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The quality of life evaluation in patients after treatment of maxillofacial neoplasms

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Author(s): Dariusz Rolski

Journal: Protetyka Stomatologiczna
ISSN 0033-1783

Volume: LXIII;
Issue: 3;
Start page: 167;
Date: 2013;
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Keywords: quality of life | prosthetic rehabilitation | head and neck neoplasms

ABSTRACT
Introduction. The medical assessment of quality of life means a holistic and interdisciplinary approach to the patient’s problems, health improvement in a wide range of its aspects, provision of information on the patient’s functioning in the areas perceived by him or her as essential and it serves as a perfect criterion of the treatment efficacy and healing process. Aim of the study. To evaluate the quality of life of patients subjected to prosthetic treatment after surgical removal of maxillofacial neoplasms and application of supplementary therapies. Material and method. The quality of life was evaluated in a group of 103 patients using the modified quality of life questionnaire developed by the University of Washington – University of Washington Quality of Life Questionnaire (UW-QoL v.4). The following parameters included in the questionnaire were analysed: feeling pain, evaluation of the patient`s own appearance, swallowing, chewing, speech intelligibility, taste and saliva secretion.Results. The survey performed to assess the quality of life and the analysis of its outcome revealed that prosthetic treatment influenced the evaluation of feeling pain, swallowing, chewing and speech. After prosthetic treatment the type of postoperative loss did not influence any dimension of the patients` quality of life. The chewing and speech evaluation by the post-operative patients depended on the type of postoperative prosthetic restoration .Conclusions. The evaluation of the quality of life of patients after surgery with use of specific survey instruments in general, and the patients’ subjective evaluation in particular, is useful in the assessment of prosthetic rehabilitation effectiveness. It may be carried out at each therapeutic stage, in planning the strategy of prosthetic treatment, assessing functional aspects of postoperative prosthetic restoration, and also in a long-term follow-up.
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