Health-related quality of life in maxillectomy patients undergoing dentoalveolar rehabilitation

被引：19

作者：

Petrides, George A. ^{[1
]}

Dunn, Masako ^{[1
]}

Charters, Emma ^{[1
]}

Venchiarutti, Rebecca ^{[1
]}

Cheng, Kai ^{[5
]}

Froggatt, Catriona ^{[1
]}

Mukherjee, Payal ^{[5
]}

Wallace, Christine ^{[2
]}

Howes, Dale ^{[1
,3
]}

Leinkram, David ^{[1
]}

Singh, Jasvir ^{[1
]}

Nguyen, Kevin ^{[1
]}

Low, Tsu-Hui Hubert ^{[1
,4
,7
]}

Ch'ng, Sydney ^{[1
,4
,5
,6
]}

Wykes, James ^{[1
,4
]}

Clark, Jonathan R. ^{[1
,4
,5
]}

机构：

[1] Sydney Head & Neck Canc Inst, Dept Head & Neck Surg, Surg Chris O Brien Lifehouse, 119-143 Missenden Rd, Camperdown, NSW 2050, Australia

[2] Westmead Ctr Oral Hlth, Dept Oral Restorat Sci, Corner Hawkesbury Rd,Darcy Rd, Westmead, NSW 2145, Australia

[3] Univ Sydney, Fac Med & Hlth, Sch Dent, 2 Chalmers St, Surry Hills, NSW, Australia

[4] Univ Sydney, Sydney Med Sch, Fac Med & Hlth, Anderson Stuart Bldg, Camperdown, NSW 2050, Australia

[5] Royal Prince Alfred Inst Acad Surg, Sydney Local Hlth Dist, Camperdown, NSW 2050, Australia

[6] Royal Prince Alfred Hosp, Dept Plast Surg, 50 Missenden Rd, Camperdown, NSW 2050, Australia

[7] Macquarie Univ, Fac Med & Hlth Sci, Sydney, NSW, Australia

来源：

ORAL ONCOLOGY | 2022年 / 126卷

关键词：

Head and Neck cancer; Oral cancer; Surgical reconstruction; Maxilla; Dental implants; Mouth rehabilitation; Quality of life; NECK-CANCER; RECONSTRUCTION; MAXILLARY; HEAD; OUTCOMES; SPEECH; OBTURATORS; PROSTHESES; IMPLANTS; DEFECTS;

D O I：

10.1016/j.oraloncology.2022.105757

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Objectives: Surgical resection of the maxilla impairs aesthetics, speech, swallowing, and mastication. Maxillary reconstruction is increasingly performed with virtual surgical planning (VSP) to enhance functional dental rehabilitation with a conventional denture or osseointegrated implants. The aim of this study was to determine whether dental status and VSP is associated with health-related quality of life (HRQOL) and function in patients who have undergone maxillectomy. Materials and methods: A cross-sectional study was conducted among patients who underwent free flap reconstruction or obturation of the maxilla between July 2009 and December 2020. The FACE-Q Head and Neck Cancer (FACE-Q) module, M.D. Anderson Dysphagia Inventory (MDADI), and Speech Handicap Index (SHI) were used to evaluate HRQOL. Results: Forty-three patients (response rate 59%) completed questionnaires and 48% underwent dental rehabilitation. In Okay Class II and III defects, adjusting for the effect of radiotherapy and time from surgery, there was a positive association between denture status and FACE-Q smiling (p = 0.020), eating (p = 0.012), smiling (p = 0.015), and MDADI global (p = 0.015), emotional (p = 0.027), functional (p = 0.028), and composite (p = 0.029) scores. VSP was associated with FACE-Q swallowing (p = 0.005), drooling (p = 0.030), eating (p = 0.008), smiling (p = 0.021), MDADI global (p = 0.017), emotional (p = 0.041), functional (p = 0.040), composite (p = 0.038), and SHI total scores (p = 0.042). Conclusions: Dentoalveolar rehabilitation and VSP were associated with higher HRQOL scores relating to eating and drinking, smiling, and speaking.

引用

页数：10

共 44 条

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