Article
Functional outcome and survival rate of surgery for oral and oropharyngeal carcinoma
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Published: | April 4, 2012 |
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Introduction: To compare surgical and non surgical treatment modalities for oral and oropharyngeal squamous cell carcinoma, especially concerning survival and functional outcome.
Methods: A retrospective review of the clinical records of 260 patients treated for oral and oropharyngeal malignant rumors from 1998 to 2007 was made. Totally 98 patients were treated only with surgery, 117 with surgery and radiotherapy, and 45 only with radiotherapy. Postoperative clinical examination was made during five years with documentation of complications, quality of life and survival rate.
Results: Reduction of saliva was significantly altered after radiotherapy on UW-QOL (University Washington Quality of Life) scale. Five year survival rate closely correlated to the T status and tumor Stage, and was worse for oropharyngeal carcinoma when compared to oral carcinoma cases.
Conclusion: Quality of life is similar after surgical and nonsurgical treatment of these cancers, but surgery with or without postoperative radiotherapy offers better results than initial radiotherapy.