Tetteh Sophia, Bibb Richard J, Martin Simon J
a Loughborough Design School , Loughborough University , Loughborough , UK.
b Department of Materials , Loughborough University , Loughborough , UK.
Disabil Rehabil. 2019 Feb;41(3):348-356. doi: 10.1080/09638288.2017.1390697. Epub 2017 Oct 24.
This study reviewed the current state of maxillofacial rehabilitation in resource-limited nations.
A rigorous literature review was undertaken using several technical and clinical databases using a variety of key words pertinent to maxillofacial prosthetic rehabilitation and resource-limited areas. In addition, interviews were conducted with researchers, clinicians and prosthetists that had direct experience of volunteering or working in resource-limited countries.
Results from the review and interviews suggest rehabilitating patients in resource-limited countries remains challenging and efforts to improve the situation requires a multifactorial approach.
In conclusion, public health awareness programmes to reduce the causation of injuries and bespoke maxillofacial prosthetics training programmes to suit these countries, as opposed to attempting to replicate Western training programmes. It is also possible that usage of locally sourced and cheaper materials and the use of low-cost technologies could greatly improve maxillofacial rehabilitation efforts in these localities. Implications for Rehabilitation More information and support needs to be provided to maxillofacial defect/injuries patients and to their families or guardians in a culturally sensitive manner by governments. The health needs, economic and psychological needs of the patients need to be taken into account during the rehabilitation process by clinicians and healthcare organizations. The possibility of developing training programs to suit these resource limited countries and not necessarily follow conventional fabrication methods must be looked into further by educational entities.
本研究回顾了资源有限国家的颌面修复现状。
使用多个技术和临床数据库，通过与颌面修复及资源有限地区相关的各种关键词进行了严格的文献综述。此外，还对在资源有限国家有志愿服务或工作直接经验的研究人员、临床医生和修复师进行了访谈。
综述和访谈结果表明，在资源有限国家为患者提供康复治疗仍然具有挑战性，改善这种状况需要采取多因素方法。
总之，应开展公共卫生意识项目以减少损伤的发生，并制定适合这些国家的定制化颌面修复培训项目，而不是试图照搬西方的培训项目。使用当地采购的更便宜材料以及低成本技术也有可能极大地改善这些地区的颌面修复工作。对康复的启示 政府需要以文化敏感的方式向颌面缺损/损伤患者及其家人或监护人提供更多信息和支持。临床医生和医疗保健组织在康复过程中需要考虑患者的健康需求、经济和心理需求。教育机构必须进一步研究开发适合这些资源有限国家的培训项目的可能性，而不一定遵循传统制作方法。
