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The goal of the study is to analyse the functional and aesthetic outcomes after removal of the maxillar bone and reconstruction with part of the scapular bone for people having maxillary tumor
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients studied | patients with malignant or benign maxillary sinus tumors managed by total maxillectomy and free scapular flap reconstruction |
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| Measure | Description | Time Frame |
|---|---|---|
| time to resumption of oral feeding | time to resumption of oral feeding after the surgery, measuring in days | through study completion, an average of 15 days |
| duration of hospitalization in a continuing care unit | hospitalization in a continuing care unit after the surgery, measuring in days | through study completion, an average of 15 days |
| Tracheotomy | need to do a tracheotomy during or after the surgery, qualitative outcome (yes or no) | through study completion, an average of 15 days |
| Hospitalisation time | Duration of the whole hospitalisation in the ENT unit, measuring in days | through study completion, an average of 15 days |
| Measure | Description | Time Frame |
|---|---|---|
| Swallowing assessment with the Functional Oral Intake Scale | Swallowing was assessed using the Functional Oral Intake Scale (FOIS). Scores ranged from one (no oral intake) to seven (normal diet with no change in texture), with a high score indicating good swallowing function. | through study completion, an average of 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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all patients with malignant or benign maxillary sinus tumors managed by total maxillectomy and free scapula tip flap reconstruction between January 2015 and July 2023 in the Ear-Nose-Throat (ENT) department of Croix Rousse Hospital in Lyon, France.
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| Name | Affiliation | Role |
|---|---|---|
| Carine FUCHSMANN | Hospice Civil de Lyon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Croix Rousse Hospital | Lyon | 69004 | France |
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| Aesthetic evaluation |
A subjective patient assessment of the aesthetic result was carried out using the appearance subcategory of the University of Washington Quality of Life Questionnaire (UW-QOL v4). There are five possible responses, each scored at 0, 25, 50, 75 and 100. A score of 0 represents the worst possible aesthetic result, and a score of 100 the best possible result. |
| through study completion, an average of 2 years |
| Quality of Life assessment using European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (version 3.0) and European Organisation for Research and Treatment of Cancer Head & Neck 43 questionnaires. | The QLQ-C30 is a general quality-of-life questionnaire specific to oncological pathology and intended for all cancer patients regardless of location. It comprises a central questionnaire for assessing 5 functions (physical, cognitive, social, limitations in daily activities and psychological), 9 symptoms and overall health. To this questionnaire can be added modules specific to a cancer site, such as the EORTC QLQ-H&N43 for head and neck cancers. Responses to both questionnaires are then transformed to produce a score ranging from 0 to 100. For the functional scales and the global health scale, a high score represents a good level of functioning, while a high score on the symptom scales indicates a high level of symptoms and/or problems. | through study completion, an average of 2 years |
| Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire | Functional assessment of the upper limb was performed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. This is a subjective self-assessment questionnaire of the overall functional capacity of both upper limbs. The score ranges from 0 to 100. Higher scores indicate an inability to perform tasks, great difficulty in doing them, or significant symptoms. | through study completion, an average of 2 years |