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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2017

Open Access 01-12-2017 | Research

Body image in head and neck cancer patients treated with radiotherapy: the impact of surgical procedures

Authors: Tsung-Min Hung, Ching-Rong Lin, Yu-Chun Chi, Chien-Yu Lin, Eric Yen-Chao Chen, Chung-Jan Kang, Shiang-Fu Huang, Yeong-Yuh Juang, Chun-Yu Huang, Joseph Tung-Chieh Chang

Published in: Health and Quality of Life Outcomes | Issue 1/2017

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Abstract

Background

In this study, we aimed to investigate the impact of surgical procedures on the body image of head and neck cancer patients treated with radiotherapy and with or without radical surgery.

Methods

A cross-sectional survey of 150 patients with head and neck cancer was conducted. Sixty patients had nasopharyngeal cancer treated with definitive radiotherapy without surgery, and 90 patients had oral cavity cancer treated with radical surgery plus adjuvant radiotherapy. All participants completed a 10-item Body Image Scale (BIS) questionnaire to assess body image dissatisfaction. Among all patients, the socio-demographic and clinical variables were age, gender, partnership, education, employment, and radical surgery. In surgically-treated patients, the clinical variables were facial skin sacrificed, mouth angle sacrificed, glossectomy, maxillectomy, and mandibulectomy. ANOVAs, t-tests, and multiple regressions were used to evaluate the relationships between these variables and BIS results.

Results

In all patients, radical surgery was the strongest independent predictor of BIS scores. Surgically-treated patients had significantly worse BIS scores than the patients without surgery. In surgically-treated patients, facial skin sacrificed, mouth angle sacrificed, maxillectomy, and mandibulectomy were significantly associated with body image. According to multivariable analyses, inferior maxillectomy and segmental mandibulectomy were independent prognosticators of a poor BIS score in surgically-treated patients.

Conclusion

Radical surgery for head and neck cancer patients has a significant impact on their body image, especially for those undergoing facial bone destructive surgery.
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Metadata
Title
Body image in head and neck cancer patients treated with radiotherapy: the impact of surgical procedures
Authors
Tsung-Min Hung
Ching-Rong Lin
Yu-Chun Chi
Chien-Yu Lin
Eric Yen-Chao Chen
Chung-Jan Kang
Shiang-Fu Huang
Yeong-Yuh Juang
Chun-Yu Huang
Joseph Tung-Chieh Chang
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2017
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-017-0740-7

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