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Master Thesis

Évaluation de la qualité de vie et de déglutition après CTAR des cancers pharyngo-laryngés

Abstract : This study aims to analyze the quality of life and swallowing of forty-eight patients who have undergone transoral robotic surgery (TORS) for an oropharynx, hypopharynx, or supra-glottic larynx cancer. Some of these patients had undergone complementary radiotherapy after the operation and/or a complex intervention, or have a medical history of a second tumoral localization. We selected our patients at least a year after their operation and used five self-evaluation questionnaires. DHI, MDADI, and SWAL-QOL allowed us to evaluate swallowing while EORTC QLQ C30 and H&N35 allowed us to evaluate quality of life. We completed this study with a qualitative scale for the swallowing evaluation : COLP-FR-G. The questionnaires and the evaluation of COLP-FR-G demonstrated that the tumoral localization, the set up of a complex operation (free flap reconstruction) and/or medical history of another tumoral localization do not significantly affect the quality of life or swallowing. However, these results do demonstrate that having radiotherapy after TORS does have an effect on quality of life and swallowing. After a TORS of the oropharynx, of the hypopharynx or of the supra-glottic larynx, patients have a fairly good quality of life and swallowing. Free flap reconstruction and/or a medical history of a second tumoral localization do not compromise the quality of life or swallowing, unlike post-operatory radiotherapy.
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https://dumas.ccsd.cnrs.fr/dumas-01074981
Contributor : Nadège Leray <>
Submitted on : Monday, November 2, 2015 - 11:25:33 AM
Last modification on : Friday, October 23, 2020 - 4:34:48 PM
Long-term archiving on: : Saturday, January 17, 2015 - 10:30:12 AM

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  • HAL Id : dumas-01074981, version 1

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Anne-Charlotte Pellegeay, Anne-Sophie Toporek. Évaluation de la qualité de vie et de déglutition après CTAR des cancers pharyngo-laryngés. Sciences cognitives. 2014. ⟨dumas-01074981⟩

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