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Article: Influence of mandibular reconstruction on patients' health-related quality of life

TitleInfluence of mandibular reconstruction on patients' health-related quality of life
Authors
Issue Date2011
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/joms
Citation
Journal of Oral and Maxillofacial Surgery, 2011, v. 69 n. 6, p. 1782-1791 How to Cite?
AbstractPURPOSE: To evaluate and compare the influence of different types of mandibular reconstruction on health-related quality of life (HR-QoL) of nonrecurrence patients. PATIENTS AND METHODS: We recruited 252 patients who underwent mandibular reconstruction between 1994 and 2007 for this cross-sectional study. They were classified into groups based on reconstruction technique: free bone graft (FBG) group, particulate bone cancellous marrow graft (PBCMG) group, reconstruction plate (RP) group, and microvascular free flap group. The University of Washington Head and Neck Quality of Life Questionnaire and 5 supplemental domains regarding the donor sites were used to evaluate and compare HR-QoL among the groups. RESULTS: The outcomes of the University of Washington Head and Neck Quality of Life Questionnaire differed significantly among the groups (P < .0001). The results of the additional donor site domains also differed greatly among the groups (P < .0001). Appearance, chewing, activity, appearance-donor site, and function-donor site were the domains that were most frequently chosen by the patients as the most important issues. Most of the patients rated their HR-QoL as somewhat better compared with their experience the month before they underwent reconstruction. The HR-QoL and overall quality of life (QoL) during the past 7 days were rated as very good in the FBG group and PBCMG group and good in the RP group and microvascular free flap group. CONCLUSIONS: HR-QoL of patients in the FBG and PBCMG groups did not differ significantly with regard to any of the domains, and these 2 groups consistently had the highest mean scores. Both groups differed significantly from the RP group, which tended to report the lowest mean scores for the domains.
Persistent Identifierhttp://hdl.handle.net/10722/138874
ISSN
2015 Impact Factor: 1.631
2015 SCImago Journal Rankings: 0.824
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWan, Qen_HK
dc.contributor.authorZwahlen, RAen_HK
dc.contributor.authorCheng, Gen_HK
dc.contributor.authorLi, Zen_HK
dc.contributor.authorLi, Zen_HK
dc.date.accessioned2011-09-23T05:41:34Z-
dc.date.available2011-09-23T05:41:34Z-
dc.date.issued2011en_HK
dc.identifier.citationJournal of Oral and Maxillofacial Surgery, 2011, v. 69 n. 6, p. 1782-1791en_HK
dc.identifier.issn0278-2391en_HK
dc.identifier.urihttp://hdl.handle.net/10722/138874-
dc.description.abstractPURPOSE: To evaluate and compare the influence of different types of mandibular reconstruction on health-related quality of life (HR-QoL) of nonrecurrence patients. PATIENTS AND METHODS: We recruited 252 patients who underwent mandibular reconstruction between 1994 and 2007 for this cross-sectional study. They were classified into groups based on reconstruction technique: free bone graft (FBG) group, particulate bone cancellous marrow graft (PBCMG) group, reconstruction plate (RP) group, and microvascular free flap group. The University of Washington Head and Neck Quality of Life Questionnaire and 5 supplemental domains regarding the donor sites were used to evaluate and compare HR-QoL among the groups. RESULTS: The outcomes of the University of Washington Head and Neck Quality of Life Questionnaire differed significantly among the groups (P < .0001). The results of the additional donor site domains also differed greatly among the groups (P < .0001). Appearance, chewing, activity, appearance-donor site, and function-donor site were the domains that were most frequently chosen by the patients as the most important issues. Most of the patients rated their HR-QoL as somewhat better compared with their experience the month before they underwent reconstruction. The HR-QoL and overall quality of life (QoL) during the past 7 days were rated as very good in the FBG group and PBCMG group and good in the RP group and microvascular free flap group. CONCLUSIONS: HR-QoL of patients in the FBG and PBCMG groups did not differ significantly with regard to any of the domains, and these 2 groups consistently had the highest mean scores. Both groups differed significantly from the RP group, which tended to report the lowest mean scores for the domains.en_HK
dc.languageengen_US
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jomsen_HK
dc.relation.ispartofJournal of Oral and Maxillofacial Surgeryen_HK
dc.subject.meshBone Transplantationen_HK
dc.subject.meshMandible - surgeryen_HK
dc.subject.meshMandibular Neoplasms - surgeryen_HK
dc.subject.meshQuality of Lifeen_HK
dc.subject.meshReconstructive Surgical Procedures - psychologyen_HK
dc.titleInfluence of mandibular reconstruction on patients' health-related quality of lifeen_HK
dc.typeArticleen_HK
dc.identifier.emailZwahlen, RA: zwahlen@hku.hken_HK
dc.identifier.emailLi, Z: lizubing0827@163.com-
dc.identifier.authorityZwahlen, RA=rp00055en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.joms.2010.07.013en_HK
dc.identifier.pmid21272970-
dc.identifier.scopuseid_2-s2.0-79956356903en_HK
dc.identifier.hkuros193657en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79956356903&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume69en_HK
dc.identifier.issue6en_HK
dc.identifier.spage1782en_HK
dc.identifier.epage1791en_HK
dc.identifier.isiWOS:000291404000086-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLi, Z=37078702700en_HK
dc.identifier.scopusauthoridLi, Z=36063035400en_HK
dc.identifier.scopusauthoridCheng, G=47861048500en_HK
dc.identifier.scopusauthoridZwahlen, RA=7004217269en_HK
dc.identifier.scopusauthoridWan, Q=36164675400en_HK

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