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患者利用眶内植入物支持性义眼的生活质量评估。

Quality of life assessment of patients utilizing orbital implant-supported prostheses.

机构信息

UNIP Postgraduate Dental Program, Universidade Paulista, São Paulo, Brazil.

Maxillofacial Department, Dental School, University of Gothenburg, Gothenburg, Sweden.

出版信息

Clin Implant Dent Relat Res. 2018 Aug;20(4):438-443. doi: 10.1111/cid.12602. Epub 2018 Mar 6.

Abstract

STATEMENT OF PROBLEM

Evaluate the effect of orbital prosthesis retained by implants through a specific quality of life (QOL) questionnaire provides important information on patients QOL, great incentive for the multidisciplinary team and public health support to continue work in this area.

PURPOSE

The objective of the study was to evaluate patient satisfaction with orbital implant-supported prostheses using an adapted quality of life questionnaire.

MATERIALS AND METHODS

Forty five patients using orbital implant-supported prostheses for a period ranging from six to 120 months. The subjects answered a questionnaire that consisted of 10 questions covering appearance, retention, conspicuousness, self-confidence, difficulty of placement, difficulty of removal, cleaning, limitation of activities, discomfort of tissues, and recommendation of the method to other patients. Answers were expressed using a visual 100-mm scale. The arithmetic mean of the responses was converted into a percentage to represent the satisfaction index.

RESULTS

Patients demonstrated a high level of satisfaction on all items, with the lowest rate being for aesthetics and the highest being for recommending the method to other patients. High satisfaction rates regarding the placement and removal of the prosthesis, discomfort to the tissues, and cleaning suggest the ease of handling of the prosthesis. High satisfaction with retention, self-confidence, conspicuousness of the prosthesis, and limitation of activities indicated an association with a better social life.

CONCLUSIONS

The results showed that use of bone anchorage technique of extraoral prostheses provided a high level of satisfaction among patients, confirming that osseointegrated implants are a very important resource for the rehabilitation of orbital deformities.

摘要

问题陈述

通过特定的生活质量(QOL)问卷评估通过植入物保留的眼眶义眼的效果,可以为患者的生活质量提供重要信息,这极大地激励了多学科团队和公共卫生支持继续在该领域开展工作。

目的

本研究的目的是使用改良的生活质量问卷评估患者对眼眶种植体支持性义眼的满意度。

材料和方法

45 名患者使用眼眶种植体支持性义眼的时间从 6 个月到 120 个月不等。受试者回答了一个包含 10 个问题的问卷,涵盖了外观、保留、显眼、自信、放置困难、移除困难、清洁、活动限制、组织不适和向其他患者推荐该方法。答案使用 100 毫米的视觉量表表示。将反应的平均值转换为百分比,以表示满意度指数。

结果

患者在所有项目上都表现出高度的满意度,其中最低的是美学,最高的是向其他患者推荐该方法。对义眼的放置和移除、组织不适和清洁的高满意度表明该义眼易于操作。对保留、自信、义眼的显眼性和活动限制的高度满意度表明与更好的社交生活有关。

结论

结果表明,外眼眶义眼的骨锚定技术的使用为患者提供了高度的满意度,证实了骨整合种植体是眼眶畸形康复的非常重要的资源。

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