Impact of Adapted Aesthetic Onco in Patients With Upper Aerodigestive Tract Cancer During Their Management

The majority of patients treated for VADS cancer come from disadvantaged socio-professional and family backgrounds. Treatment for cancers of the pharyngolarynx is mutilating, with major consequences for patients' lives in terms of physical and functional after-effects. The psycho-social consequences are also significant, notably the metamorphosis of identity linked to the disease and its treatment, which alters the patient's self-image.

The French association for Oncological Support Care (SOS) defines socio-aesthetics as "the professional practice of aesthetic care adapted to people who are fragile or suffering as a result of an attack on their physical or psychological integrity, or in social distress". Priority patients for aesthetic care are those whose treatments have had an impact on body image (mutilating surgery, skin toxicities), and/or who are in a situation of social precariousness and suffer from a loss of self-esteem.

For patients suffering from VADS cancer, a population not usually in need of aesthetic care but in need of self-image restoration, an incentive program has been set up. Initial feedback from patients who have been able to benefit from adapted oncoesthetics (OEA) is overwhelmingly positive.

This study will assess the feasibility of OAS for VADS cancer patients, and describe any obstacles.

Inclusion criteria

• Patient aged 18 or over
• Neoplastic location: oropharynx, oral cavity, hypopharynx, larynx, nasal cavity, salivary glands, cavum, sinus.
• Patient due to start oncological treatment (recurrence authorized)
• Patient fluent in French.
• Affiliation with a social security scheme
• Signature of informed consent prior to any specific procedure linked to the study
• Treatment with curative intent

Exclusion criteria

• Breast-feeding or pregnant patient
• Any associated medical or psychological condition that could compromise the patient's ability to participate in the study
• Patient deprived of liberty, under guardianship, or subject to a legal protection measure or unable to express their consent.
• Patient unable to undergo trial follow-up for geographical, social or psychopathological reasons.