关键词: Maxillectomy Obturator Psychological status Quality of life

来  源:   DOI:10.1007/s12070-021-02476-1   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
UNASSIGNED: The purpose of the study was to assess psychological status (PS) and quality of life (QOL) before surgical resection of maxilla (T0), 2 weeks after resection (T1), 2 weeks after use of intermediate obturator (T2), before (T3) and 12 weeks after use of definitive obturator (T4). 20 participants, planned for resection of maxilla and subsequent prosthodontic rehabilitation were enrolled. Assessment was done using Hospital Anxiety and Depression Scale (HADS) (HADS-A: anxiety and HADS-D: depression) for PS, World Health Organization Quality of Life BREF (WHOQOL-BREF) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire- Head and Neck Module (EORTC QLQ- H&N35) for QOL, and obturator functioning scale (OFS) for obturator functioning. Six cases were dropped out. Highest HADS-A score was observed presurgically (18.7 ± 1.1) and highest HADS-D score at T1 (18.5 ± 1.8). After rehabilitation, HADS-A and HADS-D decreased significantly (P < 001). Least WHOQOL-BREF score was observed at T1, followed by a consistent, significant rise after rehabilitation at all time intervals (P < 001). Highest EORTC QLQ-H&N 35 score was observed at T1, with significant reduction (P < 0.001) after rehabilitation for all questions, except those related to sexual wellness (P = 1). Highest OFS were observed at T2 (3.1 ± 10.3) and least at T4 (1.9 ± 0.2). QOL and PS decline after maxillectomy. Patient education and rehabilitation with obturator leads to improvement in QOL and PS probably due to restored oral functions, and improved health of soft tissue. Both parameters improved with enhanced obturator quality and time.
UNASSIGNED: Reg. No. CTRI/2018/04/013164 http://ctri.nic.in/Clinicaltrials/regtrial.php?modid=1&compid=19&EncHid=67729.89030.
摘要:
未经评估:该研究的目的是评估上颌骨手术切除(T0)前的心理状态(PS)和生活质量(QOL),切除后2周(T1),使用中间闭塞(T2)后2周,之前(T3)和使用确定性闭孔(T4)后12周。20名学员,计划进行上颌骨切除和随后的修复修复。使用医院焦虑和抑郁量表(HADS)(HADS-A:焦虑和HADS-D:抑郁)进行PS评估,世界卫生组织生活质量BREF(WHOQOL-BREF)和欧洲癌症研究和治疗组织生活质量问卷-头颈部模块(EORTCQLQ-H&N35),闭孔功能量表(OFS)用于闭孔功能。六个案例被删除。HADS-A评分最高(18.7±1.1),T1时HADS-D评分最高(18.5±1.8)。康复后,HADS-A和HADS-D显著降低(P<001)。在T1时观察到WHOQOL-BREF得分最低,在所有时间间隔康复后显著升高(P<001)。在T1时观察到最高的EORTCQLQ-H和N35评分,所有问题在康复后均显着降低(P<0.001),除了与性健康有关的那些(P=1)。在T2观察到最高的OFS(3.1±10.3),并且在T4观察到最低的OFS(1.9±0.2)。上颌骨切除术后QOL和PS下降。闭孔患者的教育和康复可能由于口腔功能恢复而导致QOL和PS的改善。和改善软组织的健康。两个参数都随着闭塞器质量和时间的增强而改善。
未经评估:注册。不。CTRI/2018/04/013164http://ctri。nic.在/临床试验/临床试验中。php?modid=1&compid=19&EncHid=67729.89030。
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