Functional outcomes and quality of life after total laryngectomy with noncircumferential radial forearm free tissue transfer.
Head Neck
; 39(11): 2319-2328, 2017 11.
Article
em En
| MEDLINE
| ID: mdl-28837753
ABSTRACT
BACKGROUND:
The purpose of this study was to compare long-term functional and quality of life (QOL) outcomes after total laryngectomy with primary closure and those who underwent reconstruction with noncircumferential radial free forearm tissue transfer (RFFTT).METHODS:
Sixty-seven patients were identified by chart review and underwent long-term follow-up using QOL surveys and standardized interviews.RESULTS:
The RFFTT group had significantly higher rates of chemotherapy, gastric tube (G-tube) at surgery, and postoperative stricture. At follow-up, most patients (88%) had a tracheoesophageal prosthesis (TEP) and were using it as their primary communication method. Diet and swallowing outcomes were comparable and no one had a G-tube. Device life and TEP complications did not differ significantly. Only voice-related QOL differed significantly between the RFFTT group and those who had undergone total laryngectomy without adjuvant treatment.CONCLUSION:
Despite more extensive treatment, the reconstructed group achieved comparable outcomes to those who had undergone total laryngectomy with adjuvant treatment.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Voz
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Neoplasias Laríngeas
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Procedimentos de Cirurgia Plástica
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Retalhos de Tecido Biológico
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Laringectomia
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article