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Comparison of Quality of life and cost effectiveness between Free Flap versus Pedicled flap for the reconstruction of the lateral mandibular defects in Oral Cancer Patients

Not Applicable
Conditions
Health Condition 1: C148- Malignant neoplasm of overlappingsites of lip, oral cavity and pharynx
Registration Number
CTRI/2023/07/054816
Lead Sponsor
TATA MEMORIAL HOSPITA
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Treatment Naïve patients with oral cavity squamous cell carcinoma

2. Requiring lateral mandibular resection with lateral mandibular defect (resection extending posterior to the canine tooth)

3. Age between 18-70 years

4. Willing to give the consent

5. Conversant with Hindi, Marathi, or English

Exclusion Criteria

1. Any significant comorbidity affecting the procedure being done under general anesthesia at the

discretion of the operating surgeon

2. Patients necessitating bialveolar resection.

3. Patients with extensive skin defects ( >5cms) necessitating double flap (free or pedicled) for

reconstruction except for bipaddled PMMC (Which would amount to a single flap.

4. Patients necessitating infratemporal fossa clearance.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare the QOL of oral cancer patients who have undergone the reconstruction of the lateral mandibular defects with the two flaps (FFF vs PMMC) in terms of the difference in Composite Physical Function score of the UW-QOL tool at 6 months post treatment completion. <br/ ><br> <br/ ><br>Timepoint: 6 months from treatment completion <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
1 To compare QOL of oral cancer patients undergone reconstruction of lateral mandibular defects with two flaps FFF vs PMMC in terms of Mean (SD) Health utility index value derived from EQ VAS generic QOL tool <br/ ><br>2 To compare Modified health economic Cost of Illness tool of oral cancer patients undergone reconstruction of lateral mandibular defects with two flaps FFF vs PMMC <br/ ><br>3 Preliminary QALY calculations for both flap pathways <br/ ><br>4 Derive preliminary incremental cost-effectiveness ratio <br/ ><br> <br/ ><br> <br/ ><br>Timepoint: 6 months from treatment completion
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