[Nutritional management of patients with head and neck cancer treated with radiation]. / Prise en charge nutritionnelle des patients atteints de cancer de la tête et du cou traité par irradiation.

Radiotherapy and chemotherapy are standard treatment of head and neck cancer alone or associated to surgical treatment. Early (during treatment or the following weeks) and late side effects contribute to malnutrition in this population at risk. In this context, nutritional support adapted by dietary monitoring and enteral nutrition (nasogastric tube or gastrostomy) are often necessary. The early identification of the patients with high malnutrition risk and requiring enteral nutrition is necessary to improve the tolerance and efficacy of treatment.

[Functional comparison of the voice quality after either open conservative surgery or only radiotherapy for early glottic carcinoma]. / Résultats fonctionnels après chirurgie partielle par voie externe versus radiothérapie exclusive dans le traitement des lésions T1 T2 glottique.

OBJECTIVES: The aim of this article is to compare the functional results after open conservative surgery versus radiotherapy alone in the management of early glottic carcinoma using the Voice Handicap Index questionnaire (VHI). METHODS: Retrospective study was done using VHI for evaluation of 37 patients treated either by open conservative surgery or radiotherapy in T1-T2N0M0 glottic laryngeal carcinoma. RESULTS: 19 patients were treated with radiotherapy. The overall survival rate and disease free after 5 years were 91.3%. The functional result was mild in 89%. 18 patients were treated surgically. The overall survival rate and disease free after 5 years were 93.1% and 95.4% respectively. The functional result was mild in 61% after surgery. CONCLUSION: Radiotherapy alone seems to provide better functional results than partial surgery in T1-T2 glottic tumors.