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Article: Quality of dying in head and neck cancer patients: the role of surgical palliation

TitleQuality of dying in head and neck cancer patients: the role of surgical palliation
Authors
KeywordsCarotid artery rupture
Head and neck cancer
Palliation
Quality of dying
Terminally ill
Issue Date2013
Citation
European Archives Of Oto-Rhino-Laryngology, 2013, v. 270 n. 2, p. 681-688 How to Cite?
AbstractTo study the role of surgery for symptom palliation in patients with advanced head and neck malignancy. Between 2000 and 2011, patients with locoregionally advanced cancer in the head and neck region, who chose surgical palliation for symptom control, were studied retrospectively. During the study period, 52 patients were included. The index tumour included carcinoma of the maxilla (23.1 %), tongue (19.2 %), larynx/hypopharynx (15.4 %), post-radiation sarcoma (11.5 %), primary sarcoma (11.5 %), carcinoma of the lower alveolus (11.5 %), nasal mucosal melanoma (3.9 %) and metastatic tumour in the head and neck region (3.9 %). The major symptoms included bleeding (53.9 %), tumour pain (19.2 %), dysphagia (11.5 %), non-healing ulcerations (7.7 %), airway obstruction (5.8 %) and pathological fracture of the mandible (1.9 %). Ligation of the carotid artery was performed in 10 patients, complete resection of tumour in 35, and surgical debulking of the tumour in 7 patients. Mean survival of the patients was 5.6 months. The majority of the patients achieved satisfactory and persistent control of symptoms. One patient died from pneumonia during the hospital stay, and the rest were discharged after a mean duration of 16.4 days. In selected patients, surgery is effective in palliating symptoms which are otherwise difficult to manage. Detailed planning and good communication is the key to success in improving the quality of dying. © 2012 Springer-Verlag.
Persistent Identifierhttp://hdl.handle.net/10722/152869
ISSN
2015 Impact Factor: 1.627
2015 SCImago Journal Rankings: 0.755
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, JYWen_HK
dc.contributor.authorTo, VSHen_HK
dc.contributor.authorWong, STSen_HK
dc.contributor.authorWei, WIen_HK
dc.date.accessioned2012-07-16T09:51:02Z-
dc.date.available2012-07-16T09:51:02Z-
dc.date.issued2013en_HK
dc.identifier.citationEuropean Archives Of Oto-Rhino-Laryngology, 2013, v. 270 n. 2, p. 681-688en_HK
dc.identifier.issn0937-4477en_HK
dc.identifier.urihttp://hdl.handle.net/10722/152869-
dc.description.abstractTo study the role of surgery for symptom palliation in patients with advanced head and neck malignancy. Between 2000 and 2011, patients with locoregionally advanced cancer in the head and neck region, who chose surgical palliation for symptom control, were studied retrospectively. During the study period, 52 patients were included. The index tumour included carcinoma of the maxilla (23.1 %), tongue (19.2 %), larynx/hypopharynx (15.4 %), post-radiation sarcoma (11.5 %), primary sarcoma (11.5 %), carcinoma of the lower alveolus (11.5 %), nasal mucosal melanoma (3.9 %) and metastatic tumour in the head and neck region (3.9 %). The major symptoms included bleeding (53.9 %), tumour pain (19.2 %), dysphagia (11.5 %), non-healing ulcerations (7.7 %), airway obstruction (5.8 %) and pathological fracture of the mandible (1.9 %). Ligation of the carotid artery was performed in 10 patients, complete resection of tumour in 35, and surgical debulking of the tumour in 7 patients. Mean survival of the patients was 5.6 months. The majority of the patients achieved satisfactory and persistent control of symptoms. One patient died from pneumonia during the hospital stay, and the rest were discharged after a mean duration of 16.4 days. In selected patients, surgery is effective in palliating symptoms which are otherwise difficult to manage. Detailed planning and good communication is the key to success in improving the quality of dying. © 2012 Springer-Verlag.en_HK
dc.languageengen_US
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngologyen_HK
dc.subjectCarotid artery ruptureen_HK
dc.subjectHead and neck canceren_HK
dc.subjectPalliationen_HK
dc.subjectQuality of dyingen_HK
dc.subjectTerminally illen_HK
dc.titleQuality of dying in head and neck cancer patients: the role of surgical palliationen_HK
dc.typeArticleen_HK
dc.identifier.emailChan, JYW: jywchan1@hku.hken_HK
dc.identifier.emailTo, VSH: doctorto@hku.hken_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.authorityChan, JYW=rp01314en_HK
dc.identifier.authorityTo, VSH=rp01385en_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00405-012-2059-7en_HK
dc.identifier.pmid22669270-
dc.identifier.scopuseid_2-s2.0-84878345913en_HK
dc.identifier.hkuros200712en_US
dc.identifier.spage681en_HK
dc.identifier.epage688en_HK
dc.identifier.isiWOS:000314295800040-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridChan, JYW=27171772200en_HK
dc.identifier.scopusauthoridTo, VSH=35957345400en_HK
dc.identifier.scopusauthoridWong, STS=55236638200en_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK
dc.identifier.citeulike10776461-

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