Okoturo Eyituoyo, Ogunbanjo Olabode, Akinleye Aliru, Bardi Martin
Dental Department, Lagos State University Teaching Hospital, Lagos, Nigeria.
J Oral Maxillofac Surg. 2011 Aug;69(8):2253-9. doi: 10.1016/j.joms.2010.10.043. Epub 2011 Feb 3.
The surgical management of some head-and-neck pathology affects a patient's form and fundamental function and, eventually, the quality of the individual's daily life. Restoring mandibular continuity after resection will improve form, function, and eventually, quality of life (QOL). The aim of this study was to evaluate the effect of our limited restoration with immediate plate reconstruction after segmental mandibular resection on the QOL of patients.
A total of 13 patients were included in the study. They were treated for benign but aggressive mandibular pathology. Treatment included segmental mandibular resection with immediate plate reconstruction. A modified University of Washington QOL questionnaire was used to assess QOL. Data on clinico-dermographic variables were also collated. A total of 17 surgeries were undertaken, with 16 implants placed.
Patients with smaller tumors seemed to have better QOL scores than those with larger tumors. The overall QOL scores for younger patients seemed better than those of older patients. Spontaneous regeneration of the mandible, occurring in our younger patients, was an added reason for this seemingly better QOL.
Patients with segmental mandibulectomy and spontaneous mandibular regeneration tended to have a better QOL than those with no reconstruction and immediate plate reconstruction.
某些头颈疾病的外科治疗会影响患者的外形和基本功能，最终影响个体的日常生活质量。下颌骨切除术后恢复下颌骨的连续性将改善外形、功能，最终提高生活质量（QOL）。本研究的目的是评估我们在节段性下颌骨切除术后立即进行钢板重建的有限修复对患者生活质量的影响。
本研究共纳入13例患者。他们因良性但侵袭性的下颌骨疾病接受治疗。治疗包括节段性下颌骨切除并立即进行钢板重建。使用改良的华盛顿大学生活质量问卷来评估生活质量。还整理了临床皮肤学变量的数据。共进行了17次手术，植入了16枚植入物。
肿瘤较小的患者似乎比肿瘤较大的患者生活质量评分更高。年轻患者的总体生活质量评分似乎比老年患者更好。在我们的年轻患者中发生的下颌骨自发再生是生活质量看似更好的另一个原因。
节段性下颌骨切除并伴有下颌骨自发再生的患者往往比未进行重建和立即进行钢板重建的患者生活质量更好。
