The Quality of Life of Patients with Surgically Treated Mandibular Fractures and the Relationship of the Posttraumatic Pain and Trismus with the Postoperative Complications: A Prospective Study
| Autor: | Aleksandar Boljevic, Zoran Pesic, Tanja Boljevic, Batric Vukcevic |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Medicine (General) Preoperative pain mandible fracture questionnaire quality of life surgery Trismus Article Fracture Fixation Internal Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine R5-920 Quality of life Mandibular Fractures Surveys and Questionnaires medicine Humans Postoperative Period Prospective Studies 030223 otorhinolaryngology Prospective cohort study Aged Pain Postoperative business.industry Psychosocial Support Systems 030206 dentistry General Medicine Middle Aged Surgery Montenegro Mouth opening Mood Facial Asymmetry Mastication Female medicine.symptom business Follow-Up Studies Facial symmetry |
| Zdroj: | Medicina; Volume 55; Issue 4; Pages: 109 Medicina, Vol 55, Iss 4, p 109 (2019) Medicina Volume 55 Issue 4 |
| ISSN: | 1648-9144 |
| DOI: | 10.3390/medicina55040109 |
| Popis: | Background and objectives: Due to the fact that the mandible is the only movable bone in the face, it is often exposed to the influence of external forces. The incidence of trismus and posttraumatic pain in unilateral mandibular corpus fractures may be related to the occurrence of complications. There is a decrease in the quality of life of these patients. The aim was to study the relationship of the preoperative pain and trismus with the incidence of complications, as well as to investigate the quality of life. Materials and Methods: A prospective study on 60 patients with isolated mandibular fractures was performed, with a follow-up period of six months. The level of preoperative pain was measured on a 0&ndash 10 scale, while the mouth opening was measured with a caliper. All patients were treated surgically on the third day after the fracture. The University of Washington Quality of Life (UW-QOL v4) questionnaire was used to analyze the quality of life. Results: The most common types of complications were the occlusal derangement and facial asymmetry. The majority of complications were treated with counseling and physical therapy. The degree of preoperative pain was significantly positively related to the onset of complications (rs = 0.782, p = 0.004). The interincisal distance showed a significant inverse relation with the incidence of complications (rs = &minus 0.722, p < 0.001). The patients regarded the pain, appearance and mood issues as the most important issues during the first postoperative month. Conclusions: The degree of inflammatory symptoms may be positively related to the onset of complications occurring after the rigid fixation of mandibular fractures. The postoperative health-related and overall quality of life was unsatisfactory in nearly half of the patients. |
| Databáze: | OpenAIRE |
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