Understandability of Speech Predicts Quality of Life Among Maxillectomy Patients Restored With Obturator Prosthesis

Abstract

The results of this study showed that understandability of speech was the only predictor of overall QoL scores.

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

“…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] . A retrospective study indicated that chewing after reconstruction with an obturator prosthesis is comparable with chewing with complete dentures and the size of the defect did not have a significant influence on the functional outcome 22 .…”

Evaluation of quality of life of a patient with malignant tumor of the oropharyngeal area during antitumor treatment

“…2) [7,9,12,13,17,18]. Показатели пациентки В. по данному опроснику выше или соответствуют верхней границе приведенных интервалов, что свидетельствует о более высоком уров-не качества жизни по каждой из функциональных шкал.…”

“…Разработано большое количество стандартизированных и утвержденных ан-кет для оценки функционального, ролевого, эмоцио-нального, социального состояния пациентов, в том числе онкологических. Среди них шкалы Карновского (Karnovsky Performance Index) и Восточной коопера-тивной группы исследования рака (Eastern Cooperative Oncology Group) -ECOG Perfomance Status, анкета SF-36 (Short Form-36), опросник Европейской органи-зации по изучению и лечению рака (EORTC) QLQ-C30 (EORTC Quality of life) [9][10][11]. Некоторые из них мо-дифицированы для анализа качества жизни пациентов со злокачественными новообразованиями головы и шеи: FACT-H&N (Functional Assessment of Cancer Therapy -Head and Neck Cancer), EORTC -QLQ-C30 H&N35 (EORTC Quality of life -Head and Neck Cancer), OHIP-14 (Oral Health Impact Profile) [12][13][14], однако ни один не адаптирован для оценки состояния паци-ентов со злокачественными новообразованиями оро-фарингеальной зоны на этапах стоматологической реабилитации.…”

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

“…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.…”

“…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.…”