scholarly journals Robotic surgery of head and neck cancers, a narrative review

2020 ◽  
Author(s):  
Farbood Kalantari ◽  
Shahin Rajaeih ◽  
Ali Daneshvar ◽  
Zahra Karbasi ◽  
Mohammad Mahdi Salem
Keyword(s):  
Quality Of Life ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Transoral Robotic Surgery ◽  
The Body ◽  
Head And Neck Cancers ◽  
Organ Function ◽  
Advantages And Disadvantages

Head and neck cancers are the most common cancers in the body. Treatments are determined on the basis of the location and stage of the primary tumor. The goal of treatment is to eliminate the tumor, prevent recurrence or metastasis, and maintain the quality of life. There are several treatments available for the management of head and neck cancers, including surgery, radiation therapy, chemotherapy, new molecular agents, and a combination of them. Transoral robotic technique is a short-time operation using a type of robotic machine in which the patient undergoes anesthesia for a shorter time and the side effects of this operation and the time of hospitalization are less than open surgery. Due to the importance of speed and accuracy in head and neck cancer surgery and the importance of application of robotics in surgery, the present study was designed and implemented to review the application of robotics in the management of head and neck cancers. In this review study, the keywords: application, robotic, surgical, head cancer, transoral robotic surgery (TORS), and neck cancer, were searched in ISI, PubMed, Scopus, Google scholar databases. Related articles written domestically or abroad that have covered areas such as the background of transoral robotic surgery, maintaining organ function and approaches, the advantages and disadvantages of TORS, the affordability of TORS, the combination of TORS with other therapeutic approaches published from 2003 to 2019 were reviewed. The use of robotic surgery for precise operations such as head and neck cancers seems to be essential. More advanced robotic devices are expected to expand the surgery treatment for head and neck cancers as well as the results of using TORS for oncologic optimization and acceptability of results while maintaining organ function and patient's quality of life.

scholarly journals Robotic surgery of head and neck cancers, a narrative review

2020 ◽  
Vol 30 (2) ◽  
pp. 297-303
Author(s):  
Farbood Kalantari ◽  
Shahin Rajaeih ◽  
Ali Daneshvar ◽  
Zahra Karbasi ◽  
Mohammad Mahdi Salem
Keyword(s):  
Quality Of Life ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Transoral Robotic Surgery ◽  
The Body ◽  
Head And Neck Cancers ◽  
Organ Function ◽  
Advantages And Disadvantages

Head and neck cancers are the most common cancers in the body. Treatments are determined on the basis of the location and stage of the primary tumor. The goal of treatment is to eliminate the tumor, prevent recurrence or metastasis, and maintain the quality of life. There are several treatments available for the management of head and neck cancers, including surgery, radiation therapy, chemotherapy, new molecular agents, and a combination of them. Transoral robotic technique is a short-time operation using a type of robotic machine in which the patient undergoes anesthesia for a shorter time and the side effects of this operation and the time of hospitalization are less than open surgery. Due to the importance of speed and accuracy in head and neck cancer surgery and the importance of application of robotics in surgery, the present study was designed and implemented to review the application of robotics in the management of head and neck cancers. In this review study, the keywords: application, robotic, surgical, head cancer, transoral robotic surgery (TORS), and neck cancer, were searched in ISI, PubMed, Scopus, Google scholar databases. Related articles written domestically or abroad that have covered areas such as the background of transoral robotic surgery, maintaining organ function and approaches, the advantages and disadvantages of TORS, the affordability of TORS, the combination of TORS with other therapeutic approaches published from 2003 to 2019 were reviewed. The use of robotic surgery for precise operations such as head and neck cancers seems to be essential. More advanced robotic devices are expected to expand the surgery treatment for head and neck cancers as well as the results of using TORS for oncologic optimization and acceptability of results while maintaining organ function and patient's quality of life.

Systematic Review of Validated Quality of Life and Swallow Outcomes after Transoral Robotic Surgery

2019 ◽  
Vol 161 (4) ◽  
pp. 561-567 ◽  
Author(s):  
Alexa Castellano ◽  
Arun Sharma
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Case Series ◽  
Transoral Robotic Surgery ◽  
Swallow Function ◽  
Swallowing Outcomes

Objective To systematically review the available evidence on the effects of transoral robotic surgery (TORS) on the posttreatment quality of life (QOL) and swallow function of patients with head and neck cancer. Data Sources PubMed and Ovid electronic databases were searched from inception to July 6, 2016. Specific database functions were applied to maximize the search. Review Methods Articles in the database were reviewed for inclusion by 2 independent reviewers according to predetermined eligibility criteria. The references of relevant articles were then hand-searched to identify additional manuscripts. For included articles, the study characteristics and relevant data were extracted. Results Of 103 articles screened, 20 reporting validated measures of QOL and/or swallow outcomes for 659 patients were eligible for inclusion. Fourteen were observational studies or case series and did not compare the TORS group with another intervention. Two were prospective nonrandomized clinical trials that compared outcomes between TORS and primary chemoradiation. Four were cohort studies comparing TORS with other treatment approaches and modalities, including open surgical approaches and transoral laser microsurgery. Overall, most patients who underwent TORS ± adjuvant therapy reported a return to baseline QOL and swallow function by 6 to 12 months posttreatment. Several studies demonstrated superior QOL and swallowing outcomes when compared with primary chemoradiation or open approaches. Conclusions Available evidence suggests that patients who undergo TORS for head and neck cancer have good QOL and swallowing outcomes after treatment, but outcomes are dependent on baseline function, T stage, and adjuvant treatment status.

scholarly journals Filipino head and neck cancer patients and their quality of life

2020 ◽  
Vol 6 (3) ◽  
pp. 439
Author(s):  
Frederic Ivan L. Ting ◽  
Aylmer Rex B. Hernandez ◽  
Reno Eufemon P. Cereno ◽  
Irisyl B. Orolfo-Real ◽  
Corazon A. Ngelangel
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
The Philippines ◽  
Head And Neck Cancers ◽  
The Social ◽  
The University

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>In the management of head and neck cancer (HNC), assessment of quality of life (QoL) is imperative because of the potentially debilitating effect of treatment toxicities. Currently, there are no published data assessing the QoL in Filipino HNC patients, thus this study.</p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>This cross-sectional study utilized the University of the Philippines - Department of Health Quality of Life scale. Patients with head and neck cancers at the University of the Philippines - Philippine General Hospital from February to September 2019 were invited to participate.  </p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>A total of 418 patients were included in the study with a mean age of 42 years old (range 18 to 73 years old). In general, Filipino head and neck cancer patients had moderate QoL (mean score of 4.59±0.79). All of the QoL domains (physical, emotional, cognitive, and related functions) had a score of 3-5 (moderate), except for the social status domain which had a mean score of 5.51±0.83 (high). Among socio-demographic factors, patients who are employed and with additional funding sources on top of their income have better global QoL (p&lt;0.01). Clinically, patients with higher stages of disease, fungating tumors, post-laryngectomy, have a feeding tube, with a tracheostomy, and had chemotherapy have lower global QoL (p&lt;0.01).</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Filipino patients with head and neck cancers have an overall moderate quality of life, with high scores in the social domain. Patients with higher tumor burdens and have been exposed to chemotherapy have lower QoL scores, while patients with financial stability and aid have better QoL scores.</p><p class="abstract"><span lang="EN-US"> </span></p>

scholarly journals Does the Masticatory Function Interfere With the Nutritional Status and Quality of Life in Individuals After Treatment for Head and Neck Cancer?

2021 ◽  
Author(s):  
Renata Camilla Favarin Froes ◽  
Mariana Inri Carvalho² ◽  
Raquel Rosa Rodrigues³ ◽  
Paulo Sérgio dos Santos Silva ◽  
Giédre Berretin-Felix
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Oral Health ◽  
Nutritional Status ◽  
Head And Neck ◽  
Neck Cancer ◽  
Muscle Activity ◽  
The Body ◽  
Fat Percentage

Abstract Head and neck cancer damages the oral health and chewing performance, impairing the nutritional status and quality of life even after treatment completion. Objective: This study investigated the effect of treatment on the chewing function, the influence on oral health in chewing function and the relationships between chewing, nutritional status and quality of life in individuals after treatment of head and neck cancer. Methods: The study was conducted on twenty individuals who were evaluated by surface electromyography; nutritional status; evaluation of oral health and quality of life. Results: The results of electromyography showed an asymmetric pattern, with predominance of activity on the working side. The correlations evidenced that the greater the use of upper dentures and caries activity, the greater the asymmetry of muscle activity, while the greater need of lower denture led to more chewing cycles. The lower the body fat percentage, the greater the symmetry of muscle activity; and the lower the recruitment of temporalis muscles, the greater the physical limitation. Conclusions: It was concluded that, in individuals after treatment of head and neck cancer, there was relationship between the correlated variables.

scholarly journals Nutritional Deficiencies in Radiotherapy-Treated Head and Neck Cancer Patients

2021 ◽  
Vol 10 (4) ◽  
pp. 574
Author(s):  
Tomasz Powrózek ◽  
Joanna Dziwota ◽  
Teresa Małecka-Massalska
Keyword(s):  
Quality Of Life ◽  
Body Composition ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Clinical Problem ◽  
The Body ◽  
Nutritional Deficiencies

Nutritional deficiencies (malnutrition, cachexia, sarcopenia, and unfavorable changes in the body composition) developing as a side effect of radiotherapy (RT) currently represents a significant but still inaccurately studied clinical problem in cancer patients. The incidence of malnutrition observed in head and neck cancer (HNC) patients in oncological radiology departments can reach 80%. The presence of malnutrition, sarcopenia, and cachexia is associated with an unfavorable prognosis of the disease, higher mortality, and deterioration of the quality of life. Therefore, it is necessary to identify patients with a high risk of both metabolic syndromes. However, the number of studies investigating potential predictive markers for the mentioned purposes is still significantly limited. This literature review summarizes the incidence of nutritional deficiencies in HNC patients prior to therapy and after the commencement of RT, and presents recent perspectives for the prediction of unfavorable nutritional changes developing as a result of applied RT.

Mapping the University of Washington Quality of life questionnaire onto EQ‐5D and HUI‐3 indices in patients with head and neck cancer

Head & Neck ◽  
2019 ◽  
Vol 42 (3) ◽  
pp. 513-521 ◽  
Author(s):  
Robert F. Stephens ◽  
Christopher W. Noel ◽  
Jie (Susie) Su ◽  
Wei Xu ◽  
Murray Krahn ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Life Questionnaire ◽  
University Of Washington ◽  
Quality Of Life Questionnaire ◽  
The University
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