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Maxillofac Plast Reconstr Surg. 2017 Sep 05;39(1):26. doi: 10.1186/s40902-017-0125-1. eCollection 2017 Dec.

Determinants for further wishes for cosmetic and reconstructive interventions in 1652 patients with surgical treated carcinomas of the oral cavity.

Maxillofacial plastic and reconstructive surgery

Henrik Holtmann, Simon Spalthoff, Nils-Claudius Gellrich, Jörg Handschel, Julian Lommen, Norbert R Kübler, Gertrud Krüskemper, Majeed Rana, Karoline Sander

Affiliations

  1. Department for Oral and Maxillofacial Surgery, Heinrich Heine University of Düsseldorf, Moorenstr 5, 40225 Düsseldorf, Germany.
  2. Department of Cranio-Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Street 1, 30625 Hannover, Germany.
  3. Department of Medical Psychology, Ruhr University of Bochum, Universitätsstr 150, Building MA 0/145, 44780 Bochum, Germany.

PMID: 28944220 PMCID: PMC5583133 DOI: 10.1186/s40902-017-0125-1

Abstract

BACKGROUND: The impairment of the appearance is a major problem for patients with carcinomas of the oral cavity. These patients want to recover their preoperative facial appearance. Some do not realize that this is not always possible and hence develop a desire for further cosmetic and reconstructive surgery (CRS) which often causes psychological problems.

METHOD: The desire of patients for CRS (

RESULTS: The patient's assessment of their appearance and scarring are the most important criteria resulting in wishes for CRS. Furthermore, functional limitations such as eating/swallowing, pain of the facial muscles, numb regions in the operating field, dealing with the social environment, return to work, tumour size and location, removal and reconstruction are closely related.

CONCLUSION: The wish for CRS depends on diverse functional psychosocial and psychological parameters. Hence, it has to be issued during conversation to improve rehabilitation. A decision on the medical treatment can be of greater satisfaction if the surgeon knows the patients' needs and is able to compare them with the medical capabilities. The informed consent between doctor and patient in regard to these findings is necessary.

Keywords: Coping; Cosmetic surgery; Depression; Oral cancer; Quality of life; Scarring

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