Publication: Impacto de las técnicas microquirúrgicas en la calidad de vida de pacientes con cáncer de cavidad oral y orofaringe
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2022-10-20
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Universidad Complutense de Madrid
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Abstract
El cáncer de cavidad oral y orofaringe, ocupa el séptimo lugar de enfermedades oncológicas más frecuentes en España. Los objetivos principales del tratamiento son erradicar la enfermedad, minimizando la morbilidad y preservando o restableciendo la función y forma, y prevenir la aparición de recidivas o nuevos primarios. En la región de la cabeza y el cuello la cirugía oncológica puede ser muy mutilante afectando a estructuras anatómicas fundamentales, por ello, la cirugía reconstructiva tiene como objetivo preservar o restaurar la función y conseguir unos resultados estéticos aceptables. La reconstrucción microquirúrgica es la técnica de elección para defectos grandes, intentando restaurar la anatomía y función. Históricamente, la evaluación de los tratamientos oncológicos se ha centrado en parámetros biomédicos, como la respuesta tumoral, el intervalo libre de enfermedad y la supervivencia; pero desde la década de los 90 se ha ampliado a la evaluación del impacto de la enfermedad y los tratamientos en la Calidad de Vida (CdV). En el cáncer de cabeza y cuello, tanto la enfermedad como su tratamiento tienen impacto sobre aspectos funcionales y anatómicos que repercuten en la CdV del paciente...
Oral cavity and oropharyngeal cancer is the seventh most frequent oncological disease in Spain. The main goals of treatment are to eradicate the disease, minimizing morbidity and preserving or restoring function and form, and preventing the appearance of recurrences or new primaries. Head and neck surgical oncology can be very mutilating, affecting essential anatomical structures, hence, reconstructive surgery aims to preserve or restore function and achieve acceptable aesthetic results. Microsurgical reconstruction is considered a reference technique of choice for large defects, attempting to restore anatomy and function. Historically, the evaluation of cancer treatments has focused on biomedical parameters, such as tumor response, disease-free interval, and survival; but since the 90s it has been expanded to assess the impact of the disease and the treatments on the Quality of Life (QoL). Head and neck cancer, both disease and treatment have animpact on functional and anatomical aspects that affect the QoL of the patient...
Oral cavity and oropharyngeal cancer is the seventh most frequent oncological disease in Spain. The main goals of treatment are to eradicate the disease, minimizing morbidity and preserving or restoring function and form, and preventing the appearance of recurrences or new primaries. Head and neck surgical oncology can be very mutilating, affecting essential anatomical structures, hence, reconstructive surgery aims to preserve or restore function and achieve acceptable aesthetic results. Microsurgical reconstruction is considered a reference technique of choice for large defects, attempting to restore anatomy and function. Historically, the evaluation of cancer treatments has focused on biomedical parameters, such as tumor response, disease-free interval, and survival; but since the 90s it has been expanded to assess the impact of the disease and the treatments on the Quality of Life (QoL). Head and neck cancer, both disease and treatment have animpact on functional and anatomical aspects that affect the QoL of the patient...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, leída el 22-04-2022