Abstract
To evaluate the quality of life (QOL) of oral cancer patients who had undergone surgical reconstruction with nasolabial flap. A cross-sectional study was conducted over a period of 1 year at a tertiary care hospital and 128 subjects were included. The subjective assessment of quality of life using The University of Washington QOL Questionnaire including physical, socio-emotional, composite and overall QOL, Objective assessment of functional mouth opening and Nasolabial crease scar assessment using Vancouver scar scale was done. Majority of the subjects, 98.4% were male. Maximum cases were involving the lower gingivobuccal complex and retromolar trigone followed by buccal mucosa. Majority of the tumors were T2, 53.1% followed by T1, 18.8%. Statistically significant (p < 0.05) difference was found in relation to age, tumor size (T1, T2, T3), absence of adjuvant radiation therapy, presence or absence of neck dissection, tumor site; buccal mucosa and lower gingivobuccal complex plus retromolar trigone and intact bone status in physical functional, social-emotional subscores, composite score and overall QOL assessment. Improved mouth opening postoperatively was statistically significant (p < 0.05) in T1 and T2 lesions of buccal mucosa and lower gingivobuccal complex plus retromolar trigone who did not receive radiation and with intact bone status. Majority of the cases, 36.7% had a nasolabial crease scar score 2. Nasolabial flap is a viable option in the reconstruction of small and medium sized oral defects with good quality of life (QOL) outcome and objective outcome as depicted by significantly improved mouth opening. The aesthetic outcome of nasolabial crease scar is good in our study.
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References
Knezevic P et al (2002) Quality of life assessment for intraoral reconstruction. Acta Stomatol croat 36(1):47–50
Petersen PE (2005) Strengthening the prevention of oral cancer: the WHO perspective. Commun Dent Oral Epidemiol 33:397–399
Wright HV, Stephan S, Netterville JL Nasolabial flap for oral cavity reconstruction. Open access atlas of otolaryngology- head and neck operative surgery. https://vula.uct.ac.za/access/content/group/ba5fb1bdbe95-48e5-81be-586fbaeba29d/Nasolabial%20flap%20for%20oral%20cavity%20reconstruction.pdf
Cormack GC, Lamberty BGH (1994) The fasciocutaneous system of vessels. In: The arterial anatomy of skin flaps, 2nd edn. Churchill Livingstone, Edinburgh, pp 105–129
More CB, Das S, Patel H, Adalja C, Kamatchi V, Venkatesh R (2011) Proposed clinical classification for oral submucous fibrosis. Oral Oncol 48:200–202. https://doi.org/10.1016/j.oraloncology.2011.10.011
D’cruz AK, Yueh B, Das AK, Mcdowell JA, Chaukar DA, Ernest AW (2007) Validation of the University of Washington quality of life questionnaires for head and neck cancer patients in India. Indian J Cancer 44(4):147–154
Fearmonti R, Bond J, Erdmann D, Levinson H (2010) A review of scar scales and scar measuring devices. Eplasty 10:e43
Gabriela M et al (2010) Survival and quality of life of patients with oral and oropharyngeal cancer at 1-year follow-up of tumor resection. J Appl Oral Sci 18:279–284
Efunkoya AA et al (2015) Quality of life following surgical treatment of oral cancers. J Korean Assoc Oral Maxillofac Surg 41:19–25
Bhanja A, D’Souza DSJ, Roy C, Poddar RN (2016) Assessment of quality of life in oral cancer patients following pectoralis major myocutaneous flap reconstruction. Int J Contemp Med Res 3:1366–1371
Bhambar RS, Baliga M, Kumar A, Jagannathan S, Kumar H, Kumar R, Pokhrel P, Singh HP (2016) Revisit of nasolabial flap in the reconstruction of defects involving the oral floor. Niger J Surg 22:21–25
Shah JP (2019) Oral cavity. In: Shah JP, Singh B, Patel SG, Wong RJ (eds) Jatin shah’s Head and neck surgery and oncology, 5th edn. Elsevier, Philadelpia, pp 245–298
Faisal M et al (2013) Reconstructive management of the rare bilateral oral sub mucous fibrosis using nasolabial flap in comparison with free radial forearm flap—a randomised prospective trial. Orphanet J Rare Dis 8:56
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Dr Deepa R. Shetty, M D for statistical analysis of data.
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Shetty, R.K., Pradhan, S., Kannan, R. et al. Clinical Profile and Quality of Life Assessment of Oral Cancer Patients Following Nasolabial Flap Reconstruction Surgery. Indian J Otolaryngol Head Neck Surg 72, 200–207 (2020). https://doi.org/10.1007/s12070-019-01760-5
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DOI: https://doi.org/10.1007/s12070-019-01760-5