Rosen Evan B, Palin Charles L, Huryn Joseph M, Wong Richard J
Dental Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Division of Oral and Maxillofacial Surgery and Dental Medicine, Department of Surgery, Loyola University Medical Center, Maywood, Illinois.
Laryngoscope. 2019 Feb;129(2):409-414. doi: 10.1002/lary.27330. Epub 2018 Sep 24.
OBJECTIVES/HYPOTHESIS: The current role of maxillofacial prosthetic care for head and neck cancer patients is not well understood. Additionally, perceived barriers for service provision are unknown. The purpose of this study was to evaluate the current role of maxillofacial prosthetic care at National Cancer Institute (NCI)-designated comprehensive cancer centers and to identify perceived barriers to care.
Multicenter, cross-sectional survey of head and neck division leaders at NCI-designated comprehensive cancer centers.
Each head and neck division leader from the 47 NCI-designated comprehensive cancer centers was invited to participate. The main outcomes of this study were: 1) to evaluate the current role of maxillofacial prosthetics for the surgically treated head and neck cancer patient within NCI-designated comprehensive cancer centers and 2) to identify perceived barriers to care. Measured outcomes were obtained from an anonymous online survey and reported.
Twenty-eight of the 47 head and neck service chiefs responded (60% response rate). Respondents expressed preference for prosthetic rehabilitation for hard palate/upper gum, auricular, and nasal defects. Local flap or free tissue transfer was preferred for lower gum and soft palate defects. Cost-related factors were among the most reported perceived barriers to maxillofacial prosthetic care.
Maxillofacial prosthetics have an important role in the rehabilitation of the head and neck cancer patient. Perceived barriers for services exist, particularly as it relates to cost. Providers should be aware that these issues are likely to be more severe in regional or community centers.
NA Laryngoscope, 129:409-414, 2019.
目的/假设：目前颌面修复护理在头颈癌患者中的作用尚未得到充分理解。此外，服务提供方面的感知障碍也不为人知。本研究的目的是评估国立癌症研究所（NCI）指定的综合癌症中心颌面修复护理的当前作用，并确定护理方面的感知障碍。
对NCI指定的综合癌症中心头颈科主任进行多中心横断面调查。
邀请了47个NCI指定的综合癌症中心的每位头颈科主任参与。本研究的主要结果为：1）评估颌面修复术在NCI指定的综合癌症中心接受手术治疗的头颈癌患者中的当前作用；2）确定护理方面的感知障碍。通过匿名在线调查获得并报告测量结果。
47位头颈科主任中有28位做出了回应（回应率为60%）。受访者表示倾向于对硬腭/上牙龈、耳廓和鼻缺损进行修复康复。对于下牙龈和软腭缺损，更倾向于采用局部皮瓣或游离组织移植。与成本相关的因素是颌面修复护理中最常被报告的感知障碍。
颌面修复术在头颈癌患者的康复中具有重要作用。存在服务方面的感知障碍，尤其是与成本相关的障碍。医疗服务提供者应意识到这些问题在地区或社区中心可能更为严重。
无 喉镜，129:409 - 414，2019年。
