Quality of Life after Mandibular Reconstruction Using Free Fibula Flap and Customized Plates: A Case Series and Comparison with the Literature
A single-center retrospective study was conducted to assess health-related quality of life (HRQoL) in 23 consecutive patients undergoing mandibular reconstruction using the computer-aided design (CAD) and computer-aided manufacturing (CAM) technology, free fibula flap, and titanium patient-specific...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/15/9/2582 |
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| author | Jorge Pamias-Romero Manel Saez-Barba Alba de-Pablo-García-Cuenca Pablo Vaquero-Martínez Joan Masnou-Pratdesaba Coro Bescós-Atín |
| author_facet | Jorge Pamias-Romero Manel Saez-Barba Alba de-Pablo-García-Cuenca Pablo Vaquero-Martínez Joan Masnou-Pratdesaba Coro Bescós-Atín |
| author_sort | Jorge Pamias-Romero |
| collection | DOAJ |
| description | A single-center retrospective study was conducted to assess health-related quality of life (HRQoL) in 23 consecutive patients undergoing mandibular reconstruction using the computer-aided design (CAD) and computer-aided manufacturing (CAM) technology, free fibula flap, and titanium patient-specific implants (PSIs). HRQoL was evaluated after at least 12 months of surgery using the University of Washington Quality of Life (UW-QOL) questionnaire for head and neck cancer patients. In the 12 single question domains, the highest mean scores were found for “taste” (92.9), “shoulder” (90.9), “anxiety” (87.5), and “pain” (86.4), whereas the lowest scores were observed for “chewing” (57.1), “appearance” (67.9), and “saliva” (78.1). In the three global questions of the UW-QOL questionnaire, 80% of patients considered that their HRQoL was as good as or even better than it was compared to their HRQoL before cancer, and only 20% reported that their HRQoL had worsened after the presence of the disease. Overall QoL during the past 7 days was rated as good, very good or outstanding by 81% of patients, respectively. No patient reported poor or very poor QoL. In the present study, restoring mandibular continuity with free fibula flap and patient-specific titanium implants designed with the CAD-CAM technology improved HRQoL. |
| first_indexed | 2024-03-11T04:21:48Z |
| format | Article |
| id | doaj.art-11340c2bede04437afa90419d4a9a848 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-11T04:21:48Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-11340c2bede04437afa90419d4a9a8482023-11-17T22:41:44ZengMDPI AGCancers2072-66942023-04-01159258210.3390/cancers15092582Quality of Life after Mandibular Reconstruction Using Free Fibula Flap and Customized Plates: A Case Series and Comparison with the LiteratureJorge Pamias-Romero0Manel Saez-Barba1Alba de-Pablo-García-Cuenca2Pablo Vaquero-Martínez3Joan Masnou-Pratdesaba4Coro Bescós-Atín5Service of Oral and Maxillofacial Surgery, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, E-08035 Barcelona, SpainService of Oral and Maxillofacial Surgery, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, E-08035 Barcelona, SpainService of Oral and Maxillofacial Surgery, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, E-08035 Barcelona, SpainService of Oral and Maxillofacial Surgery, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, E-08035 Barcelona, SpainRadiology Department, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, E-08035 Barcelona, SpainService of Oral and Maxillofacial Surgery, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, E-08035 Barcelona, SpainA single-center retrospective study was conducted to assess health-related quality of life (HRQoL) in 23 consecutive patients undergoing mandibular reconstruction using the computer-aided design (CAD) and computer-aided manufacturing (CAM) technology, free fibula flap, and titanium patient-specific implants (PSIs). HRQoL was evaluated after at least 12 months of surgery using the University of Washington Quality of Life (UW-QOL) questionnaire for head and neck cancer patients. In the 12 single question domains, the highest mean scores were found for “taste” (92.9), “shoulder” (90.9), “anxiety” (87.5), and “pain” (86.4), whereas the lowest scores were observed for “chewing” (57.1), “appearance” (67.9), and “saliva” (78.1). In the three global questions of the UW-QOL questionnaire, 80% of patients considered that their HRQoL was as good as or even better than it was compared to their HRQoL before cancer, and only 20% reported that their HRQoL had worsened after the presence of the disease. Overall QoL during the past 7 days was rated as good, very good or outstanding by 81% of patients, respectively. No patient reported poor or very poor QoL. In the present study, restoring mandibular continuity with free fibula flap and patient-specific titanium implants designed with the CAD-CAM technology improved HRQoL.https://www.mdpi.com/2072-6694/15/9/2582quality of lifemandibular reconstructionfree fibula flappatient-specific implantplatesUniversity of Washington Quality of Life Questionnaire |
| spellingShingle | Jorge Pamias-Romero Manel Saez-Barba Alba de-Pablo-García-Cuenca Pablo Vaquero-Martínez Joan Masnou-Pratdesaba Coro Bescós-Atín Quality of Life after Mandibular Reconstruction Using Free Fibula Flap and Customized Plates: A Case Series and Comparison with the Literature Cancers quality of life mandibular reconstruction free fibula flap patient-specific implant plates University of Washington Quality of Life Questionnaire |
| title | Quality of Life after Mandibular Reconstruction Using Free Fibula Flap and Customized Plates: A Case Series and Comparison with the Literature |
| title_full | Quality of Life after Mandibular Reconstruction Using Free Fibula Flap and Customized Plates: A Case Series and Comparison with the Literature |
| title_fullStr | Quality of Life after Mandibular Reconstruction Using Free Fibula Flap and Customized Plates: A Case Series and Comparison with the Literature |
| title_full_unstemmed | Quality of Life after Mandibular Reconstruction Using Free Fibula Flap and Customized Plates: A Case Series and Comparison with the Literature |
| title_short | Quality of Life after Mandibular Reconstruction Using Free Fibula Flap and Customized Plates: A Case Series and Comparison with the Literature |
| title_sort | quality of life after mandibular reconstruction using free fibula flap and customized plates a case series and comparison with the literature |
| topic | quality of life mandibular reconstruction free fibula flap patient-specific implant plates University of Washington Quality of Life Questionnaire |
| url | https://www.mdpi.com/2072-6694/15/9/2582 |
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