Quality of life of patients with lower jaw benign tumor post resection and mandibular reconstruction
Pingky Krisna Arindra(1*), Bramasto Purbo Sejati(2), Rahardjo Rahardjo(3)
(1) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(2) Study Program of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(3) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author
Abstract
and reconstruction will affect the quality of life of patients after resection and reconstruction surgery as compared with that before the surgery. On this basis, cross-sectional study was conducted among 27 patients suffering from benign
mandibular tumors undergoing surgical procedure of marginal resection, segmental resection, or hemimandibulectomy at Dr. Sardjito genral hospital in 2010-2015. Quality of life of patients after mandibular resection and reconstruction was measured with modified oral health impact profile (OHIP-14). An assessment of the quality of life before and after surgery was based on gender and type of reconstruction and it was analyzed using t-test and one-way ANOVA. It was revealed that the quality of life of patients with benign tumors increased significantly (p=0,000), and that gender differences did not significantly affect the improved quality of life (p=0.433). The mean score of patient’s quality of life was highest on the type of marginal resection (mean value =14.50), and the lowest was on segmental resection (mean value=7.50), but the type of resection did not significantly influence the improved quality of life (p=0.152). Resection and reconstruction procedures under taken by Oral and Maxillofacial Surgeon at Dr. Sardjito general hospital can improve the quality of life of patients with benign tumors of the lower jaw.
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1. Ishida S, Shibuya Y, Kobayashi M, Komori T. Assessing stomatognathic performance after mandibulectomy according to the method of mandibular reconstruction. Int J Oral Maxillofac Surg. 2015; 44(8): 948-955. doi: 10.1016/j.ijom.2015.03.011
2. Dandriyal R, Gupta A, Pant S, Baweja HH. Surgical management of ameloblastoma. Natl J Maxillofac Surg. 2011; 2(1): 22-27. doi: 10.4103/0975-5950.85849
3. Zhang Z, Pan J, Huang X, Chen S. Individualized treatment for the mandibular
segmental defect: a case report. Indian J Surg. 2015; 77(1): S56–S58.
doi: 10.1007/s12262-014-1123-5
4. Hozle FH, Kesting MR, Hozle G, Loeffelbein DJ, Evens K, Wolff D. Clinical outcome
and patient satisfaction after mandibular reconstruction with free fibula flap. Int J Oral Maxillofac Surg. 2007; 36(9): 802-806. doi: 10.1016/j.ijom.2007.04.013
5. Sard-Eshkevar P, Rashad A, Vahdati SA, Garajei A, Bohluli B, Maurer P. Alloplastic
mandibular reconstruction: a systematic review and meta-analysis of the current
century case series. Plast Reconstr Surg. 2013; 132(3): 413-427. doi: 10.1097/PRS.0b013e31829ad0d9
6. Okoruto E, Ogunbajo O, Akinleye A, Bardi M. Quality of life of patients with segmental mandibular resection and immediate reconstruction with plates. J Oral Maxillofac Surg. 2011; 69(8): 2253-2259. doi: 10.1016/j.joms.2010.10.043
7. Hair SE, Anderson RE, Tatham RC, Black W. Multivariate Data Analysis, 8th ed. New York: Prentice Hall; 2018.
8. Boone HN, Boone DA. Analyzing likert data. The Journal of Extension. 2012; 50(2): 1-5.
9. Barrios R, Tsakos G, Medina BG, Martínez- Lara I, Bravo M. Oral health related quality of life and malnutrition in patients treated for oral cancer. Support Care Cancer. 2014; 22(11): 2927-2933. doi: 10.1007/s00520-014-2281-5
10. Pomer B, Gottlieb B. Use of the oral health impact profile (OHIP) in clinical oral implant research. Journal of Dental Oral and Craniofacial Epidemiology. 2013; 1(3): 3-10.
11. Li X, Zhu K, Liu F, Li H. Assessment of quality of life in giant ameloblastoma adolescent patients who have had mandible defects reconstructed with a free fibula flap. World J Surg Oncol. 2014; 12: 201. doi: 10.1186/1477-7819-12-201
12. Goezler JG, Becker OE, Haas Junior OL, Scolari N, Melo S, Heitz C, de Oliveira RB. Assessing change in quality of life using the oral health impact profile (OHIP) in
patients with different dentofacial deformities undergoing orthognathic surgery: a before and after comparison. Int J Oral Maxillofac Surg. 2014; 43(11): 1352-1359.
doi: 10.1016/j.ijom.2014.06.015
13. Choi WS, Lee S, McGrath C, Samman N. Change in quality of life after combined
orthodontic-surgical treatment of dentofacial deformities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109(1): 46-51. doi: 10.1016/j.tripleo.2009.08.019
14. Barra de Moraes F, Cardoso RMN, Rodrigues SV, Dutra MVF, Pareira UR, Borges TSSA. Ameloblastoma: a Clinical and therapeutic analysis on six cases. Rev Bras Ortop. 2014; 49(3): 305-308. doi: 10.1016/j.rboe.2014.04.006
DOI: https://doi.org/10.22146/majkedgiind.35990
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