Outcomes of Management of Advanced oral Cavity Carcinoma (T3 and T4) Following Surgery and Chemoradiotherapy Among Rural Population in Gujarat.

IF 0.6 Q4 SURGERY

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-05 DOI:10.1007/s12070-025-05364-0

Swara Bhatt, Girish Mishra, Yojana Sharma

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引用次数: 0

Abstract

Oral cavity squamous cell carcinoma (OSCC) makes up 30% of head and neck cancers in India, often diagnosed late (T3/T4) due to limited rural healthcare access. This study evaluates functional outcomes after surgery and chemoradiation for advanced OSCC. To assess the functional outcomes in advanced oral cavity carcinomas following surgery and chemo radiotherapy. This prospective longitudinal study of 105 patients with advanced stage oral cavity malignancies who underwent surgical management over a period of 1 year and 6 months. Functional outcomes were assessed at 6 months post-surgery using the HNC FIT scale and analysis was done using descriptive statistics, independent t-tests and ANOVA test. (p < 0.05). Functional outcomes using the HNC FIT scale revealed significant impacts on food intake (mean score 2.33/5), neck and shoulder mobility (mean score 2.68/5), and speech outcomes (mean score 2.58/5). Conversely, improved outcomes were observed in breathing (mean score 3.83/5), mood (mean score 3.75/5), and pain (mean score 3.33/5). The study emphasizes the need for holistic care in oral cavity cancer management, focusing on pain management, psychosocial support and preserving vital functions like food intake, breathing and speech to enhance patient outcomes and satisfaction.

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.