Quality of life after maxillectomy and prosthetic obturator rehabilitation

Radhika Chigurupati, Neelam Aloor, Richard Salas, Brian Schmidt

Research output: Contribution to journalArticle

Abstract

Purpose: Surgical resection of midface neoplasms and subsequent reconstruction have been shown to have significant negative effects on quality of life (QOL). The purpose of this pilot study was to assess individuals' health-related QOL after maxillectomy and reconstruction with a prosthetic obturator. Materials and Methods: The QOL of 25 of 43 patients who underwent maxillectomy and prosthetic obturator reconstruction at the University of California-San Francisco was assessed using 3 questionnaires: University of Washington Quality of Life version 4 (UWQOL), Obturator Functioning Scale (OFS), and Mental Health Inventory (MHI). Results: The response rate to the QOL questionnaires was 92% (23 of 25 patients). Time elapsed from maxillectomy and prosthetic obturator reconstruction to the QOL survey response ranged from 0.3 to 6.6 years (mean, 2.7 years; standard deviation [SD], 1.9 years). The post-treatment mean QOL scores were 77.3 (SD, 13.6) for UWQOL, 72.0 (SD, 12.6) for OFS, and 4.5 (SD, 0.9) for Mental Health Inventory. Individuals who received adjuvant radiation scored lower for speech and appearance (OFS, P =.05, P =.03, respectively) as well as for saliva and overall QOL (UWQOL, P =.02, P =.08, respectively). There was a strong correlation between QOL scores in OFS and UWQOL questionnaires (r = 0.78, P <.001). Conclusion: The results of this pilot study suggest that postoperative radiation therapy was the strongest variable affecting QOL in patients with maxillectomy and prosthetic obturator reconstruction. There is further need for a multicenter trial with a larger sample to identify how factors affecting QOL of patients after maxillectomy might influence the choice of reconstruction.

Original languageEnglish (US)
Pages (from-to)1471-1478
Number of pages8
JournalJournal of Oral and Maxillofacial Surgery
Volume71
Issue number8
DOIs
StatePublished - Aug 2013

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Rehabilitation
Quality of Life
Mental Health
Equipment and Supplies
San Francisco
Saliva
Multicenter Studies
Radiotherapy
Radiation
Surveys and Questionnaires

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology
  • Surgery

Cite this

Quality of life after maxillectomy and prosthetic obturator rehabilitation. / Chigurupati, Radhika; Aloor, Neelam; Salas, Richard; Schmidt, Brian.

In: Journal of Oral and Maxillofacial Surgery, Vol. 71, No. 8, 08.2013, p. 1471-1478.

Research output: Contribution to journalArticle

Chigurupati, Radhika ; Aloor, Neelam ; Salas, Richard ; Schmidt, Brian. / Quality of life after maxillectomy and prosthetic obturator rehabilitation. In: Journal of Oral and Maxillofacial Surgery. 2013 ; Vol. 71, No. 8. pp. 1471-1478.
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abstract = "Purpose: Surgical resection of midface neoplasms and subsequent reconstruction have been shown to have significant negative effects on quality of life (QOL). The purpose of this pilot study was to assess individuals' health-related QOL after maxillectomy and reconstruction with a prosthetic obturator. Materials and Methods: The QOL of 25 of 43 patients who underwent maxillectomy and prosthetic obturator reconstruction at the University of California-San Francisco was assessed using 3 questionnaires: University of Washington Quality of Life version 4 (UWQOL), Obturator Functioning Scale (OFS), and Mental Health Inventory (MHI). Results: The response rate to the QOL questionnaires was 92{\%} (23 of 25 patients). Time elapsed from maxillectomy and prosthetic obturator reconstruction to the QOL survey response ranged from 0.3 to 6.6 years (mean, 2.7 years; standard deviation [SD], 1.9 years). The post-treatment mean QOL scores were 77.3 (SD, 13.6) for UWQOL, 72.0 (SD, 12.6) for OFS, and 4.5 (SD, 0.9) for Mental Health Inventory. Individuals who received adjuvant radiation scored lower for speech and appearance (OFS, P =.05, P =.03, respectively) as well as for saliva and overall QOL (UWQOL, P =.02, P =.08, respectively). There was a strong correlation between QOL scores in OFS and UWQOL questionnaires (r = 0.78, P <.001). Conclusion: The results of this pilot study suggest that postoperative radiation therapy was the strongest variable affecting QOL in patients with maxillectomy and prosthetic obturator reconstruction. There is further need for a multicenter trial with a larger sample to identify how factors affecting QOL of patients after maxillectomy might influence the choice of reconstruction.",
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N2 - Purpose: Surgical resection of midface neoplasms and subsequent reconstruction have been shown to have significant negative effects on quality of life (QOL). The purpose of this pilot study was to assess individuals' health-related QOL after maxillectomy and reconstruction with a prosthetic obturator. Materials and Methods: The QOL of 25 of 43 patients who underwent maxillectomy and prosthetic obturator reconstruction at the University of California-San Francisco was assessed using 3 questionnaires: University of Washington Quality of Life version 4 (UWQOL), Obturator Functioning Scale (OFS), and Mental Health Inventory (MHI). Results: The response rate to the QOL questionnaires was 92% (23 of 25 patients). Time elapsed from maxillectomy and prosthetic obturator reconstruction to the QOL survey response ranged from 0.3 to 6.6 years (mean, 2.7 years; standard deviation [SD], 1.9 years). The post-treatment mean QOL scores were 77.3 (SD, 13.6) for UWQOL, 72.0 (SD, 12.6) for OFS, and 4.5 (SD, 0.9) for Mental Health Inventory. Individuals who received adjuvant radiation scored lower for speech and appearance (OFS, P =.05, P =.03, respectively) as well as for saliva and overall QOL (UWQOL, P =.02, P =.08, respectively). There was a strong correlation between QOL scores in OFS and UWQOL questionnaires (r = 0.78, P <.001). Conclusion: The results of this pilot study suggest that postoperative radiation therapy was the strongest variable affecting QOL in patients with maxillectomy and prosthetic obturator reconstruction. There is further need for a multicenter trial with a larger sample to identify how factors affecting QOL of patients after maxillectomy might influence the choice of reconstruction.

AB - Purpose: Surgical resection of midface neoplasms and subsequent reconstruction have been shown to have significant negative effects on quality of life (QOL). The purpose of this pilot study was to assess individuals' health-related QOL after maxillectomy and reconstruction with a prosthetic obturator. Materials and Methods: The QOL of 25 of 43 patients who underwent maxillectomy and prosthetic obturator reconstruction at the University of California-San Francisco was assessed using 3 questionnaires: University of Washington Quality of Life version 4 (UWQOL), Obturator Functioning Scale (OFS), and Mental Health Inventory (MHI). Results: The response rate to the QOL questionnaires was 92% (23 of 25 patients). Time elapsed from maxillectomy and prosthetic obturator reconstruction to the QOL survey response ranged from 0.3 to 6.6 years (mean, 2.7 years; standard deviation [SD], 1.9 years). The post-treatment mean QOL scores were 77.3 (SD, 13.6) for UWQOL, 72.0 (SD, 12.6) for OFS, and 4.5 (SD, 0.9) for Mental Health Inventory. Individuals who received adjuvant radiation scored lower for speech and appearance (OFS, P =.05, P =.03, respectively) as well as for saliva and overall QOL (UWQOL, P =.02, P =.08, respectively). There was a strong correlation between QOL scores in OFS and UWQOL questionnaires (r = 0.78, P <.001). Conclusion: The results of this pilot study suggest that postoperative radiation therapy was the strongest variable affecting QOL in patients with maxillectomy and prosthetic obturator reconstruction. There is further need for a multicenter trial with a larger sample to identify how factors affecting QOL of patients after maxillectomy might influence the choice of reconstruction.

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