Bøger af Veronika Dogra

In the last two decades treatment for head and neck cancers has evolved with multiple modality treatments, including radiation and chemotherapy in an effort to enhance local and regional disease control, reduce distant metastasis, preserve anatomic structures, and improve overall survival and quality of life. Surgery is first choice for early cancers and for cancers that do not respond to radiation and chemotherapy in the form of salvage.Surgery can result in cosmetic, functional and psychological impairment greatly affecting the patient¿s quality of life. Presently the thrust in cancer care is not simply on survival but on rehabilitation, which aims to improve multiple impairments and quality of life. Health related quality of life refers to a multidimensional concept, which encompasses perception of both negative and positive aspects of at least four dimensions of physical, emotional, social and cognitive function.