Facial appearance after operations for oral and oropharyngeal cancer: A comparison of case notes and patient-completed questionnaire

L. Millsopp, L. Brandom, G. Humphris, D. Lowe, C. Stat, S. Rogers

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Disfigurement after operations for oral and oropharyngeal cancer is an important issue. Our aim was to review the casenotes of patients who reported distress in the appearance domain of the University of Washington Quality of Life Scale (UWQOL) and to find out what help they were given. Of 278 patients with previously untreated oral and oropharyngeal squamous cell carcinoma treated between 1995 and 1999, 114 (41%) were concerned about their appearance. Factors that correlated with these concerns included tumours more than 2 cm in size, T2 or worse stage, free tissue reconstruction, segmental mandibular resection, and neck dissection. In only 7 of the 114 was there any mention of the patient's appearance in the clinic notes, of whom 4 were given help (2 scar revisions and 2 oral rehabilitations). This study suggests that patients’ concerns about disfigurement are poorly recognised in routine clinical practice and supports the principle of using the UWQOL scale to discuss problems of appearance with patients.
Original languageEnglish
Pages (from-to)358-363
JournalBritish Journal of Oral and Maxillofacial Surgery
Volume44
Issue number5
DOIs
Publication statusPublished - Oct 2006

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Oropharyngeal Neoplasms
Mouth Neoplasms
Mouth Rehabilitation
Quality of Life
Mandibular Reconstruction
Neck Dissection
Cicatrix
Squamous Cell Carcinoma
Surveys and Questionnaires
Neoplasms

Cite this

Millsopp, L. ; Brandom, L. ; Humphris, G. ; Lowe, D. ; Stat, C. ; Rogers, S. / Facial appearance after operations for oral and oropharyngeal cancer: A comparison of case notes and patient-completed questionnaire. In: British Journal of Oral and Maxillofacial Surgery. 2006 ; Vol. 44, No. 5. pp. 358-363.
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Facial appearance after operations for oral and oropharyngeal cancer: A comparison of case notes and patient-completed questionnaire. / Millsopp, L.; Brandom, L.; Humphris, G.; Lowe, D.; Stat, C.; Rogers, S.

In: British Journal of Oral and Maxillofacial Surgery, Vol. 44, No. 5, 10.2006, p. 358-363.

Research output: Contribution to journalArticle

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