Quality of Life Good After Salvage Nasopharyngectomy

Social functioning is lowest of five functioning scales after surgery for residual, recurrent cancer

FRIDAY, July 27 (HealthDay News) -- For patients with residual or recurrent nasopharyngeal carcinoma who undergo salvage nasopharyngectomy using a maxillary swing approach, postoperative quality of life is generally good, according to a study published in the Aug. 1 issue of Cancer.

Yu Wai Chan, M.D., of the University of Hong Kong Medical Center, and colleagues conducted a prospective, longitudinal study of 185 consecutive patients who underwent salvage nasopharyngectomy using a maxillary swing approach for residual or recurrent nasopharyngeal carcinoma, between 2003 and 2011. Quality of life was assessed using a self-reported, health-related quality-of-life questionnaire.

The researchers found that curative resection was achieved in 80 percent of patients. After surgery there were no significant changes observed in the mean global health system scores, except after palliative resection requiring postoperative adjuvant chemoradiation. In all patient groups, social functioning scores were the lowest of the five functioning scales. Palatal fistula was found to have a significant effect on social eating and weight loss, while osteoradionecrosis caused more pain and nasal discharge and had a severe impact on social life.

"In conclusion, our current results indicate that the quality of life is good for patients after salvage nasopharyngectomy using the maxillary swing approach," the authors write. "Attention should be paid to achieving curative resection as much as possible and, at the same time, avoiding complications like trismus, palatal fistula, and osteoradionecrosis after surgery."

Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events