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