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Clinical Profile and Quality of Life Assessment of Oral Cancer Patients Following Nasolabial Flap Reconstruction Surgery

  • Rohan Kishor ShettyEmail author
  • Sultan Pradhan
  • Rajan Kannan
  • Azmat Doctor
  • Kailash Surnare
  • Manoj Jondhale
  • Devashri Patil
  • Neeraj Shetty
Original Article

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.

Keywords

Oral cancer Nasolabial flap reconstruction Quality of life Scar score 

Notes

Acknowledgements

Dr Deepa R. Shetty, M D for statistical analysis of data.

Compliance with Ethical Standards

Conflict of interest

All the authors declare that they have no conflict of interest.

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Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  • Rohan Kishor Shetty
    • 1
    Email author
  • Sultan Pradhan
    • 2
  • Rajan Kannan
    • 2
  • Azmat Doctor
    • 2
  • Kailash Surnare
    • 2
  • Manoj Jondhale
    • 1
  • Devashri Patil
    • 1
  • Neeraj Shetty
    • 1
  1. 1.Fellow Head and Neck Oncology, Department of Surgical OncologyPrince Aly Khan HospitalMazgaonIndia
  2. 2.Department of Surgical OncologyPrince Aly Khan HospitalMazgaonIndia

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