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There is a paucity of information regarding the demographic factors associated with the development of neck fibrosis in head and neck cancer (HNC) patients following radiotherapy. A retrospective review of all patients being treated for HNC at a tertiary care center between 2013 and 2017 was performed. Chi-squared and Mann-Whitney U tests were used to identify differences in incidence and grade of fibrosis, respectively, between populations. A total of 90 patients aged 19 to 99 years were included. Factors associated with an increased incidence of fibrosis included smoking during radiotherapy ( p  < 0.001), alcohol use ( p  = 0.026), recurrent disease ( p  = 0.042), and age less than 60 ( p  < 0.001) on univariate analysis. Factors associated with increased grade of fibrosis in HNC patients included recurrent HNC ( p  = 0.033), alcohol use ( p  = 0.013), patient age younger than 60 years ( p  = 0.018), smoking during radiotherapy ( p  < 0.001), and non-Caucasian race ( p =  0.012). Identification and intervention directed at patients that possess risk factors associated with fibrosis prior to treatment has the potential to improve the long-term quality of life for HNC patients.

frontiers in oncology

The Impact of Smoking, Alcohol Use, Recurrent Disease, and Age on the Development of Neck Fibrosis in Head and Neck Cancer Patients Following Radiation Therapy