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J Maxillofac Oral Surg. 2016 Mar;15(1):38-44. doi: 10.1007/s12663-015-0805-2. Epub 2015 Jun 04.

Prevalence of Functional Problems After Oral Cavity Malignancy Treatment at a Tertiary Center: Utilizing PSS HN (Performance Status Scale for Head and Neck) Scale.

Journal of maxillofacial and oral surgery

Kaushal Yadav, Deepa Nair, Jaiprakash Agarwal, Swagnik Chakrabarti, Sanmit Joshi, Pranav Ingole, Aseem Mishra, Nitin Tathe, Pankaj Chaturvedi

Affiliations

  1. Department of Surgical Oncology, Tata Memorial Centre, Mumbai, India.
  2. Head and Neck Services, Department of Surgical Oncology, Tata Memorial Centre, Mumbai, India.
  3. Department of Radiation Oncology, Tata Memorial Centre, Mumbai, India.

PMID: 26929551 PMCID: PMC4759033 DOI: 10.1007/s12663-015-0805-2

Abstract

BACKGROUND: Oral cancer is the most common type of cancer occurring in India and it is equally important to assess morbidities after treatment for optimal utilization of resources. Utilizing PSS HN we try to identify the patient population who are severely impaired and need aggressive rehabilitation.

METHOD AND MATERIAL: The PSSHN questionnaire was administered by the treating physician to 100 consecutive oral cancer patients who completed their index treatment at least 6 months prior to accrual. Functional morbidities with score ≤50 were considered as significant.

RESULTS: Prevalence of functional deficit of eating in public; deficit of understandability of speech and deficit of normalcy of diet were 28, 13 and 38 % respectively.

CONCLUSION: Type of resection either segmental mandibulectomy or major glossectomy, had most significant impact on concerned functional deficits and surgeries involving these defects should be carefully planned to involve free flap reconstruction and proper postoperative rehabilitation.

Keywords: Functional outcome; Oral Malignancies; PSS HN (Performance Status Scale for Head and Neck) scale; Quality of life

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