Longitudinal evaluation of health-related quality of life after osteoradionecrosis of the mandible

作者: Simon N. Rogers , Jacob J. D'Souza , Derek Lowe , Anastasios Kanatas

DOI: 10.1016/J.BJOMS.2015.07.008

关键词:

摘要: There is a lack of longitudinal data on the effect osteoradionecrosis (ORN) health-related quality life (HRQoL). We report HRQoL across groups patients with ORN at different stages disease and reconstruction. identified 71 treated for mandible, cross-referenced their medical records. They were divided into 4 according to Notani classification who did not have used comparison. Patients reported most pain, rates relatively high problems concerning appearance, activity, recreation, swallowing, chewing. significant differences chewing between had those radiotherapy. On University Washington questionnaire (UWQoL), similar levels morbidity radiotherapy but ORN, particularly physical social-emotional subscales. Those grade III affected, UWQoL scores after mandibular resection reconstruction disappointing. composite poor. In whose symptoms can be managed without an operation, it seems appropriate defer until there appreciable drop in life, pain difficult control.

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