Tschiesner Uta
Clinic for Otorhinolaryngology, Ludwig Maximilians University (LMU) Munich, Munich, Germany.
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2012;11:Doc07. doi: 10.3205/cto000089. Epub 2012 Dec 20.
Preservation of function is a crucial aspect for the evaluation of therapies applied in the field of head and neck cancer. However, preservation of anatomic structures cannot automatically be equated with preservation of function. Functional outcome becomes increasingly important particularly for the evaluation of alternative treatment options with equivalent oncological outcomes.AS A RESULT, PRESENT STUDIES TAKE INTO ACCOUNT THREE TOPIC AREAS WITH VARYING EMPHASIS: (1) the effects of cancer therapy on essential physiological functions, (2) additional therapy-induced side-effects and complications, and (3) health-related quality of life. The present article summarizes vital aspects of clinical research from recent years. Functional outcomes after surgical and non-surgical treatment approaches are presented according to tumor localization and staging criteria. Additional methodological aspects relating to data gathering and documentation as well as challenges in implementing the results in clinical practice are also discussed.
功能保留是评估头颈癌领域所应用治疗方法的一个关键方面。然而,解剖结构的保留不能自动等同于功能的保留。功能结果对于评估具有同等肿瘤学结果的替代治疗方案而言变得愈发重要。因此,目前的研究考虑了三个重点各异的主题领域:(1)癌症治疗对基本生理功能的影响,(2)额外的治疗引起的副作用和并发症,以及(3)健康相关生活质量。本文总结了近年来临床研究的重要方面。根据肿瘤定位和分期标准呈现了手术和非手术治疗方法后的功能结果。还讨论了与数据收集和记录相关的其他方法学方面以及在临床实践中实施结果所面临的挑战。