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Minerva Chirurgica 2020 Aug 06

DOI: 10.23736/S0026-4733.20.08316-9


lingua: Inglese

Prevention of withdrawal symptoms in alcoholic patients with head and neck cancer

Melissa LAUS 1 , Marianna TRIGNANI 2, Domenico CRESCENZI 1, Marco RADICI 1, Adelchi CROCE 3

1 UOC of Otolaryngology, General Hospital “S. Giovanni Calibita - Fatebenefratelli”, the Tiber Island, Rome, Italy; 2 Department of Radiation Oncology, “G. D’Annunzio” University of Chieti, SS. Annunziata Hospital, Chieti, Italy; 3 ENT Department, University “G. D’Annunzio” of Chieti-Pescara, Hospital “SS. Annunziata”, Chieti, Italy


BACKGROUND: The role of alcohol abuse is common in the onset of cancer of the upper aerodigestive tract, especially that affecting the tongue, floor of the mouth, palatine tonsil and piriform sinus. The consequences of the abuse of alcohol immediately after surgery in these patients are less known. But they are very important to achieve good final results.
METHODS: To try to understand the best treatment for withdrawal symptoms in a group of Italian patient with head and neck cancers, we did a questionnaire consisting of 10 questions. Subsequently, we decided to send the questionnaire to the main Italian centers of head and neck oncology using the platform of online surveys SurveyMonkey.
RESULTS: The results show clearly that it is not easy, within the Italian “latin” culture and stylelife to correct identify the alcoholic patient (patients in the last stage of the behavior of the disease "behavioral dependency") and that the centers which address these problems mostly use a drug treatment, employing in particular two classes of drugs, associated or not with thiamine, with a varying quantity of other vitamins.
CONCLUSIONS: It is important to know the early withdrawal syndrome to assess the ideal treatment. We propose a personal protocol to present this complication.

KEY WORDS: Alcohol abuse; Head and neck cancer; Questionnaire; Withdrawal symptoms; Surgical patient

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