Quality of Life After Maxillectomy and Prosthetic Obturator Rehabilitation

Chigurupati, Radhika; Aloor, Neelam; Salas, Richard; Schmidt, Brian L.

doi:10.1016/j.joms.2013.02.002

Cited by 97 publications

(98 citation statements)

References 30 publications

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“…[64][65][66][67] Also the presence of teeth or implants in surgically reconstructed area may play a role in the success of prosthetic rehabilitation of patients. 45,49 Where in the included studies four studies were managed with installing implants but the importance of implants regarding the QOL were not evaluated. 32,[49][50][51][52] A direct comparison of the QoL scores among the selected studies was a challenge because nearly two studies employed the same questionnaire EORTC Head and Neck 35 32,50 and evaluated functions of swallowing and speech.…”

Section: Discussion:-mentioning

confidence: 99%

Does Evidence Support Prosthetic or Surgical Rehabilitation for Patients With Maxillary Defect Regarding the Quality of Life? Systematic Review.

SharafM¹,

IbrahimS²,

EskanderA³

et al. 2017

IJAR

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Section: Discussion:-mentioning

confidence: 99%

Does Evidence Support Prosthetic or Surgical Rehabilitation for Patients With Maxillary Defect Regarding the Quality of Life? Systematic Review.

SharafM¹,

IbrahimS²,

EskanderA³

et al. 2017

IJAR

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“…Rehabilitation with an obturator prosthesis restores the missing structures and acts as a barrier, preventing communication between the various cavities, improving esthetics, phonetics and masticatory function. Patients with maxillofacial defects face numerous problems related to quality of life arising from sequelae in function, speech, appearance, dry mouth, difficulty in opening the mouth [18][19] . Rehabilitation with an obturator prosthesis demonstrated better quality of life of patients with head or neck cancer [20][21] .…”

Section: Case Reportmentioning

confidence: 99%

Oral and maxillofacial rehabilitation of a patient suffering from intraosseous adenoid cystic carcinoma

Waechter

Xavier

Corrêa

et al. 2017

RGO, Rev. Gaúch. Odontol.

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RESUMOO tratamento das neoplasias em região de cabeça e pescoço pode deixar sequelas que afetam a qualidade de vida do paciente durante e após o tratamento. A comunicação buconasosinusal decorrente da ressecção cirúrgica parcial ou total do palato traz ao paciente alterações na função mastigatória, estética, fonética e de deglutição o que pode levar a um isolamento social do indivíduo. Em vista disso, a atuação do cirurgião dentista junto à equipe multiprofissional de atendimento ao paciente oncológico se faz fundamental, podendo contribuir no diagnóstico, auxiliar no manejo de complicações do tratamento quimioterápico/radioterápico, e na reabilitação bucomaxilofacial, sendo esta uma alternativa para melhorar a qualidade de vida do paciente, pois visa restabelecer as funções alteradas em decorrência do procedimento cirúrgico. O presente estudo relata o caso de uma paciente portadora de carcinoma adenóide cístico na maxila submetida à maxilectomia parcial, deixando como seqüela a comunicação buconasosinusal. O acompanhamento odontológico foi realizado no Hospital Escola da Universidade Federal de Pelotas no pré-operatório, durante e após o tratamento. No momento a paciente está reabilitada com uma prótese obturadora em acompanhamento pela equipe de odontologia e pelo cirurgião de cabeça e pescoço.Termos de indexação: Carcinoma adenoide cístico. Prótese maxilofacial. Neoplasias de cabeça e pescoço.

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“…The choice of which treatment to pursue in the future depends on several factors, with one of the most important being expected speech outcomes. Speech outcome measurements, including perceptual evaluation of speech intelligibility, 3,4 aeromechanical evaluation to determine palatopharyngeal orifice area, 3 acoustic evaluation of resonance, 3,5 articulation, 6 and patient perception through standardized questionnaires like the Obturator Functioning Scale, [7][8][9] are important to determine the effectiveness of treatment options for maxillary defects.…”

Section: Introductionmentioning

confidence: 99%

“…6 From a patient perspective, research has shown that understandability of speech and normalcy of resonance with prosthetic obturation relates to quality of life and social interaction. [7][8][9] Thus, research has shown that acceptable speech outcomes can be expected with prosthetic rehabilitation of the maxilla. However, there are drawbacks related to maxillary obturation, such as discomfort, inconvenience, and inability to achieve proper retention in an edentulous maxilla, [10][11][12] which have driven rehabilitative teams to consider alternative treatment options involving microvascular reconstruction of maxillary defects such as surgical reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Comparison of speech and resonance outcomes across three methods of treatment for maxillary defects

Papadopoulos-Nydam

Wolfaardt

Seikaly

et al. 2017

Int J Maxillofac Prosthetics

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Purpose: Treatment of maxillary defects, whether by prosthetic rehabilitation or surgical reconstruction, should aim to restore speech function and resonance balance. With the advent of technology and changing clinical practices related to maxillary defect management, speech outcomes need to be evaluated and compared in order to determine efficacy of differing approaches. Materials and Methods: One hundred and four patients across three treatment groups for maxillary defects were included: 38 patients who were treated with maxillary obturators (OBT group), 39 patients who were treated with a standard fibular free flap reconstruction that did not involve digital planning of the reconstruction (Standard group) and 27 patients who were reconstructed using a digitally planned surgical design and simulation fibular free flap reconstruction (SDS group). Speech assessments were completed to assess word and sentence intelligibility, resonance balance and aeromechanical orifice estimation among these three groups. Assessments included the Computerized Assessment of Intelligibility of Dysarthric Speech (C-AIDS), nasalance scores via the Nasometer and palatopharyngeal orifice area via the PERCI-SARS. Results: Significant differences were found in word intelligibility between the SDS and the Standard groups (p =.035) and on nasalance scores between the SDS and the OBT groups (p=.027). Conclusions: Patients treated with digital reconstruction (SDS) had better speech outcomes than the other two treatment groups, whose mean scores on certain speech variables were not within normal limits. Speech outcomes in the SDS group were consistently within the normal range across all measured speech variables.

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Quality of Life After Maxillectomy and Prosthetic Obturator Rehabilitation

Cited by 97 publications

References 30 publications

Does Evidence Support Prosthetic or Surgical Rehabilitation for Patients With Maxillary Defect Regarding the Quality of Life? Systematic Review.

Does Evidence Support Prosthetic or Surgical Rehabilitation for Patients With Maxillary Defect Regarding the Quality of Life? Systematic Review.

Oral and maxillofacial rehabilitation of a patient suffering from intraosseous adenoid cystic carcinoma

Comparison of speech and resonance outcomes across three methods of treatment for maxillary defects

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