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Follow-up in patients with oral cancer
Nils-Claudius Gellrich1, Alexander Schramm, Roland Böckmann
1Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany. gellrich@zmk2.ukl.uni-freiburg.de
Purpose:
To provide standardized follow-up of patients who underwent oral cancer treatment, the German-Austrian-Swiss Cooperative Group on Tumors of the Maxillofacial Region (DOSAK) established a schedule of check-up examinations for a 5-year period.
Materials And Methods:
On the basis of a questionnaire, we investigated oncologic follow-up in respect to early detection of recurrences, cost and outcome efficiencies, and physician and patient judgment in the development of impairments.
Results:
Only 11% of all operated patients participated regularly in the follow-up program within the first 3 years. Ultrasound was the most effective imaging for the detection of recurrences. Swallowing, speaking, tongue mobility, and facial appearance were the most common problems. Troubles with swallowing were mainly induced by poorly fitted dentures, discontinuity of the mandible, osteomyelitis, and xerostomia. Outer appearance was mostly impaired by scars, missing facial muscle function, and edema. The problem of chronic pain remained unsolved.
Conclusion:
Due to the sequelae of treatment, this study shows the need for close medical and psychological follow-up.