Braimah Ramat Oyebunmi, Ukpong Dominic Ignatius, Ndukwe Kizito Chioma, Akinyoola Lawrence
Department of Dental and Maxillofacial Surgery, Usmanu Danfodio University Teaching Hospital, Sokoto, Nigeria.
Department of Mental Health, Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria.
Oral Maxillofac Surg. 2019 Mar;23(1):71-76. doi: 10.1007/s10006-018-0735-5. Epub 2018 Nov 23.
The face is a vital component of one's personality and body image while extremities are important in function (mobility, routine daily activities). Recovery and rehabilitation from acquired maxillofacial and orthopedic traumas are psychological in nature.
This was a prospective study of recruited subjects in a Nigerian University teaching hospital. A total of 160 participants (80 with maxillofacial injuries and 80 with orthopedic injuries) had repeated review assessments within 1 week of arrival in the hospital (time 1), 4-8 weeks after initial contact (time 2), and 10-12 weeks thereafter (time 3), using Rosenberg's Self-Esteem Questionnaire.
Thirty-three (41.3%) participants in the maxillofacial injured and 12 (15.0%) in the orthopedic injured subjects scored between 0 and 14 at time 1. At time 2, 39 (51.3%) subjects in the maxillofacial fracture group and 20 (29.0%) in the orthopedic injured group scored between 0 and 14, while at time 3, 7 (9.2%) in the maxillofacial fracture group and 1 (1.5%) in the orthopedic injured group scored between 0 and 14. There was a statistical significant difference between the two groups when compared at times 1, 2, and 3 with p < 0.001, p = 0.006, and p = 0.041 respectively. Subjects with maxillofacial fracture consistently had lower self-esteem compared to subjects with orthopedic injured for times 1, 2, and 3.
Self-esteem may be reduced following maxillofacial injuries; therefore, measures should be taken by surgeons to minimize the risk of facial scarring by careful handling of tissues. Also, management of these injuries should integrate multidisciplinary care that will address psychological needs of patients.
Not applicable.
面部是个人性格和身体形象的重要组成部分，而四肢对于功能（移动性、日常常规活动）至关重要。后天性颌面及整形外科创伤的恢复和康复本质上是心理方面的。
这是一项针对尼日利亚某大学教学医院招募受试者的前瞻性研究。总共160名参与者（80名颌面损伤患者和80名整形外科损伤患者）在入院1周内（时间1）、初次接触后4 - 8周（时间2）以及此后10 - 12周（时间3）使用罗森伯格自尊问卷进行了重复评估。
颌面损伤组33名（41.3%）参与者和整形外科损伤组12名（15.0%）参与者在时间1时得分在0至14分之间。在时间2时，颌面骨折组39名（51.3%）受试者和整形外科损伤组20名（29.0%）受试者得分在0至14分之间，而在时间3时，颌面骨折组7名（9.2%）受试者和整形外科损伤组1名（1.5%）受试者得分在0至14分之间。在时间1、2和3进行比较时，两组之间存在统计学显著差异，p值分别为<0.001、0.006和0.041。在时间1、2和3时，颌面骨折患者的自尊水平始终低于整形外科损伤患者。
颌面损伤后自尊可能会降低；因此，外科医生应采取措施，通过小心处理组织来尽量减少面部瘢痕形成的风险。此外，这些损伤的管理应整合多学科护理，以满足患者的心理需求。
不适用。
