Shankar R Kirupa, Raza Fathima Banu, Kumar V Anand
Department of Prosthodontics, Faculty of Dental Sciences, Sri Ramchandra Institute of Higher Education & Research (SRIHER), Porur, Chennai 600116 India.
Indian J Surg Oncol. 2023 Jun;14(2):292-300. doi: 10.1007/s13193-022-01664-x. Epub 2022 Oct 12.
To evaluate the QoL before and after prosthetic rehabilitation of partial mandibulectomy patients based on the type of surgery, effects of radiation, the type of prosthesis, and to enlist their outcome on the rehabilitation. Literature search as per PICO format was carried out within a time range from January 2000 to June 2021. The review followed PRISMA guidelines and registered with the PROSPERO(CRD42021258472). The focus question was established as per the PICO format (Population, Intervention, Comparison, Outcome). The population involved partial mandibulectomy individuals with prosthetic rehabilitation as an intervention. The outcome, quality of life (QoL), was compared with the pre and post partial mandibulectomy patients rehabilitated with a prosthesis. The search yielded 367 articles and based on the search criteria only 7 articles were suitable for qualitative analysis. Marginal resection of the mandible is less aggressive than segmental resection which provided function, phonation, and esthetics at acceptable levels but the food mixing ability was reduced when resection is accompanied by glossectomy. However, the perceived chewing ability and OHRQoL were not accountable to the extent of surgical excision. An overall increase in the QoL on rehabilitation with acrylic prosthesis depicting satisfactory functionality with a considerable improvement in mastication, speech, and social life. QoL and Denture Satisfaction Index did not differ based on the number of implants in an implant overdenture prosthesis, but the chewing ability was improved. An increase in the number of remaining occlusal units improved the overall QoL. Restoration of the function, psychological comfort, and improvement in esthetics was significant in patients who underwent prosthetic rehabilitation. The QoL between conventional and implant prostheses was observed to be more similar, and the effect of remaining hard and soft tissue structures has a major influence on patient comfort signifying the influence of the extent of surgical excision.
The online version contains supplementary material available at 10.1007/s13193-022-01664-x.
基于手术类型、放疗效果、假体类型，评估部分下颌骨切除术患者假体修复前后的生活质量，并列出其康复结果。按照PICO格式在2000年1月至2021年6月的时间范围内进行文献检索。该综述遵循PRISMA指南，并在PROSPERO（CRD42021258472）注册。根据PICO格式（人群、干预措施、对照、结局）确定核心问题。人群为接受假体修复的部分下颌骨切除术患者作为干预对象。将结局即生活质量（QoL）与接受假体修复的部分下颌骨切除术前、后患者进行比较。检索得到367篇文章，根据检索标准仅7篇文章适合定性分析。下颌骨边缘切除术的侵袭性低于节段性切除术，后者在可接受水平上提供了功能、发声和美观，但当切除伴有舌切除时食物混合能力降低。然而，感知的咀嚼能力和口腔健康相关生活质量与手术切除范围无关。使用丙烯酸假体康复后生活质量总体提高，显示出令人满意的功能，在咀嚼、言语和社交生活方面有相当大的改善。生活质量和义齿满意度指数在种植覆盖义齿假体中不因种植体数量而异，但咀嚼能力得到改善。剩余咬合单位数量增加可改善总体生活质量。接受假体修复的患者在功能恢复、心理舒适度和美观改善方面显著。观察到传统假体和种植体假体之间的生活质量更相似，剩余软硬组织结构的影响对患者舒适度有重大影响，表明手术切除范围的影响。
在线版本包含可在10.1007/s13193-022-01664-x获取的补充材料。
