ABSTRACT
PURPOSE: To describe the characteristics of and the associations between health-related quality of life, pain, craniomandibular function, and psychosocial factors related to pain and fear of movement in patients with head and neck cancer. METHODS: Seventy-eight patients diagnosed with HNC were recruited. Measurements of the maximum mouth opening range and pressure pain thresholds on the masseter muscle and the distal phalanx of the thumb were conducted, as well as a battery of self-report questionnaires were administrated, including the QoL Questionnaire (EORT QLQ-H&N35), Numeric Rating Scale (NRS), Pain Catastrophizing Scale (PCS), the Spanish translation of the Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD), and the short version of the Craniofacial Pain and Disability Inventory (CF-PDI-11). RESULTS: The study sample (66.7% men, mean age 60.12 [11.95] years) experienced a moderate impact on their QoL levels (57.68 [18.25] EORT QLQ-H&N35) and high kinesiophobia values (20.49 [9.11] TSK-TMD). Pain was present in 41% of the patients, but only 3.8% reported severe pain. 26.4% had a restricted mouth opening range, and 34.62% showed significant catastrophism levels. There were strong positive correlations between EORT QLQ-H&N35 and CF-PDI-11 (r = 0.81), between NRS and CF-PDI-11 (r = 0.74), and between PCS and CF-PDI-11 (r = 0.66). CONCLUSION: Patients with HNC experience negative effects in their QoL, related to their impairment in craniomandibular function. Fear of movement, pain intensity, and catastrophism are associated with poorer functionality; relationships that should be considered when attempting to improve health care.
Subject(s)
Head and Neck Neoplasms , Quality of Life , Humans , Male , Female , Middle Aged , Head and Neck Neoplasms/psychology , Head and Neck Neoplasms/complications , Aged , Surveys and Questionnaires , Pain Measurement , Movement , Temporomandibular Joint Disorders/psychology , Temporomandibular Joint Disorders/physiopathology , Fear/psychology , Cross-Sectional Studies , Cancer Pain/psychology , Adult , Pain Threshold/psychologySubject(s)
Muscle Neoplasms/diagnosis , Sarcoma, Clear Cell/diagnosis , Temporal Muscle/pathology , Diagnosis, Differential , Fascia/pathology , Gene Rearrangement/genetics , Humans , In Situ Hybridization, Fluorescence , Magnetic Resonance Imaging , Muscle Neoplasms/genetics , RNA-Binding Protein EWS/analysis , RNA-Binding Protein EWS/genetics , Sarcoma, Clear Cell/geneticsABSTRACT
INTRODUCTION: Orbital floor fractures are usually the result of mechanical trauma. Orbital emphysema tends to develop in fractures affecting the paranasal sinuses and walls of the orbit. CLINICAL CASE: We report the case of a 35-year-old male who suffered an orbital floor fracture with associated orbital emphysema as a result of nose blowing. DISCUSSION: Only one other similar case has been found in the literature.