AHNS 2013 Annual Meeting - American Head and Neck Society

Oral PapersS001: TRANSORAL ROBOTIC SURGERYFOR OROPHARYNGEAL CANCER:LONG TERM QUALITY OF LIFE ANDFUNCTIONAL OUTCOMESPeter T Dziegielewski, MD, FRCSC, K Durmus,MD, T N Teknos, MD, FACS, M Old, MD, FACS,A Agrawal, MD, FACS, K Kakarala, MD, FACS,E Ozer, MD; The Ohio State UniversityObjective: To determine swallowing, speechand quality of life (QOL) outcomes followingtransoral robotic surgery for oropharyngealsquamous cell carcinoma (OPSCC).Design: Prospective cohort studySetting: Tertiary care academiccomprehensive cancer centerPatients: 80 consecutive patients withpreviously untreated OPSCCIntervention: Primary surgical resection viatrans-oral robotic surgery (TORS) and neckdissection as indicated.Main Outcome Measures: Patients wereasked to complete the Head and Neck CancerInventory (HNCI) pre-operatively and at 3weeks as well as 3, 6 and 12 months postoperatively.Swallowing ability was assessedby independence from a gastrostomyTube (G-Tube) at the same time points.Demographic, pathological and follow-updata were also collected. Factors predicitve ofa lower quality of life were identified with amultivariate analysis.Results: The median follow-up time was18.3 months. The HNCI response rates at 3weeks and 3, 6, and 12 months were 80%,80%, 63%, 54% respectively. There wereoverall declines in eating, aesthetic, socialand overall QOL domains in the early postoperativeperiods. However, at 1 year afterTORS scores for aesthetic, social and overallQOL remained high. Speech scores remainedhigh throughout time periods. T-classification,N-Classification, age and post-operativeradiation/chemotherapy correlated with lowerQOL (p