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Evaluation of quality of life of a patient with malignant tumor of the oropharyngeal area during antitumor treatment

https://doi.org/10.17650/2222-1468-2017-7-4-41-52

Abstract

Introduction. Surgical treatment of patients with malignant neoplasms of the oropharyngeal region less disrupts the functional state of the maxillofacial region, reduces the relapse of diseases and maintains a satisfactory cosmetic result due to modern technologies. However, the future adequate rehabilitation provides a high indicator of the quality of life of such patients during antitumor treatment.
The aim of this study was assessment of the quality of life of the patient with malignant neoplasm of the oropharyngeal region at the pretreatment stages, after surgical treatment with the imposition of an individual temporary prosthesis on the upper jaw, after the fabricate of obturator prosthesis, 3 months after orthopedic rehabilitation.
Materials and methods. The quality of life of a patient with salivary gland cancer (T3N0M0) according to international scales for assessment of dental health of patients with head and neck tumors was analyzed: FACT-H&N, QLQ-C30 H&N35, OHIP-14; and the assessment of general health: SF-36, Karnovsky, ECOG Perfomance Status, EORTC-QLQ-C30.
Results. The results of the evaluation on the questionnaires reflect the same dynamics, but they are not adapted for the analysis of the stages of dental rehabilitation, which is the final link in the treatment of patients with malignant neoplasms of the oropharyngeal region.
Conclusion. The level of quality of life of a patient depends on the methods of orthopedic treatment during antitumor treatment on all scales.

About the Authors

E. V. Izhnina
I. M. Sechenov First Moscow State Medical University, Ministry of Health of Russia; Kuban State Medical University, Ministry of Health of Russia
Russian Federation

8–2 Trubetskaya St., Moscow 119991, Russia;

4 Sedina St., Krasnodar 350063, Russia



E. V. Kochurova
I. M. Sechenov First Moscow State Medical University, Ministry of Health of Russia
Russian Federation
8–2 Trubetskaya St., Moscow 119991, Russia


N. V. Lapina
Kuban State Medical University, Ministry of Health of Russia
Russian Federation
4 Sedina St., Krasnodar 350063, Russia


E. K. Rustamova
Kuban State Medical University, Ministry of Health of Russia
Russian Federation
4 Sedina St., Krasnodar 350063, Russia


References

1. Nemeth D., Zaleczna L., Huremovic A. et al. Importance of chewing, saliva, and swallowing function in patients with advanced oral cancer undergoing preoperative chemoradiotherapy: a prospective study of quality of life. Int J Oral Maxillofac Surg 2017;46(10):1229–36. DOI: 10.1016/j.ijom.2017.05.005. PMID: 28579265.

2. Гафаров Х. О. Оценка эффективности различных методов паллиативной противоболевой терапии у онкостоматологических больных. Доклады академии наук Республики Таджикистан 2014;56(7):514–9 [Gafarov Kh. O. Assessment the efficiency of the different methods of the palliative pain therapy in oncostomatology patients with advanced stage of disease. Doklady akademii nauk Respubliki Tadzhikistan = Reports of the Academy of Sciences of the Republic of Tajikistan 2014;56(7):514–9. (In Russ.)].

3. Si Y. F., Lan G. P., Deng Z. X. et al. Influence of endoscopic sinus surgery on the quality of life of patients with early nasopharyngeal carcinoma and the analysis of prognosis-related factors. Tumour Biol 2017;39(7):1010428317707435. DOI: 10.1177/1010428317707435. PMID: 28714364.

4. Патент РФ на полезную модель No 172892/14.04.17. Официальный бюллетень Федеральной службы интеллектуальной собственности (Роспатент) «Изобретения. Полезные модели» 2017;22. Ижнина Е. В., Кочурова Е. В., Лапина Н. В. и др. Стоматологическая ложкатрансформер для получения анатомических оттисков нижних челюстей у пациентов с контрактурой височно-нижнечелюстных суставов. [Dental spoon-transformer for obtaining anatomical impressions of the lower jaws of patients with contracture of temporomandibular joint. Utility model patent RU 172892/14.04.17; Official Bulletin of the Federal Service for Intellectual Property (Rospatent) “Innovations. Utility Models” 2017;22. Izhnina E. V., Kochurova E. V., Lapina N. V. et al. (In Russ.)].

5. Wang F., Huang W., Zhang C. et al. Functional outcome and quality of life after a maxillectomy: a comparison between an implant supported obturator and implant supported fixed prostheses in a free vascularized flap. Clin Oral Implants Res 2017;28(2): 137–43. DOI: 10.1111/clr.12771. PMID: 26725478.

6. Патент РФ на полезную модель No 171124/24.10.16. Официальный бюллетень Федеральной службы интеллектуальной собственности (Роспатент) «Изобретения. Полезные модели» 2017;15. Ижнина Е. В., Кочурова Е. В., Лапина Н. В. Устройство для профилактики постлучевых осложнений у пациентов со злокачественными новообразованиями челюстно-лицевой области. [The device for prevention of post-radiation complications in patients with cancer of maxillofacial region. Utility model patent RU 171124/ 24.10.16; Official Bulletin of the Federal Service for Intellectual Property (Rospatent) “Innovations. Utility Models” 2017;15. Izhnina E. V., Kochurova E. V., Lapina N. V. (In Russ.)].

7. Chen C., Ren W., Gao L. et al. Function of obturator prosthesis after maxillectomy and prosthetic obturator rehabilitation. Braz J Otorhinolaryngol 2016;82(2):177– 83. DOI: 10.1016/j. bjorl.2015.10.006. PMID: 26671022.

8. Jiao T., Zhu C., Dong X., Gu X. Rehabilitation of maxillectomy defects with obturator prostheses fabricated using computer-aided design and rapid prototyping: a pilot study. Int J Prosthodont 2014;27(5):480–6. DOI: 10.11607/ijp.3733. PMID: 25191895.

9. Seignemartin C. P., Miranda M. E., Luz J. G., Teixeira R. G. Understandability of speech predicts quality of life among maxillectomy patients restored with obturator prosthesis. J Oral Maxillofac Surg 2015;73(10):2040–8. DOI: 10.1016/j.joms.2015.04.031. PMID: 26003777.

10. Chen C., Ren W. H., Huang R. Z. et al. Quality of life in patients after maxillectomy and placement of prosthetic obturator. Int J Prosthodont 2016;29(4):363–8. DOI: 10.11607/ijp.4608. PMID: 27479344.

11. Singer S., Arraras J., Chie W. C. et al. Performance of the EORTC questionnaire for the assessment of quality of life in head and neck cancer patients EORTC QLQ-H&N35: a methodological review. Qual Life Res 2013;22(8):1927–41. DOI: 10.1007/s11136-012-0325-1. PMID: 23188134.

12. Abel E., Silander E., Nyman J., Bove M. Impact on quality of life of IMRT versus 3-D conformal radiation therapy in head and neck cancer patients: A case control study. Adv Radiat Oncol 2017;2(3):346–53. DOI: 10.1016/j.adro.2017.05.002. PMID: 29114602.

13. Nemeth D., Zaleczna L., Huremovic A., Engelmann J. Importance of chewing, saliva, and swallowing function in patients with advanced oral cancer undergoing preoperative chemoradiotherapy: a prospective study of quality of life. Int J Oral Maxillofac Surg 2017;46(10):1229–36. DOI: 10.1016/j.ijom.2017.05.005. PMID: 28579265.

14. Tomaszewski K. A., Püsküllüoğlu M., Biesiada K. et al. Validation of the polish version of the eortc QLQ-C30 and the QLQ-OG25 for the assessment of health-related quality of life in patients with esophagi-gastric cancer. J Psychosoc Oncol 2013;31(2):191–203. DOI: 10.1080/07347332.2012.761323. PMID: 23514254.

15. Carrilloa J. F., Carrillo L. C., RamirezOrtegac M. C. The impact of treatment on quality of life of patients with head and neck cancer and its association with prognosis. Eur J Surg Oncol 2016;42(10):1614–21. DOI: 10.1016/j.ejso.2016.05.037.

16. Bian X., Song T., Wu S. Outcomes of xerostomia-related quality of life for nasopharyngeal carcinoma treated by IMRT: based on the EORTC QLQ-C30 and H&N35 questionnaires. Expert Rev Anticancer Ther 2015;15(1):109–19. DOI: 10.1586/14737140.2015.961427. PMID: 25231774.

17. Bilal S., Doss J. G., Cella D., Rogers S. N. Quality of life associated factors in head and neck cancer patients in a developing country using the FACT-H&N. J Craniomaxillofac Surg 2015;43(2): 274–80. DOI: 10.1016/j.jcms.2014.11.024. PMID: 25555894.

18. Nagy J., Braunitzer G., Antal M. et al. Quality of life in head and neck cancer patients after tumor therapy and subsequent rehabilitation: an exploratory study. Qual Life Res 2014;23(1):135–43. DOI: 10.1007/s11136-013-0446-1. PMID: 23733663.

19. Nikolenko V. N., Kozlov S. V., Kochurova E. V. The effect of risk factors for a malignant neoplasm in the maxillofacial region on the expression of matrix metalloproteinases and their tissue inhibitors in elderly and old patients. Advances in Gerontology 2015(5)1:50–53.

20. Патент РФ на полезную модель No 173902/27.03.17. Официальный бюллетень Федеральной службы интеллектуальной собственности (Роспатент) «Изобретения. Полезные модели» 2017;26. Ижнина Е. В., Кочурова Е. В., Лапина Н. В., Скориков В. Ю. Стоматологическая ложка-трансформер для получения анатомических оттисков верхних челюстей у пациентов с микростомией. [Dental spoon-transformer for obtaining anatomical impressions of the upper jaws of patients with microstomia. Utility model patent RU 173902/27.03.17; Official Bulletin of the Federal Service for Intellectual Property (Rospatent) “Innovations. Utility Models” 2017;26. Izhnina E. V., Kochurova E. V., Lapina N. V., Skorikov V. Yu. (In Russ.)].


Review

For citations:


Izhnina E.V., Kochurova E.V., Lapina N.V., Rustamova E.K. Evaluation of quality of life of a patient with malignant tumor of the oropharyngeal area during antitumor treatment. Head and Neck Tumors (HNT). 2017;7(4):41-52. (In Russ.) https://doi.org/10.17650/2222-1468-2017-7-4-41-52

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ISSN 2222-1468 (Print)
ISSN 2411-4634 (Online)