Alves Michelly Lima Moro, Scarelli Lopes José Fernando, de Almeida Ana Lúcia Pompéia Fraga, Neppelenbroek Karin Hermana, de Oliveira Thais Marchini, Soares Simone
Hospital for Rehabilitation of Craniofacial Anomalies, Prosthetic Dentistry Sector, Bauru, São Paulo, Brazil.
Department of Prosthetic Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.
Ann Maxillofac Surg. 2017 Jul-Dec;7(2):176-179. doi: 10.4103/ams.ams_135_16.
The concern to restore and evaluate bilateral cleft lip and palate (BCLP) patients' quality of life, after rehabilitation, is an issue that has been discussed in the literature because it is the ultimate goal of any proposed treatment.
To evaluate the overall and oral quality of life of BCLP patients who had completed their treatment with orthognathic surgery (OrSg) compared to those who completed theirs with prosthetic rehabilitation in the form of overlay prosthesis (OP).
The study comprised 40 patients, 20 in OrSg group and 20 in OP group. Epidemiological survey and application of two questionnaires (World Health Organization Quality of Life-brief [WHOQOL-bref] and Oral Health Impact Profile-14 [OHIP-14]) were done. The final results were evaluated statistically by the Mann-Whitney test.
Regarding the comparison with the WHOQOL-bref, no significant statistical differences between groups were found. In the analysis of the OHIP-14, only in "psychological limitation" field difference could be observed, where OrSg group showed more negative impact when compared to the OP group.
Both rehabilitations provide a satisfactory quality of life for patients.
恢复和评估双侧唇腭裂（BCLP）患者康复后的生活质量是一个在文献中已被讨论的问题，因为这是任何提议治疗的最终目标。
评估接受正颌手术（OrSg）完成治疗的BCLP患者与接受覆盖义齿（OP）形式的修复性康复完成治疗的患者的整体生活质量和口腔生活质量。
该研究包括40名患者，OrSg组20名，OP组20名。进行了流行病学调查并应用了两份问卷（世界卫生组织生活质量简表[WHOQOL-bref]和口腔健康影响程度量表-14[OHIP-14]）。最终结果通过曼-惠特尼检验进行统计学评估。
关于与WHOQOL-bref的比较，两组之间未发现显著的统计学差异。在OHIP-14的分析中，仅在“心理限制”领域可观察到差异，与OP组相比，OrSg组显示出更大的负面影响。
两种康复方式都为患者提供了令人满意的生活质量。
