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dc.contributor.authorPoramate Pitak-Arnnopen_US
dc.contributor.authorKeskanya Subbalekhaen_US
dc.contributor.authorJean Paul Meningauden_US
dc.contributor.authorNattapong Sirintawaten_US
dc.contributor.authorPrim Auychaien_US
dc.contributor.authorChatpong Tangmaneeen_US
dc.contributor.authorAnnette Wunschen_US
dc.contributor.authorAndreas Neffen_US
dc.contributor.otherChulalongkorn Business Schoolen_US
dc.contributor.otherMahidol University, Faculty of Dentistryen_US
dc.contributor.otherJohannes Gutenberg-Universität Mainzen_US
dc.contributor.otherChulalongkorn Universityen_US
dc.contributor.otherHôpital Henri Mondoren_US
dc.contributor.otherUniversitätsklinikum Gießen und Marburg, Standort Marburgen_US
dc.identifier.citationJournal of Surgical Oncology. Vol.123, No.5 (2021), 1246-1252en_US
dc.description.abstractPurpose: The aims of the study were to estimate the frequency of epiphora and to identify factors associated with epiphora after orbital-sparing maxillectomy via modified Weber–Ferguson incision with lower blepharoplasty (OSOSM-MWFILB). Methods: We performed a retrospective cohort study enrolling a sample derived from the patient population undergoing OSM-MWFILB over a 7-year period. The predictor variables were grouped into demographic, related health status, anatomic, tumor-specific, and therapeutic categories. The primary outcome variable was the presence of postmaxillectomy epiphora (PME). Descriptive, univariate, and multivariate regression mixed-effect models were computed. Results: The study sample was composed of 134 patients (46.3% females; 71.6% squamous cell carcinomas) with a mean age of 64.7 ± 12.2 years. There were 23 (17.2%) PME events, which were significantly associated with eight variables: male gender, poor general health (ASA III–IV), large vertical defect (Brown and Shaw's class III–IV), squamous cell carcinoma tumor type, big tumor size (T3-4), cervical lymph node metastasis (N1-2), long operating time > 3 h, and adjuvant radio(chemo)therapy in both univariate mixed regression and multivariate Cox hazards analyses. Healing of PME in irradiated patients was significantly delayed. Conclusions: Ophthalmologic consequences in patients undergoing OSM-MWFILB require particular attention, especially in case of advanced tumors, multiple comorbidities, or long surgery with postoperative radio(chemo)therapy. This emphasizes the importance of appropriate cooperation between the surgeons and ophthalmic colleagues.en_US
dc.rightsMahidol Universityen_US
dc.titleFactors associated with epiphora following orbital-sparing maxillectomy via modified Weber–Ferguson incision with lower blepharoplastyen_US
Appears in Collections:Scopus 2021

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