Li Xiangru, Zhu Kuicheng, Liu Fei, Li Hongwen
Dermatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou university, Zhengzhou, Henan 450052, China.
World J Surg Oncol. 2014 Jul 8;12:201. doi: 10.1186/1477-7819-12-201.
The reconstruction of mandibular defects after giant ameloblastoma resection is one of the most challenging problems facing reconstructive surgeons. Mandibular resection has been associated with a poor quality of life (QOL), particularly in adolescent patients reconstructed with a free fibula flap. This study aims to evaluate QOL outcomes in adolescent patients who have had mandibular resections of giant ameloblastoma and reconstruction with a free fibula flap and to collect information about their socio-cultural situation.
The present study assessed 45 adolescent patients who had undergone immediate mandible reconstruction with a free fibula flap for faint ameloblastoma using University of Washington Quality of Life (UW-QOL) and 14-item Oral Health Impact Profile (OHIP-14) questionnaires.
Thirty-five of the 54 questionnaires were returned (64.81%). In the UW-QOL, of the twelve disease-specific domains, the best three scores from the patients related to pain, shoulder and appearance and the worst three scores related to chewing, anxiety and saliva. In the OHIP-14, the lowest-scoring domain was handicap, followed by physical pain and social disability.
Mandibular reconstruction with a free fibular flap significantly influenced the adolescent patients' QOL. Adolescent patients pay more attention to postoperative facial appearance; this should be considered in surgical planning.
巨大成釉细胞瘤切除术后下颌骨缺损的重建是重建外科医生面临的最具挑战性的问题之一。下颌骨切除与生活质量（QOL）较差有关，尤其是在接受游离腓骨瓣重建的青少年患者中。本研究旨在评估接受巨大成釉细胞瘤下颌骨切除并采用游离腓骨瓣重建的青少年患者的生活质量结果，并收集有关其社会文化状况的信息。
本研究使用华盛顿大学生活质量（UW-QOL）问卷和14项口腔健康影响量表（OHIP-14）对45例接受游离腓骨瓣即刻下颌骨重建治疗成釉细胞瘤的青少年患者进行评估。
54份问卷中35份被收回（64.81%）。在UW-QOL中，在12个疾病特定领域中，患者得分最高的三个领域与疼痛、肩部和外观有关，得分最低的三个领域与咀嚼、焦虑和唾液有关。在OHIP-14中，得分最低的领域是功能障碍，其次是身体疼痛和社会功能障碍。
游离腓骨瓣下颌骨重建对青少年患者的生活质量有显著影响。青少年患者更关注术后面部外观；在手术规划中应考虑到这一点。
