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Oral Papers postoperatively, except in four (12%) patients who developed glottic stenosis associated with type III VHPL. Postoperative radio(chemo) therapy was administered in 21 patients (66%). Twenty five patients had more than 6 months follow-up with a mean time of 34.6 months. The recurrence rate was 28% (7/25) and a 5-year disease-specific survival rate was 64%. Conclusion: Microvascular reconstruction of VHPL offers a wider resection with promising functional results for hypopharyngeal carcinoma. Our proposed classification of VHPL according to the extent of the tumor offers guidelines for better functional reconstruction. S018 THE NATURE AND EXTENT OF BODY IMAGE CONCERNS AMONG SURGICALLY TREATED PATIENTS WITH HEAD AND NECK CANCER: NEW FINDINGS TO PROMOTE IMPROVED PSYCHOSOCIAL CARE. Michelle C Fingeret, PhD, Ying Yuan, MD, June Weston, Randal S Weber, MD; M. D. Anderson Cancer Center. Introduction: Body image is recognized as a critical psychosocial issue for individuals with head and neck cancer, as the disease and its treatment can have devastating consequences involving disfigurement and functional impairment. There are enormous social implications for the body image changes experienced by these patients due to the visible nature of the facial region and its association with identity, communication abilities, and interpersonal functioning. However, limited empirical research has been conducted to obtain a comprehensive understanding of the nature and extent of body image concerns in this patient group. The purpose of this study is to obtain descriptive information about the disease-specific body image concerns of surgically treated patients, satisfaction with care received regarding body image issues, and interest in psychosocial services targeting body image disturbance. Methods: The study sample included 256 patients with oral cavity, cutaneous, and other cancers affecting the midface at various time points relative to the initiation of surgical treatment (i.e., preoperatively, within one year of initial surgery, greater than one year following initial surgery). Patients were administered a self-report questionnaire designed for this study along with the Body Image Scale (BIS), which has been developed for cancer patients. Results: Preliminary results demonstrate that 77% of the sample acknowledged concerns or embarrassment about body image changes at some point following diagnosis/treatment, while 57% endorsed such concerns at the time of the evaluation. Patients tended to endorse multiple types of body image concerns, though these differed slightly for each patient group. Logistic regression analyses indicated that after adjusting for age, gender, cancer type and time since surgery, the number of body image concerns was significantly associated with scores on the BIS (p < 0.0001). One additional concern increased the odds of endorsing behavioral or emotional difficulties on the BIS by 112%. Time since surgery was also significantly associated with BIS scores. Despite considerable body image concerns prior to surgical treatment, elevated behavioral and emotional difficulties associated with body image concerns were found within one year of initial surgery (p = 0.03), with these scores remaining elevated greater than one year following surgery (p = 0.05). Up to 20% of patients expressed dissatisfaction with information provided to them about how to best cope with bodily changes or what to expect in terms of scaring/disfigurement following treatment. Nearly 1/3 of patients surveyed indicated they would have liked additional resources to help them cope with body image changes. Conclusions: These data provide useful information to document the nature and extent of body image concerns for this population and provide important targets for the development of psychosocial interventions. This work is directly linked to the development of a new psychosocial service targeting body image difficulties of this population, which will be briefly presented and discussed. The Body Image Therapy Service (BITS) is designed to provide evidence-based psychosocial interventions based on a cognitive-behavioral therapy model. S019 SUBMENTAL FLAP VERSUS RADIAL FOREARM FLAP FOR ORAL CAVITY RECONSTRUCTION: COMPARISON OF OUTCOMES. Joseph A Paydarfar, MD, Urjeet A Patel, MD; Dartmouth Hitchcock Medical Center, Lebanon, NH, USA; Northwestern University Medical Center, Chicago, IL, USA. Background: Resection of oral cancer frequently requires flap reconstruction to preserve tongue mobility and function. While the radial forearm flap (RFFF) has been widely used for this purpose, the submental pedicled flap (SPF) is gaining popularity for intraoral reconstruction. The benefits of the SPF are thought to include ease of harvest, shorter surgery, and good functional outcome. Objective: The purpose of this study is to compare intra-operative, post-operative, and functional results of SPF versus RFFF reconstruction for tongue and floor of mouth reconstruction. Design: Multi-institutional retrospective review. Setting: Academic, tertiary referral center. Patients: All patients undergoing resection of oral tongue or floor of mouth cancer followed by reconstruction with either SPF or RFFF from 2003-2009 were included. Main Outcome Measure: Tumor stage, defect size, duration of surgery, duration of hospitalization, surgical complications, and speech and swallowing function. Results: The study included 60 patients, 27 with SPF reconstruction and 33 with RFFF. Gender, age and TNM stage were similar for both groups. Only 7 patients had received therapy prior to the study. Mean flap size was smaller for SPF (37 cm2) than RFFF (50 cm2) (p
Oral Papers cartilage invasion; however, close observation following medical therapy is required to identify recurrent disease. In comparison, patients undergoing TL with postoperative RT or CRT demonstrated markedly better local control. For patients with cartilage invasion, a prospective trial comparing response to medical therapy versus surgical therapy in patients with T4 laryngeal carcinoma is needed. S021 DETERMINANTS OF LONG-TERM SPEECH AND SWALLOWING OUTCOMES FOLLOWING CHEMORADIOTHERAPY FOR LOCOREGIONALLY ADVANCED HEAD AND NECK CANCER. K W Mouw, PhD, D J Haraf, MD, K M Stenson, MD, E E Cohen, MD, E Blair, MD, M E Witt, RN MS, E E Vokes, MD, J K Salama, MD; The University of Chicago. Purpose: To identify factors that influence long-term speech and swallowing function in patients treated with induction chemotherapy (IndCT) followed by combined chemoradiotherapy (CRT) for locoregionally advanced head and neck cancer (HNC). Materials and Methods: A cohort of 221 patients was treated with IndCT followed by combined (CRT) for locoregionally advanced HNC between 1995 and 2002 at the University of Chicago. Of the 184 patients not excluded for early death or locoregional failure, 163 (88.6%) were assigned a speaking score of 1-4 at an average of 34.9 months (range=1.5-68) following the completion of treatment, and 166 (90.2%) were assigned a swallowing score of 1-4 at an average of 34.5 months (range=1-76) following completion of treatment. Speaking and swallowing scores are based on the validated McMaster scale for head and neck radiotherapy outcomes, with a score of 1 indicating normal function and higher scores reflecting increasing speech and swallowing morbidity. Results: Patients received one of three radiation therapy (RT) dosing schemes during treatment, and there was a trend towards better speech and swallowing scores with decreasing overall RT doses. Swallowing scores did not vary significantly based on location of the primary site, whereas speaking scores were significantly worse in patients with a larynx or hypopharynx primary site compared to the oral cavity or oropharynx (P
Page 1: American Head and Neck Society 2010
Page 4 and 5: General Information The American He
Page 6 and 7: Meeting Leaders AHNS President 2010
Page 8 and 9: John J. Conley Lecture John J. Conl
Page 10 and 11: Guest Of Honor Distinguished Servic
Page 12 and 13: Presidential Citations Corey J. Lan
Page 14 and 15: AHNS Leadership Humanitarian Commit
Page 16 and 17: AHNS Past Lectures & Awards Past Ha
Page 18 and 19: AHNS Awards Christopher O’Brien T
Page 20 and 21: AHNS Accreditation The American Hea
Page 22 and 23: Bally’s Las Vegas Floorplan 22 Am
Page 24 and 25: Scientific Program Wednesday, April
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Page 28 and 29: Scientific Program Thursday, April
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Page 32 and 33: Faculty, Presenter & Leadership Dis
Page 34 and 35: Oral Papers patients. Grade 3/4 muc
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Page 42 and 43: Oral Papers S030 RETROSPECTIVE ANAL
Page 44 and 45: Oral Papers The objective of this s
Page 46 and 47: Oral Papers weeks). Pretreatment le
Page 48 and 49: Poster Papers P001 (COSM Poster #23
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Page 78 and 79: Poster Papers than 70% in PTH level
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Page 84 and 85: Bylaws Article I Rights and Duties
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AHNS Program Index FACULTY/PRESENTE
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Notes 90 American Head and Neck Soc
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