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Patients with oral tumors. Part 2: Quality of life after treatment with resection prostheses. Resection prosthetics: evaluation of quality of life

机译:口腔肿瘤患者。第2部分:切除假体治疗后的生活质量。切除假体:生活质量评估

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摘要

In the present study, the oral health-related quality of life of 18 patients (13 men and 5 women) was evaluated using validated questionnaires as proposed by the European Organization of Research and Treatment of Cancer (EORTC). The patients belonged to a cohort of 48 patients, whose prosthetic treatment was performed during the years 2004-2007. In the course of tumor resection, 12 patients underwent graft surgery and 14 patients radiotherapy. One patient required a nasal epithesis since resection of the nose became necessary. Five patients underwent a full block resection of the mandible, and tumor resection in 3 patients resulted in a large oronasal communication. Prosthetic rehabilitation was performed in all patients, and the follow-up period with regular care covered a minimum of 3 years. Eleven patients received dental implants for better support and retention of the prostheses. In spite of compromised oral conditions, functional restrictions, and some difficulties with the prostheses, the answers to the questionnaire were quite positive. The majority judged their general health as good or even excellent. The subjective perception of the patients may contradict the objective view by the dentist. In fact, the individual patient's history and experience provide a better understanding of the impact of oral tumors on daily life. The overall assessment identified 4 items that were perceived as major problems by all patients: swallowing solid food, dry mouth, limited mouth opening, and appearance. Prosthetic rehabilitation has only a limited influence on such problems.
机译:在本研究中,使用欧洲癌症研究与治疗组织(EORTC)提出的经验证的问卷对18例患者(13名男性和5名女性)的口腔健康相关生活质量进行了评估。这些患者属于48位患者的队列,他们在2004年至2007年期间进行了假体治疗。在肿瘤切除过程中,有12例患者接受了移植手术,有14例患者接受了放射治疗。由于需要切除鼻子,因此一名患者需要鼻腔上皮。 5例患者进行了下颌骨的全块切除,3例患者的肿瘤切除导致了较大的口鼻通讯。所有患者均进行了假体康复,定期随访的随访期至少为3年。 11位患者接受了牙种植体,以更好地支撑和保留假体。尽管口腔条件受损,功能受限以及假体存在一些困难,但对问卷的回答还是很正面的。多数人认为他们的总体健康状况良好甚至出色。对患者的主观感觉可能与牙医的客观观点相矛盾。实际上,个体患者的病史和经验可以更好地了解口腔肿瘤对日常生活的影响。总体评估确定了所有患者都认为是主要问题的4个项目:吞咽固体食物,口干,有限的张口和外观。修复假体对此类问题的影响有限。

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