Oral Cancer
Conditions
Keywords
Different Modalities of Flaps used in Head and Neck Reconstructions in oral cancer Patients, retrospective study
Brief summary
Different Modalities of Flaps used in Head and Neck Reconstructions in oral cancer Patients, retrospective study Study design: This study will be conducted in a Retrospective study with prospective collective data. At General Surgery Department of Sohag University Hospital in the period between June 2020 to June 2025. Data base will be gathered, reviewed, and consequently will be analyzed. Study population: The study will include patients presented post operative Head and Neck cancer Resection and Reconstruction with flap during the period of the study, analysis of the clinical presentation, follow up size, color, regeneration skin, early and late complication and a defect appear Inclusion criteria: All patients with head and neck Reconstruction on oral cancer patients 1. Age: any age. 2. Sex: males and females. 3. Cooperative, mentally healthy. Exclusion criteria : Patients with associated with 1 -Severe chronic illness such as chronic renal failure, chronic liver disease, etc. 2- Mentally or psychologically disordered patients.
Detailed description
Follow up: The following diameters of patients will be entered into a dedicated database: Quality of life Questionnaire survey Washington University 2- Clinical: Age. Gender. Comorbidity disease Type , size and site of Tumor Pathology of Tumor Resected part and Method of Resection Size and color of flap Cosmeses Early and late complication Revision of Reconstruction 3 -Investigation: Lab Cbc, Esr, Crp, d-dimer Radiological: Ultrasonography laser intervention Statistical method of study Statistical analysis will be done by SPSS v26 (IBM Inc., Chicago, IL, USA). Shapiro-Wilks test and histograms will be used to evaluate the normality of the distribution of data. Quantitative parametric data will be presented as mean and standard deviation (SD). Quantitative non-parametric data will be presented as median and interquartile range (IQR). Qualitative variables will be presented as frequency (%). Ethical consideration: Anoralandwrittenconsent willbetakenfromthepatientsincludedinthestudyand willbeintroducedtoethicsscientificcommitteeatSohagUniversityhospitalforapproval.
Interventions
PROCEDUREFlaps reconstruction in head and neck in oral cance
Follow up and quality of life of reconstruction flaps in head and neck
PROCEDUREFlap of head and neck
All types of flaps in oral cancer reconstruction
Sponsors
Sohag University
Ahmed Mohamed Abdelhafiz
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
: All patients with head and neck Reconstruction on oral cancer patients ,Cooperative and mentally healthy
Exclusion criteria
Patients with associated with Severe chronic illness such as chronic renal failure, chronic liver disease, etc. Mentally or psychologically disordered patients \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital stay | Up to 1 week | how many days staying in hospital post sugery of reconstrucion of head and neck |
| incidence of infection | Up to 1 week | incidence of wound infection , discharge pus ,edema ,how many days to releved by antibiotic |
| incidence of Bleeding | Up to 1 week | incidence of bleeding and hematoma under flap which cause compromise of local flap vascularity by inducing vasospasm, stretching the sub dermal plexus, or separating the flap from the surface of the recipient site |
| incidence of Ischemia | Up to 1 week | incidence of ischemia of flap as dark skin , Pale, cold, delayed capillary refill, no bleeding on needle prick. |
| Wound Dehiscence | Up to 4 weeks | : The surgical wound may separate, exposing the flap |
| Fistula Formation | Up to 4 weeks | An abnormal connection can form between the flap and other structures, like the oral cavity or pharynx , clinically leakage and ct neck e iv contrast or mri show track of fistula |
| Number of participants with fibrosis | Up to 8 weeks | may occur fibrosis between flap and beside structures of oral cavity ,make limitation of movement of mandible , mri image show fibrosis |
| questionnaire quality of life of Washington university : Health-related quality of life (HRQOL) is an important outcome parameter following treatment for head and neck cancer. | 1 year after surgery | . Version 4 of the UW-QOL questionnaire consists of 12 single question domains, these having between 3 and 6 response options that are scaled evenly from 0 (worst) to 100 (best) according to the hierarchy of response. The domains are pain, appearance, activity, recreation, swallowing, chewing, speech, shoulder, taste, saliva, mood and anxiety. Another question asks patients to choose up to three of these domains that have been the most important to them.There are also three global questions, one about how patients feel relative to before they developed their cancer, one about their health-related QOL and one about their overall QOL..Scoring of UW-QOL domains The UW-QOL has domains based upon discrete ordinal responses. Scoring is scaled to so that a score of 0 represents the worst possible response, and a score of 100 represents the best possible response .http://www.hancsupport.com/professionals/quality-life/qol-questionnaires/uw-hrqol/uw-qol-v4-translations |
Countries
Egypt
Outcome results
None listed