RESUMO
PURPOSE: To describe the characteristics of and the associations between health-related quality of life, pain, craniomandibular function, and psychosocial factors related to pain and fear of movement in patients with head and neck cancer. METHODS: Seventy-eight patients diagnosed with HNC were recruited. Measurements of the maximum mouth opening range and pressure pain thresholds on the masseter muscle and the distal phalanx of the thumb were conducted, as well as a battery of self-report questionnaires were administrated, including the QoL Questionnaire (EORT QLQ-H&N35), Numeric Rating Scale (NRS), Pain Catastrophizing Scale (PCS), the Spanish translation of the Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD), and the short version of the Craniofacial Pain and Disability Inventory (CF-PDI-11). RESULTS: The study sample (66.7% men, mean age 60.12 [11.95] years) experienced a moderate impact on their QoL levels (57.68 [18.25] EORT QLQ-H&N35) and high kinesiophobia values (20.49 [9.11] TSK-TMD). Pain was present in 41% of the patients, but only 3.8% reported severe pain. 26.4% had a restricted mouth opening range, and 34.62% showed significant catastrophism levels. There were strong positive correlations between EORT QLQ-H&N35 and CF-PDI-11 (r = 0.81), between NRS and CF-PDI-11 (r = 0.74), and between PCS and CF-PDI-11 (r = 0.66). CONCLUSION: Patients with HNC experience negative effects in their QoL, related to their impairment in craniomandibular function. Fear of movement, pain intensity, and catastrophism are associated with poorer functionality; relationships that should be considered when attempting to improve health care.
Assuntos
Neoplasias de Cabeça e Pescoço , Qualidade de Vida , Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Neoplasias de Cabeça e Pescoço/psicologia , Neoplasias de Cabeça e Pescoço/complicações , Idoso , Inquéritos e Questionários , Medição da Dor , Movimento , Transtornos da Articulação Temporomandibular/psicologia , Transtornos da Articulação Temporomandibular/fisiopatologia , Medo/psicologia , Estudos Transversais , Dor do Câncer/psicologia , Adulto , Limiar da Dor/psicologiaAssuntos
Neoplasias Musculares/diagnóstico , Sarcoma de Células Claras/diagnóstico , Músculo Temporal/patologia , Diagnóstico Diferencial , Fáscia/patologia , Rearranjo Gênico/genética , Humanos , Hibridização in Situ Fluorescente , Imageamento por Ressonância Magnética , Neoplasias Musculares/genética , Proteína EWS de Ligação a RNA/análise , Proteína EWS de Ligação a RNA/genética , Sarcoma de Células Claras/genéticaRESUMO
INTRODUCTION: Orbital floor fractures are usually the result of mechanical trauma. Orbital emphysema tends to develop in fractures affecting the paranasal sinuses and walls of the orbit. CLINICAL CASE: We report the case of a 35-year-old male who suffered an orbital floor fracture with associated orbital emphysema as a result of nose blowing. DISCUSSION: Only one other similar case has been found in the literature.
