Quality of life of maxillectomy patients using an obturator prosthesis

Kornblith, Alice B.; Zlotolow, Ian M.; Gooen, Jane; Huryn, Joseph M.; Lerner, Todd; Strong, Elliót W.; Shah, Jatin P.; Spiro, Ronald H.; Holland, Jimmie C.

doi:10.1002/(sici)1097-0347(199607/08)18:4<323::aid-hed3>3.3.co;2-1

Cited by 5 publications

(6 citation statements)

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“…Similar to the data of earlier studies in the general population [21,27], the participants who received a Weber-Ferguson facial surgical approach, were more severely affected by their treatment, since they had poor QOL scores and more problems when using the complete denture obturator prosthesis. From a prosthodontic standpoint, the intraoral surgical approach when possible could enhance the prosthodontic rehabilitative outcome in patients with complete denture obturator prostheses [25].…”

Section: Discussionsupporting

confidence: 79%

“…QOL was assessed using the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Core Questionnaire (QLQ-C30) [15,16], and Head and Neck Cancer Module (QLQ-HN35) [17,18] that have both been validated in Greek [19,20]. The perceived functioning and effectiveness of the complete denture obturator prosthesis was evaluated by the Obturator Functioning Scale (OFS) [21] that was translated from English to Greek (forward translation) and then from Greek to English (backward translation) by 2 independent translators. Due to the non-normal distribution of the obtained data, non parametric statistical methods were followed.…”

Section: Methodsmentioning

confidence: 99%

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Effectiveness of Prosthetic Rehabilitation and Quality of Life of Older Edentulous Head and Neck Cancer Survivors Following Resection of the Maxilla. A Cross-sectional Study

Artopoulou¹,

Sarafianou²,

Perisanidis³

et al. 2021

Preprint

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PurposeTo evaluate the effectiveness of the prosthetic rehabilitation, as well as the quality of life (QOL) of older edentulous maxillectomy patients.MethodsEffectiveness of the complete denture obturator prosthesis and QOL of 44 older patients who had resection of the maxilla and were restored with a definitive prosthesis that was in use for minimum 1 year was assessed using 3 instruments: European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Core Questionnaire (QLQ-C30), Head and Neck Cancer Module (QLQ-HN35), and Obturator Functioning Scale (OFS). Data analysis was performed by the one-way ANOVA on ranks, Spearman rank order correlation, and hierarchical multivariable rank regression at α=.05 level of significance.ResultsParticipants’ gender (P<.001), adjuvant treatment (P =.016), surgical approach (P =.017), size of the maxillary defect (P=.028), participants’ prosthetic history (P =.047), and dental status of the mandible (P =.038) were significantly related to the self-reported effectiveness of the obturator. Perceived functioning of the complete denture obturator prosthesis (P=.001), participants’ gender (P=.002), the American Society of Anesthesiologists (ASA) physical status (P=.027), and surgical approach (P=.039) were significant predictors of QOL. ConclusionRestoration of the edentulous maxillectomy defect is challenging. An effective definitive complete denture obturator appeared to be the strongest predictor for advanced quality of life in older maxillectomy patients. The physical status of the older participants significantly affected the overall QOL, but did not influence the self-reported functioning of the complete denture obturator prosthesis.

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Section: Discussionsupporting

confidence: 79%

Section: Methodsmentioning

confidence: 99%

Effectiveness of Prosthetic Rehabilitation and Quality of Life of Older Edentulous Head and Neck Cancer Survivors Following Resection of the Maxilla. A Cross-sectional Study

Artopoulou¹,

Sarafianou²,

Perisanidis³

et al. 2021

Preprint

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“…In the head and neck, the PAIS-SR has previously been used in quality-of-life studies in laryngeal cancer patients and maxillectomy patients. 8 • 11 - 12 The MCPLQ 11 to cope with disability; perception of the treatment process; feelings about the preparation received for treatment; and perceptions of speech quality, swallowing, and overall adjustment to surgical treatment.…”

Section: Materials and Methods Study Samplementioning

confidence: 99%

Psychosocial Adjustment after Laryngeal Cancer Surgery

Herránz

Gavilán²

1999

Ann Otol Rhinol Laryngol

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The objective of the study was to assess the psychosocial adjustment of 111 patients, and 87 partners, after laryngeal cancer surgery. Sixty-nine patients were grouped as having had radical surgery (total or near-total laryngectomy), and 30 as having had functional surgery (horizontal supraglottic laryngectomy or cordectomy). The Psychosocial Adjustment to Illness Scale Self Report questionnaire was used as the primary outcome. No significant differences were found between groups when global adjustment or domain adjustment was compared. Patient and partner responses were almost identical. Work and family relationships were the domains with poorest adjustment for both patients and partners. Information about treatment expectations was negatively rated by functional surgery patients, especially by those who underwent a cordectomy. We conclude that patient perspectives should be considered and consulted to 1) evaluate patient opinion about treatment results, 2) identify patients with special support needs, and 3) inform patients according to other patients' priorities, based on their experience.

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“…The swallowing function score is significantly better in the PG patients than the RSG patients in the category of food-intake method (p = 0.04). However, there was no significant difference between groups in intake time (p = 1.00) life [17,18]. However, obturators can allow food leakage during swallowing [1] and there may be a decrease in feeling of attachment as a result of dry mouth after radiation treatment if the patients underwent postoperate radiotherapy [9].…”

Section: Yamamoto's Occlusion Tablementioning

confidence: 91%

Evaluation and comparison of oral function after resection of cancer of the upper gingiva in patients who underwent reconstruction surgery versus those treated with a prosthesis

et al. 2021

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Background We retrospectively analyzed the articulation, mastication, and swallowing function of patients who underwent reconstruction or used a prosthesis after resection of the upper gingiva. Methods This study included patients who underwent resection of cancer of the upper gingiva from January 2014 to December 2018. Articulatory function was evaluated with Hirose’s conversational function evaluation criteria. Mastication function was evaluated with the Yamamoto’s occlusion table. Swallowing function was assessed with the MTF (Method of intake, Time, Food) score. Results The mean articulatory function score was 8 points in the Reconstruction Surgery Group (RSG) and 8.8 points in the Prosthesis Group (PG). The mean mastication function score was 2.8 points in the RSG and 3.3 points in the PG. The mean swallowing function score was M3T4F4 in the RSG and M4T4F4.3 in the PG. Conclusions The prosthesis depends on the remaining occlusal support area. Our study suggest that prosthesis is better indication when there is more than one occlusal support area.

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Quality of life of maxillectomy patients using an obturator prosthesis

Cited by 5 publications

References 0 publications

Effectiveness of Prosthetic Rehabilitation and Quality of Life of Older Edentulous Head and Neck Cancer Survivors Following Resection of the Maxilla. A Cross-sectional Study

Effectiveness of Prosthetic Rehabilitation and Quality of Life of Older Edentulous Head and Neck Cancer Survivors Following Resection of the Maxilla. A Cross-sectional Study

Psychosocial Adjustment after Laryngeal Cancer Surgery

Evaluation and comparison of oral function after resection of cancer of the upper gingiva in patients who underwent reconstruction surgery versus those treated with a prosthesis

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