Otolaryngology, Journal Year: 2024, Volume and Issue: 171(5), P. 1297 - 1307
Published: June 13, 2024
Abstract Objective The multimodal treatments for pediatric head and neck (H&N) malignancies can have significant long‐term functional consequences growing patients. This systematic review aims to analyze the current knowledge of outcomes H&N cancer survivors. Data Sources PubMed, Embase, Web Science. Review Methods Preferred Reporting Items Systematic Reviews Meta‐analyses guidelines were followed, 1356 papers reviewed by 3 team members with conflict resolution a senior member. Results Fourteen studies included. Nine 14 (64%) reported issues swallowing, characterized as either dysphagia, odynophagia, oropharyngeal fibrosis, esophageal stenosis, xerostomia, trismus, or general throat mouth. Six noted nutritional feeding deficiencies, 5 additionally speech voice changes. Four (29%) hearing impairments and/or loss. A majority (9/14) characteristics secondary outcome. Three (21%) quality life (QoL) measure. Heterogeneity in methodology reporting precluded analysis any relationship between treatment type outcomes. Recommendations include integration objective measures support well regular measurements function QoL parameters during better understand evolution throughout care. Conclusion Relatively few focus on following cancer. Swallowing difficulty is most frequently deficit, but data rarely reported. Standardization outcome assessment could improve evidence patients treated
Language: Английский