Clinical evaluation of maxillectomized patients pre and pos filling prothesis: experience report
DOI:
https://doi.org/10.33448/rsd-v10i2.12074Keywords:
Mouth Rehabilitation; Quality of life; Phonation; Deglutition; Hearing.Abstract
The use of obturator prosthesis aims to correct the sequelae left by the surgical procedure. Its function is to separate the communication between the oral cavity and the upper areas, protecting the trauma or surgical defect, contributing to the restoration of important functions for the quality of life of the patient. chewing, swallowing and hearing, in addition to the aesthetic benefits. 12 patients were treated, coming from Hospital Dr. Luiz Antônio, who underwent an anamnesis, extra physical examination and intra oral, answered specific questionnaires Brazilian Portuguese, version 3.0 (EORTC QLQC30) and Brazilian Portuguese (EORTC QLQ-H & N35) pre and post 15 days of prosthetic installation, where all data were compared before and after using Wilcoxon tests (α = 0.05). There was a significant improvement in the quality of life of patients (p = 0.009), in problems related to speech (p = 0.0131), swallowing (p = 0.0029) and social life (p = 0.0038). There was a significant increase in the quality of life of patients, a reduction in problems related to swallowing, eating socially and problems related to speech, and most patients evolved satisfactorily, having in speech their remission of hypernasality providing an intelligible form.
References
Torres-Pereira, C. C., Angelim-Dias, A., Melo, N. S., Lemos Jr, C. A., & Oliveira, E. M. F. D. (2012). Abordagem do câncer da boca: uma estratégia para os níveis primário e secundário de atenção em saúde. Cadernos de Saúde Pública, 28, s30-s39.
Instituto Nacional do Câncer (INCA). Estatística de Câncer. https://www.inca.gov.br/numeros-de-cancer
Elrefaey, S., Massaro, M. A., Chiocca, S., Chiesa, F., & Ansarin, M. (2014). HPV in oropharyngeal cancer: the basics to know in clinical practice. Acta Otorhinolaryngologica Italica, 34(5), 299.
Epstein, J. B., Gorsky, M., Cabay, R. J., Day, T., & Gonsalves, W. (2008). Screening for and diagnosis of oral premalignant lesions and oropharyngeal squamous cell carcinoma: role of primary care physicians. Canadian family physician, 54(6), 870-875.
Martínez, C., Hernández, M., Martinez, B., & Adorno, D. (2016). Frecuencia de displasia epitelial y carcinoma escamoso en mucosa oral y orofaríngea en Chile, entre los años 1990 y 2009. Revista médica de Chile, 144(2), 169-174.
de Lima, J., Cabrera, C., Estrada Esquivel, B., Sánchez Rubio, R., & Soler, R. (2015). Prótesis Parcial obturatriz paralelizada, en paciente oncológico. Odontoestomatología, 17(25), 42-52.
Miracca, R. A. A., Andrade Sobrinho, J. D., & Gonçalves, A. J. (2007). Reconstrução com prótese imediata pós maxilectomia. Revista do Colégio Brasileiro de Cirurgiões, 34(5), 297-302.
Goiato, M. C., Piovezan, A. P., Santos, D. M. D., Gennari Filho, H., & Assunção, W. G. (2006). Fatores que levam à utilização de uma prótese obturadora. Rev. Odontol. Araçatuba (Impr.), 101-106.
Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., & Takeda, F. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. JNCI: Journal of the National Cancer Institute, 85(5), 365-376.
Gehan, E. A. (1965). A generalized Wilcoxon test for comparing arbitrarily singly-censored samples. Biometrika, 52(1-2), 203-224.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. UAB/NTE/UFSM. https://repositorio. ufsm. br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica. pdf.
Okay, D. J., Genden, E., Buchbinder, D., & Urken, M. (2001). Prosthodontic guidelines for surgical reconstruction of the maxilla: a classification system of defects. The journal of prosthetic dentistry, 86(4), 352-363.
Depprich, R., Naujoks, C., Lind, D., Ommerborn, M., Meyer, U., Kübler, N. R., & Handschel, J. (2011). Evaluation of the quality of life of patients with maxillofacial defects after prosthodontic therapy with obturator prostheses. International journal of oral and maxillofacial surgery, 40(1), 71-79.
Schwarz, R., & Hinz, A. (2001). Reference data for the quality of life questionnaire EORTC QLQ-C30 in the general German population. European journal of cancer, 37(11), 1345-1351.
Kumar, P., Alvi, H. A., Rao, J., Singh, B. P., Jurel, S. K., Kumar, L., & Aggarwal, H. (2013). Assessment of the quality of life in maxillectomy patients: A longitudinal study. The journal of advanced prosthodontics, 5(1), 29-35.
Seignemartin, C. P., Miranda, M. E., Luz, J. G. C., & Teixeira, R. G. (2015). Understandability of speech predicts quality of life among maxillectomy patients restored with obturator prosthesis. Journal of Oral and Maxillofacial Surgery, 73(10), 2040-2048.
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Copyright (c) 2021 Francisco de Assis de Souza Junior; Juliana Augusta Nascimento de Souza; Taynnah Alves de Oliveira; Alana Ghiotto Gonçalves; Ana Vitória Bezerra Alves Amorim; Alexandre Henrique de Mouras Dias
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