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Master Thesis

Qualité de vie en chirurgie carcinologique des VADS

Abstract : Introduction: The main objective of this prospective study was to evaluate the overall quality of life in patients with head and neck cancers and node-negative neck which needed a selective neck dissection. Patients and methods: A prospective, observational, multicentered study was conducted on 55 patients examined within the 7 preoperative days and 6 months after surgery. The main endpoint was a Visual Analog Scale (VAS) overall quality of life score. The secondary endpoints were assessments of the quality of life (QLCQ30 and H & N35 instruments) and an assessment of the mobility and functionality of the shoulder (CONSTANT and DASH scores). Results: We have not demonstrated a decrease in the overall quality of life after 6 months postoperatively (p=0.11). We found a deficit in adbuction of the right shoulder (p*=0.013), a loss of the function of the shoulder (p*=0.0049), more serious shoulder pains (p*=0.014). It contrasted with an improvement in the "overall health" assessment (p*=0.012). Two out of the 54 patients had an occult metastasis at level IIb. Conclusion: The selective neck dissection in patients with node-negative neck in head and neck cancers does not appear to induce sufficient postoperative morbidity to have an impact on the overall quality of life. It induces functional limitation and long-term shoulder pain. Further studies will be needed to find out whether or not it is safe to spare level IIb during cervical neck dissection.
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Submitted on : Wednesday, April 21, 2021 - 11:30:38 AM
Last modification on : Wednesday, November 3, 2021 - 5:08:37 AM
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  • HAL Id : dumas-03204018, version 1


Emmanuel Micault. Qualité de vie en chirurgie carcinologique des VADS. Médecine humaine et pathologie. 2020. ⟨dumas-03204018⟩



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