Quality of life in patients with maxillectomy prostheses

Irish, Jonathan, Sandhu, Nimani, Simpson, Colleen, Wood, Robert, Gilbert, Ralph, Gullane, Patrick, Brown, Dale, Goldstein, David, Devins, Gerald and King, Emma (2009) Quality of life in patients with maxillectomy prostheses. Head & Neck, 31 (6), 813-821. (doi:10.1002/hed.21042). (PMID:19280665)

Abstract

Background: This cross-sectional study sought to determine patient quality of life and function after prosthetic rehabilitation for maxillary and palate defects following cancer resection.

Methods: Sixty-nine patients were identified, 42 participated in the study (61%). The Obturator Functioning Scale (OFS) and 4 general quality of life measures (Mental Health Inventory [MHI], Impact of Events Scale [IES], Illness Intrusiveness Ratings Scale [IIRS], and Centre for Epidemiologic Studies Depression Scale [CES-D]) were correlated with clinical parameters.

Results: Leakage when swallowing foods was the most frequently reported problem with the obturator (29%). Positive correlation was noted between the OFS and both the IES subscales (p < .01) and CES-D (p < .001). Difficulty with speech and eating was associated with increased avoidance of social situations. The surgical approach had a significant effect on the OFS, IES, and MHI subscales (p < .01).

Conclusion: These results support the findings that good obturator function is associated with a better quality of life.

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