Irish Jonathan, Sandhu Nimani, Simpson Colleen, Wood Robert, Gilbert Ralph, Gullane Patrick, Brown Dale, Goldstein David, Devins Gerald, Barker Emma
Department of Otolaryngology-Surgical Oncology, Princess Margaret Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.
Head Neck. 2009 Jun;31(6):813-21. doi: 10.1002/hed.21042.
This cross-sectional study sought to determine patient quality of life and function after prosthetic rehabilitation for maxillary and palate defects following cancer resection.
Sixty-nine patients were identified, 42 participated in the study (61%). The Obturator Functioning Scale (OFS) and 4 general quality of life measures (Mental Health Inventory [MHI], Impact of Events Scale [IES], Illness Intrusiveness Ratings Scale [IIRS], and Centre for Epidemiologic Studies Depression Scale [CES-D]) were correlated with clinical parameters.
Leakage when swallowing foods was the most frequently reported problem with the obturator (29%). Positive correlation was noted between the OFS and both the IES subscales (p < .01) and CES-D (p < .001). Difficulty with speech and eating was associated with increased avoidance of social situations. The surgical approach had a significant effect on the OFS, IES, and MHI subscales (p < .01).
These results support the findings that good obturator function is associated with a better quality of life.
本横断面研究旨在确定癌症切除术后上颌和腭部缺损患者进行修复康复后的生活质量和功能。
共确定69例患者，42例参与研究（61%）。将阻塞器功能量表（OFS）和4项一般生活质量指标（心理健康量表[MHI]、事件影响量表[IES]、疾病侵扰评定量表[IIRS]和流行病学研究中心抑郁量表[CES-D]）与临床参数进行相关性分析。
吞咽食物时漏气是阻塞器最常出现的问题（29%）。OFS与IES各子量表（p < 0.01）和CES-D（p < 0.001）之间呈正相关。言语和进食困难与社交回避增加有关。手术方式对OFS、IES和MHI各子量表有显著影响（p < 0.01）。
这些结果支持以下发现，即良好的阻塞器功能与更好的生活质量相关。
