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Author:

Chen, Cheng (Chen, Cheng.) | Ren, Wen-Hao (Ren, Wen-Hao.) | Huang, Rui-Zhe (Huang, Rui-Zhe.) | Gao, Ling (Gao, Ling.) | Hu, Zhi-Ping (Hu, Zhi-Ping.) | Zhang, Lin-Mei (Zhang, Lin-Mei.) | Li, Shao-Ming (Li, Shao-Ming.) | Dong, Kai (Dong, Kai.) | Qi, Hong (Qi, Hong.) | Zhi, Ke-Qian (Zhi, Ke-Qian.)

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SCIE Scopus

Abstract:

Purpose:The aim of this study was to assess quality of life (QoL) and obturator functioning in patients having undergone a maxillectomy as a tumor ablative resection and rehabilitation with a prosthetic obturator. Materials and Methods: The University of Washington Quality of Life scale version 4 (UVV-QoLv4) and the Obturator Functioning Scale (OFS) were used to evaluate the self-reported QoL and obturator functioning. The effects of demographic and treatment variables on QoL were assessed using age, defect size, postoperative radiotherapy (RT), neck dissection, and dentition. Results: The study included 16 men and 13 women with a mean age of 48.8 years. Of the 29 patients, 16 had a Brown Class 2a or smaller defect and 13 had a Brown Class 2b or larger defect. The mean OFS score (P = .004) and the physical (P = .001) and social-emotional function scores (P = .001) of the patients who received postoperative RT were significantly lower than those who did not receive postoperative RT. The subscales for swallowing (P = .008), saliva (P = .001), pain (P = .001), and shoulder function (P = .002) correlated strongly with postoperative RT on the UW-QoL. The subscales for pronunciation (P = .007) and saliva (P = .002) correlated significantly with RT on the OFS. The mean OFS scores were significantly lower for the patients with a Brown Class 2a or smaller defect than for Brown Class 2b or larger (P = .005). Conclusion: Postoperative RT was the strongest variable affecting QoL in patients with maxillectomy and prosthetic obturator reconstruction. The size of the defect slightly influenced the obturator function: however, it did not influence the overall QoL.

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Author Community:

  • [ 1 ] [Chen, Cheng; Ren, Wen-Hao; Gao, Ling; Hu, Zhi-Ping; Zhang, Lin-Mei; Li, Shao-Ming; Zhi, Ke-Qian] Xi An Jiao Tong Univ, Stomatol Hosp, Dept Oral Maxillofacial Surg, Coll Med, 98 Xiwu Rd, Xian 710004, Shaanxi, Peoples R China
  • [ 2 ] [Huang, Rui-Zhe] Xi An Jiao Tong Univ, Stomatol Hosp, Dept Prevent Dent, Coll Med, Xian, Shaanxi, Peoples R China
  • [ 3 ] [Dong, Kai] Xi An Jiao Tong Univ, Stomatol Hosp, Dept Periodont, Coll Med, Xian, Shaanxi, Peoples R China
  • [ 4 ] [Qi, Hong] Xi An Jiao Tong Univ, Stomatol Hosp, Dept Oral Pathol, Coll Med, Xian, Shaanxi, Peoples R China
  • [ 5 ] [Chen, Cheng]Xi An Jiao Tong Univ, Stomatol Hosp, Dept Oral Maxillofacial Surg, Coll Med, 98 Xiwu Rd, Xian 710004, Shaanxi, Peoples R China
  • [ 6 ] [Ren, Wen-Hao]Xi An Jiao Tong Univ, Stomatol Hosp, Dept Oral Maxillofacial Surg, Coll Med, 98 Xiwu Rd, Xian 710004, Shaanxi, Peoples R China
  • [ 7 ] [Gao, Ling]Xi An Jiao Tong Univ, Stomatol Hosp, Dept Oral Maxillofacial Surg, Coll Med, 98 Xiwu Rd, Xian 710004, Shaanxi, Peoples R China
  • [ 8 ] [Hu, Zhi-Ping]Xi An Jiao Tong Univ, Stomatol Hosp, Dept Oral Maxillofacial Surg, Coll Med, 98 Xiwu Rd, Xian 710004, Shaanxi, Peoples R China
  • [ 9 ] [Zhang, Lin-Mei]Xi An Jiao Tong Univ, Stomatol Hosp, Dept Oral Maxillofacial Surg, Coll Med, 98 Xiwu Rd, Xian 710004, Shaanxi, Peoples R China
  • [ 10 ] [Li, Shao-Ming]Xi An Jiao Tong Univ, Stomatol Hosp, Dept Oral Maxillofacial Surg, Coll Med, 98 Xiwu Rd, Xian 710004, Shaanxi, Peoples R China
  • [ 11 ] [Zhi, Ke-Qian]Xi An Jiao Tong Univ, Stomatol Hosp, Dept Oral Maxillofacial Surg, Coll Med, 98 Xiwu Rd, Xian 710004, Shaanxi, Peoples R China
  • [ 12 ] [Huang, Rui-Zhe]Xi An Jiao Tong Univ, Stomatol Hosp, Dept Prevent Dent, Coll Med, Xian, Shaanxi, Peoples R China
  • [ 13 ] [Dong, Kai]Xi An Jiao Tong Univ, Stomatol Hosp, Dept Periodont, Coll Med, Xian, Shaanxi, Peoples R China
  • [ 14 ] [Qi, Hong]Xi An Jiao Tong Univ, Stomatol Hosp, Dept Oral Pathol, Coll Med, Xian, Shaanxi, Peoples R China

Reprint Author's Address:

  • Xi An Jiao Tong Univ, Stomatol Hosp, Dept Oral Maxillofacial Surg, Coll Med, 98 Xiwu Rd, Xian 710004, Shaanxi, Peoples R China.

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Source :

INTERNATIONAL JOURNAL OF PROSTHODONTICS

ISSN: 0893-2174

Year: 2016

Issue: 4

Volume: 29

Page: 363-368

1 . 3 8 6

JCR@2016

1 . 6 8 1

JCR@2020

ESI Discipline: CLINICAL MEDICINE;

ESI HC Threshold:158

JCR Journal Grade:3

CAS Journal Grade:4

Cited Count:

WoS CC Cited Count: 13

SCOPUS Cited Count: 6

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 0

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