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Facial appearance after operations for oral and oropharyngeal cancer: A comparison of casenotes and patient-completed questionnaire

Research output: Contribution to journalArticle


Lynne Millsopp, Louise Brandom, Gerry Humphris, Derek Lowe, C. Stat, Simon Rogers

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Disfigurement after operations for oral and oropharyngeal cancer is an important issue. Our aim was to review the casenotes of patients who reported distress in the appearance domain of the University of Washington Quality of Life Scale (UWQOL) and to find out what help they were given. Of 278 patients with previously untreated oral and oropharyngeal squamous cell carcinoma treated between 1995 and 1999, 114 (41%) were concerned about their appearance. Factors that correlated with these concerns included tumours more than 2 cm in size, T2 or worse stage, free tissue reconstruction, segmental mandibular resection, and neck dissection. In only 7 of the 114 was there any mention of the patient's appearance in the clinic notes, of whom 4 were given help (2 scar revisions and 2 oral rehabilitations). This study suggests that patients' concerns about disfigurement are poorly recognised in routine clinical practice and supports the principle of using the UWQOL scale to discuss problems of appearance with patients. (C) 2005 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.



Original languageEnglish
Pages (from-to)358-363
Number of pages6
JournalBritish Journal of Oral and Maxillofacial Surgery
Publication statusPublished - Oct 2006

    Research areas

  • appearance, health-related quality of life, UWQOL, oral cancer, head and neck cancer, QUALITY-OF-LIFE, NECK-CANCER, HEAD, DISFIGUREMENT, SURGERY, FEASIBILITY, IMPACT, SCALE

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