• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Journal of Prosthetic Dentistry >Psychologic response of the edentulous patient after primary surgery for oral cancer: A cross-sectional study.
【24h】

Psychologic response of the edentulous patient after primary surgery for oral cancer: A cross-sectional study.

机译：口腔癌初次手术后无牙患者的心理反应：一项横断面研究。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

STATEMENT OF PROBLEM: Edentulous patients can have difficulty in tolerating dentures and this may lead to psychologic disturbance. The problem is potentially more severe for edentulous patients after primary surgery for oral cancer, where treatment can include composite resection and reconstruction, followed by adjuvant radiotherapy. PURPOSE: This study investigated the psychologic response and oral satisfaction of edentulous patients treated by surgery for oral squamous cell carcinoma, and to make a comparison to edentulous noncancer counterparts. METHODS AND MATERIAL: The cross-sectional study included patients who were alive and disease-free 2 to 3 years after primary surgery. Seventy patients underwent surgery at the Regional Maxillofacial Unit, Liverpool, in 1993 and 1994. Twenty-eight patients were disease-free; 26 completed questionnaires that included a general health questionnaire (GHQ), a body satisfaction scale, a self-esteem scale, an oral symptom checklist, and a denture satisfaction questionnaire. Comparison was made with 98 noncancer edentulous patients from the same unit. RESULTS: There were similarities in psychologic and oral satisfaction scores between the noncancer and cancer edentulous patients. Cancer patients reported lower self-esteem (P <.02). Cancer patients who were not rehabilitated with either conventional or implant-retained prostheses had significant psychologic morbidity as measured by the GHQ, self-esteem, and body satisfaction scales. Cancer patients with implant-retained overdentures reported greater satisfaction with their dentures compared with their counterparts who wore conventional dentures (P <.05). CONCLUSION: Edentulous cancer patients who do not achieve oral rehabilitation after surgery for oral cancer exhibited significant psychologic morbidity. Patients with implant-retained overdentures exhibited a tendency to adopt the same psychologic response with improved denture satisfaction as edentulous patients with conventional dentures, despite the former having more extensive disease that would otherwise make the provision of dentures much more difficult if implants were not used.
机译：问题陈述：牙病患者可能难以忍受义齿，这可能会导致心理障碍。对于口腔癌的初次手术后无牙的患者来说，这个问题可能会更加严重，其治疗可能包括复合切除和重建，然后进行辅助放疗。目的：本研究调查了经口腔鳞状细胞癌手术治疗的无牙颌患者的心理反应和口腔满意度，并与无牙颌非癌患者进行了比较。方法和材料：这项横断面研究包括初次手术后2至3年存活且无疾病的患者。 1993年和1994年，七十名患者在利物浦地区颌面外科接受了手术。二十八名患者无病。共完成26份问卷，其中包括一般健康问卷（GHQ），身体满意度量表，自尊量表，口腔症状清单和义齿满意度表。与来自同一部门的98名无癌性无牙的患者进行了比较。结果：非癌症和癌症缺牙患者的心理和口腔满意度得分相似。癌症患者的自尊心较低（P <.02）。根据GHQ，自尊心和身体满意度量表，未使用常规假体或植入物固定的假体进行康复的癌​​症患者有明显的心理发病率。与使用传统义齿的同行相比，植入物保留型义齿的癌症患者对义齿的满意度更高（P <.05）。结论：口腔癌手术后未实现口腔康复的癌症患者表现出明显的心理发病率。植入物保留型覆盖义齿的患者倾向于采取与传统义齿无牙的患者相同的心理反应，提高义齿满意度，尽管前者患病范围更广，否则如果不使用植入物，义齿的提供将更加困难。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号