Page 53 - SDIR5 Abstract book 21 12 2021.

POSTER PRESENTATIONS

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Quality of life in patients surgically treated for oral carcinoma

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Anđelija Petrović , Goran Keković , Slobodan Sekulić , Miroslav Ilić , Slavko Mojsilović
1 Institute for Medical Research, National Institute of Republic of Serbia, University of Belgrade, Serbia,
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Institute for Biological Research “Siniša Stanković”, University of Belgrade, Serbia
3 Department of Neurology, Medical Faculty Novi Sad, University of Novi Sad, Serbia
4 Department of Maxillofacial surgery, Medical Faculty Novi Sad, University of Novi Sad, Serbia

Background: Most oral planocellular carcinomas are diagnosed in the late stages, which significantly
reduces the chances of survival and impairs quality of life. This study examined quality of life in patients
who were surgically treated. Patients and Methods: The study included patients surgically treated over a
3-year period (2014-2016). Data on patients, tumor type and localization, TNM classification, type of
surgical intervention, and time since surgery were collected from the medical records. Post-surgery
functional and aesthetic results were evaluated using the adapted University of Washington Quality of Life
questionnaire. Results: Forty patients were included in the study. Male patients were more prevalent (27
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vs 13) (χ =4.225p<0.05). Ratio of planocellular vs adenocarcinoma was 7:1 (χ =11.404, p=0.0007).
Osteotomy was performed in 52.5% of patients, and surgical intervention in the soft tissue in 47.5%.
Compared to patients evaluated <1 year after surgery, patients who had been recovering >1 year showed
better mood (p=0.036), functions of speech (p=0.008) and chewing (p=0.04), as well as patients who had
soft tissue surgery (chewing: p=0.016; speech: p=0.043). Patients with T1 stage tumors considered their
looks less disfigured and had fewer problems in appearing in public, compared with patients with T3 and
T4 stage (CI – 95%). Interest in sex was significantly diminished in patients older than 30 years (p=0.013).
Conclusion: The stage of disease, range of resection and success of reconstruction were decisive
parameters for postoperative quality of life. Early detection of disease is of utmost importance for both
survival and quality of life of patients with carcinoma.
Keywords: Oral cancer, quality of life, postoperative period

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