Quality of life in treatment of mandibular fractures using closed reduction and maxillomandibular fixation in comparison with open reduction and internal fixation--a randomized prospective study
| Autor: | Nicolai Purcz, Adetokunbo Rafel Adebola, Nils-Claudius Gellrich, K U Omeje, Madiha Rana, Hector Oladapo Olasoji, Majeed Rana, Akinwale A Efunkoya |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Mandibular fracture Bone Screws Maxillomandibular fixation Statistical difference Dentistry Assessment index Anxiety Fixation (surgical) Eating Fracture Fixation Internal Young Adult Mandibular Fractures Medicine Internal fixation Humans Speech Interpersonal Relations Prospective Studies Prospective cohort study Pain Postoperative business.industry medicine.disease Jaw Fixation Techniques Self Concept Surgery Deglutition Cross-Sectional Studies Otorhinolaryngology Patient Satisfaction Case-Control Studies Quality of Life Female Oral Surgery business Psychosocial Attitude to Health Bone Plates Follow-Up Studies |
| Zdroj: | Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 42(8) |
| ISSN: | 1878-4119 |
| Popis: | Treatment of mandibular fractures by open reduction and internal fixation (ORIF) is often assumed to be superior to treatment by close reduction and maxillomandibular fixation (MMF) because patients managed by ORIF seem to be rehabilitated earlier according to functional and social aspects. This assumption is often from surgeon's perspective, not taking into account patient's view point. This study highlights a comparative assessment between ORIF and MMF from the patients' perspective. Fifty six patients with mandibular fractures within the tooth bearing areas of the mandible were prospectively studied in a randomized controlled pattern for postoperative Quality of Life (QoL) after ORIF versus MMF. Both groups were analyzed preoperatively, at 1 day, 6 and 8 weeks regarding their QoL using the General Oral Health Assessment Index questionnaire (GOHAI). No significant statistical difference was found between the groups regarding overall QoL. Patients managed by MMF were more affected by psychosocial and physical domains whereas patients managed by ORIF were more affected by the pain domain. The results demonstrate that the treatment affects the psychosocial, physical and pain domain differentially. When both treatments are possible the patient's should be enlightened on the advantages and disadvantages of both treatment modalities to guide their choice of treatment. |
| Databáze: | OpenAIRE |
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