Psychosocial responses to oral and maxillofacial surgery for head and neck cancer
Abstract
This study involved extensive interviews with 28 patients who had disfiguring oral and maxillofacial surgery for head and neck cancer. The patients, ages 42 to 76 years, had all been informed of their diagnosis and were in 2- to 5-year postoperative follow-up. Findings pertain to how patients deal with the interpersonal and social ramifications of diagnosis and surgical treatment. Fatalism, delays in help-seeking, responses to diagnosis, postsurgical anxiety, and adjustment were reported. Reassurance prior to surgery was sometimes found to limit understanding of postoperative impairment. Oral and maxillofacial surgeons were seen in heroic or imposing roles that impacted on their capacity to be supportive to patients coping with life change and "handicap." The patient treatment decisions were found to be determined by attitudes about death, which motivated patients and surgeons to make difficult or extreme choices. Suffering, social changes, and postoperative uncertainty were patient concerns. Patient strategies for adjusting to disfiguration are examined, and specific recommendations for the oral and maxillofacial surgeon are made.
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Nearly 60% of those patients also reported feeling discounted or stigmatized because of their cancer-related appearance.
“Nearly 60% also reported feeling discounted or stigmatized because of their cancer-related appearance.”
From Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer (2010) · cites this paper as [15]
Strauss's retrospective study of oral and maxillofacial cancer surgery patients reported that all had considerable presurgical anxiety, with surgical mutilation a prominent fear.
“Strauss(15) conducted a retrospective study of patients receiving surgery for oral and maxillofacial cancer and reported that all patients had experienced considerable presurgical anxiety with surgical mutilation as a prominent fear.”
From Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer (2010) · cites this paper as [15]
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Fingeret, M. C., Vidrine, D. J., Reece, G. P., Gillenwater, A. M., & Gritz, E. R. (2010) · Head & Neck · doi:10.1002/hed.21181 · Cited by 101 · see citing works
- Authors
- Strauss, R. P.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Strauss, Ronald P.
- Venue
- Journal of Oral and Maxillofacial Surgery
- Publisher
- Elsevier BV
- Published
- 1989-04
- Volume
- 47
- Issue
- 4
- Pages
- 343-348
- ISSN
- 0278-2391 (ISSN-L)
- OpenAlex
- W2024152660
- Cited by
- 61
- References
- 10
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 3
- FWCI
- 3.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Oral and Maxillofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (CA 17973-12)
- Topics
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- head and neck cancer, maxillofacial surgery, psychosocial adjustment, disfigurement, fatalism, help-seeking delay, patient adaptation, attitudes toward death, surgeon-patient relationship, social impact of cancer
- MeSH terms
- Adult, Aged, Alcohol Drinking, Attitude to Death, Attitude to Health, Eye, Artificial, Fear, Female, Head and Neck Neoplasms, Humans, Interview, Psychological, Male, Maxillofacial Prosthesis, Middle Aged, Quality of Life, Smoking, Sociology, Health Behavior
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