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Title: Transoral robotic surgery for oropharyngeal carcinoma and its impact on patient-reported quality of life and function
Authors: Leonhardt, Fernando Danelon [UNIFESP]
Quon, Harry
Abrahão, Marcio [UNIFESP]
O'Malley, Bert W.
Weinstein, Gregory S.
Hosp Univ Penn
Universidade Federal de São Paulo (UNIFESP)
Univ Penn
Keywords: transoral robotic surgery (TORS)
postoperative radiotherapy
postoperative chemoradiation
oropharynx carcinoma
quality of life
functional status
Issue Date: 1-Feb-2012
Publisher: Wiley-Blackwell
Citation: Head and Neck-Journal for the Sciences and Specialties of the Head and Neck. Malden: Wiley-Blackwell, v. 34, n. 2, p. 146-154, 2012.
Abstract: Background the aim of this study was to assess the quality of life of patients with oropharyngeal squamous cell carcinoma after transoral robotic surgery (TORS).Methods. Short Form (SF)-8 and Performance Status Scale (PSS) questionnaires were completed prior to surgery, 6 and 12 months of follow-up.Results. in all, 38 patients treated with TORS followed by adjuvant therapy as indicated were prospectively enrolled. for PSS Eating and Diet domains, significant decreases occurred at 6 months (p <= .001 and p <= .001, respectively) but not at 12 months. Significant declines in PSS Speech were seen at 6 and 12 months (p <= .001 and p <= .001). There were no significant declines in the SF-8 domains, except for Bodily Pain and Global Health (6 months). Significantly higher PSS Eating and Diet scores were seen at 6 months for TORS alone compared with TORS and chemoradiation.Conclusions. Combination TORS and adjuvant therapy caused a temporary decrease in several domains at 6 months, returning to baseline including swallowing function in all patients. (C) 2011 Wiley Periodicals, Inc. Head Neck 34: 146-154, 2012
ISSN: 1043-3074
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