Pre and Post-Surgical Functional and Clinical Profile of Patients with Head and Neck Cancer

• Autor(a) principal: Hurtado, Jessica Soares
• Data de Publicação: 2023
• Outros Autores: Ribeiro, Thaís Gontijo, Vale, André Luiz Maia do
• Tipo de documento: Artigo
• Idioma: por; eng; spa
• Título da fonte: Revista Brasileira de Cancerologia (Online)
• Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/3935
• topic: neoplasias de cabeça e pescoço; modalidades de fisioterapia; artrometria articular; dinamometria manual; fatores de risco; head and neck neoplasms; physical therapy modalities; arthrometry, articular; manual dynamometry; risk factors; neoplasias de cabeza y cuello; modalidades de fisioterapia; artrometría articular; dinamometria manual; factores de riesgo

  Introduction: Head and neck cancer is the sixth most prevalent neoplasm in the world. Due to their anatomical location, these cancers can promote important functional changes related to eating, breathing and communication, affecting social interaction. Objective: To characterize the functional and clinical profile of patients with head and neck cancer. Method: Cross-sectional, descriptive, quanti-qualitative study. Goniometry and dynamometry of the upper limbs, the Intensive Care Mobility Scale (ICUMS) to evaluate mobility, the Karnofsky performance scale (KPS) and the Eastern Cooperative Oncology Group Performance Scale (PS-ECOG) were utilized in a tertiary public hospital. Data collection occurred between August and November 2022. Results: There were 39 female patients (61.54%) enrolled in the study with mean age of 51.51(±16.05). The most common risk factors were: family history (53.85%), incidence in social and economically underserved regions (17.95%), in Ceilândia (Administrative Region of the Federal District), and education up to elementary school (48.72%). The primary tumor with the highest prevalence was thyroid (61.54%), staging T4 (33.33%). In the postoperative period, 10 presented facial paralysis, 11, trismus and 27, winged scapula. Postoperative mobility was maintained during hospitalization with ICUMS 10, KPS 90% and PS-ECOG between 0-1. Conclusion: The predisposition and the clinical and functional profile were correlated with respiratory problems, trismus, facial paralysis, winged scapula and reduced upper limb amplitude, as the most frequent repercussions, possibly resulting from the tumor or the treatment. However, post-surgical mobility and performance did not change considerably.