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

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dc.contributor.authorAgea Martínez, Marc
dc.contributor.authorAntúnez Conde, Raúl
dc.contributor.authorNavarro Cuéllar, Carlos
dc.contributor.authorTousidonis Rial, Manuel Alejandro
dc.contributor.authorNavarro Cuéllar, Ignacio
dc.contributor.authorLópez López, Ana María
dc.contributor.authorGascón Alonso, Dafne
dc.contributor.authorSada Urmeneta, Ángela
dc.contributor.authorZamorano León, José Javier
dc.date.accessioned2023-06-22T11:20:30Z
dc.date.available2023-06-22T11:20:30Z
dc.date.issued2022-12-15
dc.description.abstractThe 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.
dc.description.departmentDepto. de Salud Pública y Materno - Infantil
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.statuspub
dc.eprint.idhttps://eprints.ucm.es/id/eprint/78423
dc.identifier.doi10.3390/jcm11247458
dc.identifier.issn2077-0383
dc.identifier.officialurlhttps://doi.org/10.3390/jcm11247458
dc.identifier.relatedurlhttps://www.mdpi.com/journal/jcm
dc.identifier.urihttps://hdl.handle.net/20.500.14352/72332
dc.issue.number24
dc.journal.titleJournal of Clinical Medicine
dc.language.isoeng
dc.page.initial7458
dc.publisherMDPI
dc.rightsAtribución 3.0 España
dc.rights.accessRightsopen access
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/es/
dc.subject.cdu616-006.04
dc.subject.keywordQuality of life
dc.subject.keywordEORTC QLQ-C30
dc.subject.keywordEORTC QLQ-H&N35
dc.subject.keywordHead and neck
dc.subject.keywordBuccinator flap
dc.subject.keywordReconstructive surgery
dc.subject.ucmMedicina
dc.subject.ucmOdontología (Medicina)
dc.subject.ucmOncología
dc.subject.unesco32 Ciencias Médicas
dc.subject.unesco3201.01 Oncología
dc.titleAssessment of Quality of Life in Head-and-Neck Oncologic Patients with Intraoral Soft-Tissue Defects Reconstructed with Buccinator Myomucosal Flap
dc.typejournal article
dc.volume.number11
dspace.entity.typePublication
relation.isAuthorOfPublication546ee3a8-8426-4aa9-8814-c8ce8cdeacff
relation.isAuthorOfPublication87c0e499-ccfa-49e0-93aa-b26aef373c89
relation.isAuthorOfPublication.latestForDiscovery546ee3a8-8426-4aa9-8814-c8ce8cdeacff
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