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首页> 外文期刊>Nigerian Journal of Surgery >Maxillectomy and quality of life: Experience from a Nigerian tertiary institution
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Maxillectomy and quality of life: Experience from a Nigerian tertiary institution

机译：上颌骨切除术和生活质量：来自尼日利亚大专院校的经验

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Introduction: Maxillectomy is a surgical procedure for managing tumors affecting the maxilla; the goal of maxillectomy however should not be limited to tumor extirpation but should include restoration of oronasal function and facial contours, as failure to do these may give rise to psychosocial and functional challenges. This study aimed to appraise the pattern of maxillectomies, challenges of management, and quality of life (QOL) of a proportion of the study population. Materials and Methods: This was a cross?sectional study carried out at the Department of Oral and Maxillofacial Surgery, University College Hospital, Ibadan. Patients’ case files from year 2000 to 2016 were retrieved and reviewed. Data extracted for analysis included age, gender, site of lesion, and histologic diagnosis; lesions were grouped as benign or malignant. Contacts were made with patients or their next of kin for a clinic review appointment where QOL was assessed with the University of Washington Quality of Life version 4 Questionnaire. Data were analyzed and result presented as means and frequencies. Results: Out of the 78 cases of maxillectomy recorded in the department within the study period, records were available and adequate in 67 cases. There were 37 (55.2%) females with a mean age of 35.88 ± 14.9 years. Swelling was the most common reason for presentation (63, 94%). The mean period between onset of disease and presentation for treatment was 3.66 ± 3.35 years. Distribution of lesions was benign 35 (52.2%) and malignant 32 (47.8%). Hemi?maxillectomy was the commonest surgical procedure (23, 34.8%). While majority had some prosthetic rehabilitation, 31 participants (48.5%) obtained no prosthesis. Eight participants gave scores of ≥75% when comparing their present health?related QOL (HR?QOL) with a month before surgery; the overall QOL was ≥60%. However, HR?QOL and overall QOL in the last 7 days before assessment were rated as good in 55.6% and 66.7%, respectively. Chewing was the most important domain to participants. Conclusion: The pattern of presentation and indications for maxillectomy in this series are similar to that from previous studies. The uptake of prosthetic rehabilitation was low and overall QOL was rated as fair. QOL should be considered as part of treatment outcome measure for maxillectomy.
机译：简介：上颌骨切除术是处理影响上颌骨的肿瘤的外科手术。然而，上颌骨切除术的目标不应该局限于切除肿瘤，而应包括口鼻功能和面部轮廓的恢复，因为如果不这样做，可能会带来心理和功能方面的挑战。这项研究旨在评估部分人群的上颌窦切除术的模式，管理的挑战以及生活质量（QOL）。材料和方法：这是在伊巴丹大学学院医院口腔颌面外科进行的横断面研究。检索并审查了2000年至2016年的患者病例档案。提取用于分析的数据包括年龄，性别，病变部位和组织学诊断;病变分为良性或恶性。与患者或其近亲进行了接触，以进行临床复诊，并通过华盛顿大学生活质量第4版问卷对QOL进行了评估。分析数据并以平均值和频率表示结果。结果：在研究期间，该科记录的78例上颌骨切除术病例中，有67例记录是充分的。有37位女性（55.2％），平均年龄为35.88±14.9岁。出现肿胀是最常见的表现形式（63，94％）。从疾病发作到就诊之间的平均时间为3.66±3.35年。病变分布为良性35例（52.2％）和恶性32例（47.8％）。半腮腺切除术是最常见的手术方法（23，34.8％）。虽然大多数人进行了假肢康复，但31名参与者（48.5％）没有获得假肢。比较他们目前的健康相关QOL（HR？QOL）与手术前一个月时，八名参与者的得分≥75％;总体QOL≥60％。然而，评估前最后7天的HRQOL和总体QOL分别为55.6％和66.7％，为良好。咀嚼是参与者最重要的领域。结论：该系列的上颌骨切除术的表现方式和适应症与以前的研究相似。修复假体的吸收率很低，总体QOL被评为公平。 QOL应被视为上颌骨切除术治疗效果评估的一部分。

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