Health-related quality of life after maxillectomy: A comparison between prosthetic obturation and free flap

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

“…One study reported that patients who underwent surgical rehabilitation were rehabilitated with intermediate temporary obturator only 11 patient of 47 patients. 51 Various tools and questionnaires were used for measuring QOL as the EORTC Head and Neck 35 assessment ,the University of Washington Head and Neck Questionnaire (UW-QOL) , the Oral Health Impact Profile -14 (OHIP-14) , Visual Analogue Scale (VAS), the Obturator Functioning Scale (OFS), Mental Regarding the defect classifications, one of the selected studies used Aramany classification, 49 one used Brown classification system of defects, 50 one used Okay et al classification, 32 one used new classification 51,53 and one study described only the extension of the surgical resection. 52 The most common defect type was IIa-b Brown classification and class II okay classification.…”

“…52 The most common defect type was IIa-b Brown classification and class II okay classification. 32,[49][50][51][52] One study reported that the size of the defect affects significantly the difference between QOL scores for both lines of treatment, 50 as well as, other study reported that the size and shape of the defect, especially in patients who receive radiation therapy, represent one of the most significant negative points. 51 Where one study reported that postoperative radiotherapy affects the functioning of obturator prostheses.…”

“…49 Regarding the patients' tumors, the most frequently diagnosed type of cancer was squamous cell carcinoma, followed by mucoepidermoid carcinoma and rare variants of malignant neoplasms of palate minor salivary glands. 32,[49][50][51][52] Only one study reported the stage of the tumor for the patients evaluated as stage IV followed by stage III as the most common stages. 52 Only one study evaluated the dental status of selected patients 32 ,ultimately, all the studies were done at five medical centers.…”

“…However,only two studies were done in the same country. 32,[49][50][51][52] No meta-analyses were performed because of the differences in the questionnaires, the variations in the ways in which the results were presented, and the differing methodologies of the included studies.…”

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“…[15,16] Class I: Here,the midline resection of the maxilla has been performed and teeth are maintained on one side of the arch.…”