Trismus following different treatment modalities for head and neck cancer: a systematic review of subjective measures
Identifieur interne : 000018 ( Main/Exploration ); précédent : 000017; suivant : 000019Trismus following different treatment modalities for head and neck cancer: a systematic review of subjective measures
Auteurs : Sook Y. Loh [Royaume-Uni] ; Robert W. J. Mcleod [Royaume-Uni] ; Hassan A. Elhassan [Royaume-Uni]Source :
- European Archives of Oto-Rhino-Laryngology [ 0937-4477 ] ; 2017.
Abstract
The aim of this review was to compare systematically the subjective measure of trismus between different interventions to treat head and neck cancer, particularly those of the oropharynx. Using The Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) Guidelines, Six databases were searched for the text using various terms which include “oropharyngeal/head and neck cancer”, “trismus/mouth opening” and the various treatment modalities. Included in the review were clinical studies (> or =10 patients). Three observers independently assessed the papers identified. Among the six studies reviewed, five showed a significantly worst outcome with regard to the quality-of-life questionnaire scores for a radiotherapy or surgery and radiotherapy (RT) ± chemotherapy or chemoradiotherapy when compared to surgery alone. Only one study showed no significant difference between surgery alone and other treatment modalities. Subjective quality-of-life measures are a concurrent part of modern surgical practice. Although subjective measures were utilised to measure post operative trismus successfully, there was no consensus as to which treatment modality had overall better outcomes, with conflicting studies in keeping with the current debate in this field. Larger and higher quality studies are needed to compare all three treatment modalities.
Url:
DOI: 10.1007/s00405-017-4519-6
PubMed: 28343337
PubMed Central: 5486547
Affiliations:
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Loh</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0807 5670</institution-id><institution-id institution-id-type="GRID">grid.5600.3</institution-id><institution></institution><institution>Cardiff University School of Medicine,</institution></institution-wrap>Cardiff, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Cardiff</wicri:regionArea></affiliation></author><author><name sortKey="Mcleod, Robert W J" sort="Mcleod, Robert W J" uniqKey="Mcleod R" first="Robert W. J." last="Mcleod">Robert W. J. Mcleod</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0169 7725</institution-id><institution-id institution-id-type="GRID">grid.241103.5</institution-id><institution>Department of Otolaryngology,</institution><institution>University Hospital of Wales,</institution></institution-wrap>Cardiff, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Cardiff</wicri:regionArea></affiliation></author><author><name sortKey="Elhassan, Hassan A" sort="Elhassan, Hassan A" uniqKey="Elhassan H" first="Hassan A." last="Elhassan">Hassan A. Elhassan</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0169 7725</institution-id><institution-id institution-id-type="GRID">grid.241103.5</institution-id><institution>Department of Otolaryngology,</institution><institution>University Hospital of Wales,</institution></institution-wrap>Cardiff, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Cardiff</wicri:regionArea></affiliation></author></analytic><series><title level="j">European Archives of Oto-Rhino-Laryngology</title><idno type="ISSN">0937-4477</idno><idno type="eISSN">1434-4726</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of this review was to compare systematically the subjective measure of trismus between different interventions to treat head and neck cancer, particularly those of the oropharynx. Using The Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) Guidelines, Six databases were searched for the text using various terms which include “oropharyngeal/head and neck cancer”, “trismus/mouth opening” and the various treatment modalities. Included in the review were clinical studies (> or =10 patients). Three observers independently assessed the papers identified. Among the six studies reviewed, five showed a significantly worst outcome with regard to the quality-of-life questionnaire scores for a radiotherapy or surgery and radiotherapy (RT) ± chemotherapy or chemoradiotherapy when compared to surgery alone. Only one study showed no significant difference between surgery alone and other treatment modalities. Subjective quality-of-life measures are a concurrent part of modern surgical practice. Although subjective measures were utilised to measure post operative trismus successfully, there was no consensus as to which treatment modality had overall better outcomes, with conflicting studies in keeping with the current debate in this field. Larger and higher quality studies are needed to compare all three treatment modalities.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Vokes, Ee" uniqKey="Vokes E">EE Vokes</name></author><author><name sortKey="Weichselbaum, Rr" uniqKey="Weichselbaum R">RR Weichselbaum</name></author><author><name sortKey="Lippman, Sm" uniqKey="Lippman S">SM Lippman</name></author><author><name sortKey="Hong, Wk" uniqKey="Hong W">WK Hong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tobias, Js" uniqKey="Tobias J">JS Tobias</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Argiris, A" uniqKey="Argiris A">A Argiris</name></author><author><name sortKey="Karamouzis, Mv" uniqKey="Karamouzis M">MV Karamouzis</name></author><author><name sortKey="Raben, D" uniqKey="Raben D">D Raben</name></author><author><name sortKey="Ferris, Rl" uniqKey="Ferris R">RL 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sortKey="Jannert, M" uniqKey="Jannert M">M Jannert</name></author><author><name sortKey="Kaasa, S" uniqKey="Kaasa S">S Kaasa</name></author><author><name sortKey="Sullivan, M" uniqKey="Sullivan M">M Sullivan</name></author><author><name sortKey="Westin, T" uniqKey="Westin T">T Westin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rogers, Sn" uniqKey="Rogers S">SN Rogers</name></author><author><name sortKey="Hannah, L" uniqKey="Hannah L">L Hannah</name></author><author><name sortKey="Lowe, D" uniqKey="Lowe D">D Lowe</name></author><author><name sortKey="Magennis, P" uniqKey="Magennis P">P Magennis</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Loh, Sook Y" sort="Loh, Sook Y" uniqKey="Loh S" first="Sook Y." last="Loh">Sook Y. Loh</name></noRegion><name sortKey="Elhassan, Hassan A" sort="Elhassan, Hassan A" uniqKey="Elhassan H" first="Hassan A." last="Elhassan">Hassan A. Elhassan</name><name sortKey="Mcleod, Robert W J" sort="Mcleod, Robert W J" uniqKey="Mcleod R" first="Robert W. J." last="Mcleod">Robert W. J. Mcleod</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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