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Functional outcomes and quality of life after total laryngectomy with noncircumferential radial forearm free tissue transfer
- Source :
- Headneck. 39(11)
- Publication Year :
- 2017
-
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.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Laryngectomy
Free Tissue Flaps
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Quality of life
Forearm
Swallowing
medicine
Humans
030223 otorhinolaryngology
Laryngeal Neoplasms
Aged
Chemotherapy
business.industry
Recovery of Function
Middle Aged
Plastic Surgery Procedures
Surgery
Tissue transfer
Deglutition
medicine.anatomical_structure
Treatment Outcome
Otorhinolaryngology
030220 oncology & carcinogenesis
Quality of Life
Voice
Female
business
Larynx, Artificial
Tracheoesophageal Puncture
Cohort study
Subjects
Details
- ISSN :
- 10970347
- Volume :
- 39
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Headneck
- Accession number :
- edsair.doi.dedup.....90e7485f29c184794dbbc35600bfe29c