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Impact of reconstructive microsurgery on patients with cancer of the head and neck: a prospective study of quality of life, particularly in older patients.
Segna, E; Bolzoni, A R; Giannì, A B; Baj, A; Beltramini, G A.
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  • Segna E; Maxillofacial Surgery and Odontostomatology Unit - I.R.C.C.S. Fondazione Ca' Granda, Ospedale Maggiore Policlinico di Milano; 35, via Francesco Sforza, Milano 20022, Italy. Electronic address: elesegna@hotmail.it.
  • Bolzoni AR; Maxillofacial Surgery and Odontostomatology Unit - I.R.C.C.S. Fondazione Ca' Granda, Ospedale Maggiore Policlinico di Milano; 35, via Francesco Sforza, Milano 20022, Italy; Department of Biomedical, Surgical and Dental Sciences - University of Milano; 10, via Commenda, Milano 20122, Italy.
  • Giannì AB; Maxillofacial Surgery and Odontostomatology Unit - I.R.C.C.S. Fondazione Ca' Granda, Ospedale Maggiore Policlinico di Milano; 35, via Francesco Sforza, Milano 20022, Italy; Department of Biomedical, Surgical and Dental Sciences - University of Milano; 10, via Commenda, Milano 20122, Italy.
  • Baj A; Maxillofacial Surgery and Odontostomatology Unit - I.R.C.C.S. Fondazione Ca' Granda, Ospedale Maggiore Policlinico di Milano; 35, via Francesco Sforza, Milano 20022, Italy; Department of Biomedical, Surgical and Dental Sciences - University of Milano; 10, via Commenda, Milano 20122, Italy.
  • Beltramini GA; Maxillofacial Surgery and Odontostomatology Unit - I.R.C.C.S. Fondazione Ca' Granda, Ospedale Maggiore Policlinico di Milano; 35, via Francesco Sforza, Milano 20022, Italy.
Br J Oral Maxillofac Surg ; 56(9): 830-834, 2018 11.
Article en En | MEDLINE | ID: mdl-30293807
Treatment of cancer of the head and neck often requires extended resection and major reconstructive surgery, both of which can have great functional and emotional impact. It is fundamental to evaluate the outcome with respect not only to the clinical aspects but also to the quality of life (QoL) perceived by the patients. In the light of the reported increasing incidence of oral cancer in older patients, we decided to see if there was an association between QoL and age. Between June 2015 and December 2016 we submitted the Italian version of the 36-item Short Form Health Survey (SF-36) to 30 patients (mean (range) age 65.5 (23-87) years) who had had resection and microsurgical reconstruction at the Ospedale Maggiore Policlinico of Milan. The questionnaires were completed before operation, and 12 months afterwards, and clinical and personal data were also collected. From the results of SF-36 we obtained the Short Form 12 (SF-12), Physical Health Composite Score (PCS), and Mental Health Composite Score (MCS) and looked at how age influences the variation in QoL scores. The variation between SF-36 and SF-12 results (preoperatively and postoperatively) did not seem to correlate with age. Our study confirmed that reconstructive microsurgery can be realistically proposed to older as well as younger patients because, according to the QoL index, older patients are able to manage (and therefore take advantage of) this complex surgical technique.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Procedimientos de Cirugía Plástica / Neoplasias de Cabeza y Cuello / Microcirugia Tipo de estudio: Observational_studies Aspecto: Patient_preference Límite: Adult / Aged / Aged80 / Humans / Middle aged Idioma: En Revista: Br J Oral Maxillofac Surg Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Procedimientos de Cirugía Plástica / Neoplasias de Cabeza y Cuello / Microcirugia Tipo de estudio: Observational_studies Aspecto: Patient_preference Límite: Adult / Aged / Aged80 / Humans / Middle aged Idioma: En Revista: Br J Oral Maxillofac Surg Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido