Dental and Medical Problems

Dent Med Probl
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Index Copernicus (ICV 2023) – 181.00
MNiSW – 70 pts
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
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Dental and Medical Problems

2018, vol. 55, nr 1, January-March, p. 57–62

doi: 10.17219/dmp/85255

Publication type: original article

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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Comparison of oral-health-related quality of life in patients in the short- and long-term period following lower-facial injury and fractures – preliminary report

Porównanie jakości życia związanej ze stanem jamy ustnej w obserwacji krótko- i długoterminowej u pacjentów po urazach i złamaniach dolnej części twarzy – obserwacje wstępne

Bogumił Lewandowski1,2,A,E,F, Ewa Szeliga3,A,B, Ewelina Czenczek-Lewandowska3,D, Dorota Ozga4,E, Aldona Kontek3,B,D, Małgorzata Migut1,2,C, Grzegorz Magoń3,C, Justyna Kosydar-Bochenek2,C, Adrian Kużdżał3,C

1 Department of Maxillofacial Surgery, Frederic Chopin Clinical Voivodeship Hospital in Rzeszów, Poland

2 Department of Emergency Medicine, Faculty of Medicine, University of Rzeszów, Poland

3 Institute of Physiotherapy, Faculty of Medicine, University of Rzeszów, Poland

4 Department of Didactics in Intensive Medical Care and Emergency Medicine, Faculty of Medicine, University of Rzeszów, Poland

Abstract

Background. Post-traumatic craniofacial injuries associated with bone fractures lead to serious morphological, functional and aesthetic complications which may negatively affect the physical and mental condition of the patient throughout the recovery period.
Objectives. The aim of this study was the evaluation of complaints and well-being in patients during the shortand long-term period following injury to the lower face, as well as an assessment of the effects of age and sex in the examined parameters.
Material and Methods. The research group included 42 patients with injury to the lower face. The patients’ well-being and the most common functional problems following treatment were assessed using Oral Health Impact Profile-14 (OHIP-14). Statistical analyses were performed using the Mann-Whitney U test and Spearman’s rank correlation coefficient, with significance level assumed at p < 0.05.
Results. A period of 8 months following injury of the lower face was sufficient for the patients to achieve significant improvement in the quality of life. Improvement in well-being, according to OHIP-14, by approx. 11.9 points ±11.7 points, was highly significant (p < 0.001). The most frequent complaints included pain in the maxillofacial area, difficulties with consumption of food and dissatisfaction due to the necessary change of diet. The factors of age (p = 0.2839) and sex (p = 0.6047) did not significantly affect improvement in well-being.
Conclusion. During both the shortand long-term period following injury of the lower face, the most frequent complaints included pain in the maxillofacial region, problems with eating food and dissatisfaction due to change in diet. The study has shown that during the period of 8 months after the injury, there was a significant improvement in the quality of life assessed with OHIP-14. Age and gender do not significantly affect the quality of life after injury to the lower face.

Key words

quality of life, oral health, injuries of lower face

Słowa kluczowe

jakość życia, stan zdrowia jamy ustnej, urazy dolnej części twarzy

References (27)

  1. Choi SH, Gu JH, Kang DH. Analysis of traffic accident-related facial trauma. J Craniofac Surg. 2016;27:1682–1685.
  2. Einy S, Abdel Rahman N, Siman-Tov M, Aizenbud D, Peleg K. Maxillofacial trauma following road accidents and falls. J Craniofac Surg. 2016;27:857–861.
  3. Subhashraj K, Nandakumar N, Ravindran C. Review of maxillofacial injuries in Chennai, India: A study of 2748 cases. Br J Oral Maxillofac Surg. 2007;45:637–639.
  4. Singaram M, G SV, Udhayakumar RK. Prevalence, pattern, etiology, and management of maxillofacial trauma in a developing country: A retrospective study. J Korean Assoc Oral Maxillofac Surg. 2016;42:174–181.
  5. Siber S, Matijevic M, Sikora M, Leovic D, Mumlek I, Macan D. Assessment of oro-maxillofacial trauma according to gender, age, cause and type of the injury. Acta Stomatol Croat. 2015;49:340–347.
  6. Manodh P, Prabhu Shankar D, Pradeep D, Santhosh R, Murugan A. Incidence and patterns of maxillofacial trauma – a retrospective analysis of 3611 patients – an update. Oral Maxillofac Surg. 2016;20:377–383.
  7. Jeon EG, Jung DY, Lee JS, et al. Maxillofacial trauma trends at a tertiary care hospital: A retrospective study. Maxillofac Plast Reconstr Surg. 2014;36:253–258.
  8. Deliverska EG. Maxillofacial fractures in patients with multiple injuries and polytrauma. J IMAB, 2016;22:1120–1126.
  9. Singh V, Malkunje L, Mohammad S, Singh N, Dhasmana S, Das SK. The maxillofacial injuries: A study. Natl J Maxillofac Surg. 2012;3:166–171.
  10. Ziołecka B. Heath related quality of life in rehabilitation of masticatory complex. Dent Forum. 2011;29(2):69–72 [in Polish].
  11. Shiraz F, Rahtz E, Bhui K, Hutchison I, Korszun A. Quality of life, psychological well-being and treatment needs of trauma and head and neck cancer patients. Br J Oral Maxillofac Surg. 2014;52:513–517.
  12. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health. 1994;11:3–11.
  13. Alzarea BK. Assessment and evaluation of quality of life (OHRQoL) of patients with dental implants using the oral health impact profile (OHIP-14) – a clinical study. J Clin Diagn Res. 2016;10:57–60.
  14. Holbrook TL, Hoyt DB. The impact of major trauma: Quality-of-life outcomes are worse in women than in men, independent of mechanism and injury severity. J Trauma. 2004;56:284–290.
  15. Lento J, Glynn S, Shetty V, Asarnow J, Wang J, Belin TR. Psychologic functioning and needs of indigent patients with facial injury: A prospective controlled study. J Oral Maxillofac Surg. 2004;62:925–932.
  16. Conforte JJ, Alves CP, Sánchez Mdel P, Ponzoni D. Impact of trauma and surgical treatment on the quality of life of patients with facial fractures. Int J Oral Maxillofac Surg. 2016;45:575–581.
  17. Kaukola L, Snäll J, Lindqvist C, et al. Health-related quality of life after surgical treatment of mandibular fracture. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119:402–407.
  18. Omeje KU, Adebola AR, Efunkoya AA, et al. Prospective study of the quality of life after treatment of mandibular fractures. Br J Oral Maxillofac Surg. 2015;53:342–346.
  19. Prashanth NT, Raghuveer HP, Kumar D, Shobha ES, Rangan V, Rao TSS. Anxiety and depression in facial injuries: A comparative study. J Int Oral Health. 2015;7:94–100.
  20. Rustemeyer J, Gregersen J. Quality of life in orthognathic surgery patients: Post-surgical improvements in aesthetics and self-confidence. J Craniomaxillofac Surg. 2012;40:400–404.
  21. Snell BJ, Roberts RM, Anderson P, David DJ. Neuropsychologic outcomes in patients treated for complex maxillofacial trauma. J Craniofac Surg. 2014;25:1164–1167.
  22. Barros Vde M, Seraidarian PI, Cortes MI, de Paula LV. The impact of orofacial pain on the quality of life of patients with temporomandibular disorder. J Orofac Pain, 2009; 23:28–37.
  23. Borgiel-Marek H, Drugacz J, Marek B, Jędrusik-Pawłowska M, Głogowska-Szeląg J Witalińska-Łabuzek J. Long-term outcome in the treatment of mandibular condylar fractures. Ortop Traumatol Rehabil. 2005;7:425–432 [in Polish].
  24. Wieckiewicz M, Boening K, Wiland P, Shiau YY, Paradowska-Stolarz A. Reported concepts for the treatment modalities and pain management of temporomandibular disorders. J Headache Pain, 2015;16:106.
  25. Wojtyńska E, Bączkowski B, Przybyłowska D, Cierech M, Mierzwińska-Nastalska E, Zadurska M. A multidisciplinary treatment of patients with craniofacial disorders. Own experience. Dev Period Med. 2015;19:464–470.
  26. Rashid A, Matthews NS, Cowgill H. Physiotherapy in the management of disorders of the temporomandibular joint; perceived effectiveness and access to services: A national United Kingdom survey. Br J Oral Maxillofac Surg. 2013;51:52–57.
  27. Olivos V, Luongo P, Sarzosa M. Physiotherapy management post-surgery reconstructive maxillofacial region. Int J Oral Maxillofac Surg. 2011;40:1125–1135.