Publication date: Available online 5 June 2016
Source:British Journal of Oral and Maxillofacial Surgery
Author(s): J. Breeze, A. Rennie, A. Morrison, D. Dawson, J. Tipper, K. Rehman, N. Grew, D. Snee, N. Pigadas
Health-related quality of life (QoL) reported by patients has the potential to improve care after ablative surgery of the midface, as existing treatment algorithms still generally revolve around outcomes assessed traditionally only by clinicians. Decisions in particular relate to reconstruction with a flap compared with rehabilitation with an obturator, the need for adjuvant treatment, and morbidity related to the size of the defect. We prospectively collected health-related QoL assessments for 39 consecutive patients treated by maxillectomy between 01 January 2010 and 31 December 2014 using the University of Washington Quality of Life Questionnaire, and who had a mean (SD) duration of follow-up of 14 (4). We made sub-group analyses using paired t tests and analysis of variance (ANOVA) to compare reconstruction with a flap with rehabilitation with obturators, size of the vertical defect, and whether adjuvant treatment with radiotherapy or chemoradiotherapy adversely affected it. Overall there was a significant decrease in health-related QoL after treatment compared with before (p<0.001), but there was no significant difference in the effects of any of the paired reconstructive and rehabilitation treatments on it. Obturators remain an important option for rehabilitation in selected patients in addition to reconstruction with a flap. We found that neither increasing the size of the vertical defect (in an attempt to ensure clear margins) nor the use of postoperative radiotherapy seemed to have any adverse effect on QoL. More patients are required before we can conclude that the potential survival benefits of such measures may outweigh any adverse effects.
from #MedicinebyAlexandrosSfakianakis via xlomafota13 on Inoreader http://ift.tt/25FYwMi
via IFTTT
Αρχειοθήκη ιστολογίου
-
►
2020
(289)
- ► Φεβρουαρίου (28)
-
►
2019
(9071)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (3642)
- ► Ιανουαρίου (3200)
-
►
2018
(39872)
- ► Δεκεμβρίου (3318)
- ► Σεπτεμβρίου (3683)
- ► Φεβρουαρίου (2693)
- ► Ιανουαρίου (3198)
-
►
2017
(41099)
- ► Δεκεμβρίου (3127)
- ► Σεπτεμβρίου (2173)
-
▼
2016
(13807)
- ► Δεκεμβρίου (700)
- ► Σεπτεμβρίου (600)
-
▼
Ιουνίου
(1110)
-
▼
Ιουν 05
(50)
- The impact of marital status at diagnosis on cance...
- Genetic alterations of differentiated thyroid carc...
- Sorafenib treatment in children with relapsed and ...
- Incidence and long-term outcome of postradiotherap...
- Effects of propolis and gamma-cyclodextrin on inte...
- Study Skills Inventory among Medical Students of P...
- Inappropriate statistical method in a parallel-gro...
- A feasibility study of implementing grip strength ...
- Effectiveness of management interventions for cont...
- Microenvironmental Control of Adipocyte Fate and F...
- Cellular Organization and Cytoskeletal Regulation ...
- Issue Cover (June 2016)
- Tridimensional finite element analysis of teeth mo...
- Ovarian malignancy unmasked by venous gangrene in ...
- The Trans-Pacific Partnership Agreement and health...
- Retrospective cohort analysis of healthcare claims...
- High tau levels in cerebrospinal fluid predict nur...
- We need to optimize piperacillin-tazobactam dosing...
- Rapid assessment of knowledge, attitudes, practice...
- A prospective multicenter cohort study of frailty ...
- Antiepileptic drug combinations not involving valp...
- The Reliability of Oral and Pharyngeal Dimensions ...
- Extending Aromatase-Inhibitor Adjuvant Therapy to ...
- Extending Aromatase-Inhibitor Adjuvant Therapy to ...
- Extending Aromatase-Inhibitor Adjuvant Therapy to ...
- Changing Adjuvant Breast-Cancer Therapy with a Sig...
- Extending Aromatase-Inhibitor Adjuvant Therapy to ...
- Changing Adjuvant Breast-Cancer Therapy with a Sig...
- A Plea for Ecological Argument Technologies
- Χρόνιος πόνος και υποδοχείς της κανναβινόλης
- Φάρμακα για το λουμπάγκο
- Πόνοι στη μέση
- Πόνοι στη μέση και νευρογλοία
- Οι κανναβινοειδείς υποδοχείς
- Ο ρόλος της γλυκίνης στο λουμπάγκο
- Ο ρόλος της γλουταμάτης στον πόνο
- Health-related quality of life after maxillectomy:...
- Cross-cover of oral and maxillofacial surgery out-...
- Outcomes of treatment of fractures of the frontal ...
- Recording Mouse Ultrasonic Vocalizations to Evalua...
- The concurrent and predictive validity of the Dutc...
- The role of biofilm on orthopaedic implants: the “...
- Neural indices of phonemic discrimination and sent...
- Tumor Necrosis Factor-Like Weak Inducer of Apoptos...
- Errors as a Means of Reducing Impulsive Food Choice
- Assessing stability in mild and moderate Parkinson...
- Is age an independent risk factor for medical comp...
- Apoptosis-associated protein expression in human s...
- TWiV 392: Zika virus!
- Pimavanserin: First Global Approval
-
▼
Ιουν 05
(50)
- ► Φεβρουαρίου (1350)
- ► Ιανουαρίου (1400)
-
►
2015
(1500)
- ► Δεκεμβρίου (1450)
Ετικέτες
Κυριακή 5 Ιουνίου 2016
Health-related quality of life after maxillectomy: obturator rehabilitation compared with flap reconstruction
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου