ◽  
Head And Neck ◽  
Neck Cancer ◽  
Dietary Intervention ◽  
Post Treatment ◽  
Leafy Vegetables ◽  
Registered Dietitian ◽  
Study Program

Abstract Background Dietary preferences vary depending on cancer type. The purpose of this study was to report dietary intervention preferences and a study program evaluation from post-treatment head and neck cancer survivors participating in a dietary intervention. Methods Between January 2015 and August 2016, 24 head and neck cancer survivors participated in a 12-week randomized clinical dietary intervention trial that promoted weekly consumption of 2.5 cups of cruciferous vegetables and 3.5 cups of green leafy vegetables. At study completion, survivors completed a preferences survey and a study program evaluation to probe interests and improvement aspects for planning future dietary intervention trials. Descriptive statistics (means and frequencies) were generated for multiple choice question responses. Responses to open-ended questions were recorded and grouped based on themes, and verified by quality assurance checks by a second study team member. Results Twenty-three survivors completed the preferences and evaluation surveys (response rate 96%). Overall, most participants reported a preference for one-on-one telephone counseling from a registered dietitian nutritionist before beginning treatment. Ninety-six percent of participants ranked the overall study program as “very good” to “excellent,” and all agreed the objectives of the study were clear, the study staff was helpful and easy to contact, and the registered dietitian nutritionist was knowledgeable. Conclusions Future research and dietary intervention planning for head and neck cancer survivors should focus on strategies to promote one-on-one telephone or other distance-based counseling combined with face-to-face visits, according to survivor preference.

Post treatment imaging surveillance in Head and Neck Cancer (HNC) patients

2018 ◽  
Vol 56 (10) ◽  
pp. e75-e76
Author(s):  
Anand Kumar ◽  
Keith Jones ◽  
Sean Mortimore ◽  
David Laugharne
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Post Treatment ◽  
Imaging Surveillance

Comorbidity in head and neck cancer: Is it associated with therapeutic delay, post-treatment mortality and survival in a population-based study?

Oral Oncology ◽  
2020 ◽  
Vol 102 ◽  
pp. 104561 ◽  
Author(s):  
Sabine Stordeur ◽  
Viki Schillemans ◽  
Isabelle Savoye ◽  
Katrijn Vanschoenbeek ◽  
Roos Leroy ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Population Based ◽  
Post Treatment ◽  
Population Based Study ◽  
Treatment Mortality

Support services of head and neck cancer survivors at 3 months post-treatment.

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 244-244
Author(s):  
Jean Marie Quispe ◽  
Kellie Martens ◽  
Jessica Geller ◽  
David Raben ◽  
Kristin Kilbourn
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Support Groups ◽  
Integrative Medicine ◽  
Social Worker ◽  
Neck Cancer ◽  
Support Services ◽  
Likert Scale ◽  
Post Treatment ◽  
Cancer Information

244 Background: Support services offer a multi-disciplinary approach to improve quality of life (QOL) in head and neck cancer (HNC) survivors. This study assessed support services of HNC survivors treated at a University-based cancer center. Methods: HNC survivors (N=115) who completed three-month post-treatment self-report questionnaires were recruited from three radiation oncology clinics. Questionnaires assessed emotional and physical symptoms, QOL, and use and interest in support services. Symptoms were assessed individually on a 5-point Likert scale. Utilization and interest of support services were assessed with yes/no scales while helpfulness of utilization was assessed on a 5-point Likert scale. Spearman correlation analyses were conducted in SPSS v22. Results: Participants’ were mostly male (77%) and Caucasian (79%), with a mean age of 58.71 years (SD=11.05), and 36% had stage III/IV cancer. The majority of participants (93.7%) agreed they received adequate support, yet, interest in classes/education (7.8%), integrative medicine (7.0%) and support groups (6.1%) were endorsed. Surprisingly, interest in these support services was associated with lower ratings of total symptoms: classes/education (r = -.48), integrative medicine (r = -.41) and support groups (r = -.55). More than half of participants utilized at least one support service (67.83%) with the most frequent including: nutritionist/dietitian (55.7%), social worker/navigator (21.0%) and cancer information line (15.7%). Utilization of some services was associated with lower ratings of individual symptoms: social worker/navigator and problems swallowing (r = -.31), fatigue (r = -.27) and pain (r = -.24); and cancer information line and weight loss (r = -.30). Meanwhile, overall helpfulness of support services (M = 2.37, SD = 1.51) was rated between “somewhat” and “quite a bit” helpful. Conclusions: This study suggests a relationship between utilization and interest in support services and symptom ratings. Notably, those who report more physical and emotional symptoms may be less likely to report interest in support services. This may be due to an inability to access support services because of lack of transportation, poor social living conditions, etc.

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