Follow-up in patients with oral cancer.
OBJECTIVE
To provide standardized follow-up of patients who underwent oral cancer treatment, the German-Austrian-Swiss Cooperative Group on Tumors of the Maxillofacial Region (DOSAK) established a schedule of check-up examinations for a 5-year period.


METHODS
On the basis of a questionnaire, we investigated oncologic follow-up in respect to early detection of recurrences, cost and outcome efficiencies, and physician and patient judgment in the development of impairments.


RESULTS
Only 11% of all operated patients participated regularly in the follow-up program within the first 3 years. Ultrasound was the most effective imaging for the detection of recurrences. Swallowing, speaking, tongue mobility, and facial appearance were the most common problems. Troubles with swallowing were mainly induced by poorly fitted dentures, discontinuity of the mandible, osteomyelitis, and xerostomia. Outer appearance was mostly impaired by scars, missing facial muscle function, and edema. The problem of chronic pain remained unsolved.


CONCLUSIONS
Due to the sequelae of treatment, this study shows the need for close medical and psychological follow-up.
Gellrich
Nils-Claudius
NC
Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany. gellrich@zmk2.ukl.uni-freiburg.de
Schramm
Alexander
A
Böckmann
Roland
R
Kugler
Joachim
J
D001317:Austria; D001828:Body Image; D002908:Chronic Disease; D016371:Cranial Irradiation / Q000009:adverse effects; D003679:Deglutition / Q000502:physiology; D003778:Dentures / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D007571:Jaw Diseases / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000523:psychology* / Q000532:radiotherapy / Q000534:rehabilitation* / Q000601:surgery; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis; D016609:Neoplasms, Second Primary / Q000175:diagnosis; D009748:Nutrition Disorders / Q000209:etiology; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D010025:Osteoradionecrosis / Q000209:etiology; D010149:Postoperative Pain / Q000209:etiology; D011788:Quality of Life; D013282:Stomatitis, Denture / Q000209:etiology; D011795:Surveys and Questionnaires; D013557:Switzerland