Assessment of quality of life in patients with surgically treated maxillofacial fractures [version 2; peer review: 2 approved]

Background: The complex nature of maxillofacial injuries can affect the surgical treatment outcomes and general well-being of the patient. To evaluate the efficiency of the surgical treatment, assessment of the quality of life (QOL) of the patients is of vital importance. Due to the absence of an ex...

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Main Authors: Srikant Gadicherla, Sreea Roy, Sunil S Nayak, Vanishri S Nayak, Muskaan Chichra, Vinayak Kamath, Shriya Dhaundiyal
Format: Article
Language:English
Published: F1000 Research Ltd 2023-11-01
Series:F1000Research
Subjects:
Online Access:https://f1000research.com/articles/12-483/v2
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author Srikant Gadicherla
Sreea Roy
Sunil S Nayak
Vanishri S Nayak
Muskaan Chichra
Vinayak Kamath
Shriya Dhaundiyal
author_facet Srikant Gadicherla
Sreea Roy
Sunil S Nayak
Vanishri S Nayak
Muskaan Chichra
Vinayak Kamath
Shriya Dhaundiyal
author_sort Srikant Gadicherla
collection DOAJ
description Background: The complex nature of maxillofacial injuries can affect the surgical treatment outcomes and general well-being of the patient. To evaluate the efficiency of the surgical treatment, assessment of the quality of life (QOL) of the patients is of vital importance. Due to the absence of an exclusive QOL assessment tool for maxillofacial fractures, we introduce the ‘Twenty-point quality of life assessment in facial trauma patients in Indian population'. The aim of this study was to assess and evaluate the QOL following surgical management of maxillofacial trauma patients based on the severity of the injury. Methods: The study consisted of 182 subjects divided into two groups of 91 each (Group A: severe facial injury and Group B: mild to moderate facial injury). The Facial Injury Severity Scale (FISS) was used to determine the severity of facial fractures and injuries. The twenty–point quality of life assessment tool includes Zone 1 (Psychosocial impact) and Zone 2 (Functional and aesthetic impact), with ten domains each to assess QOL. Results: In Zone 1, the mean scores for Group A and Group B were 38.6 and 39.26, respectively. In Zone 2, Group B (44.56) had higher mean scores compared to Group A (32.92) (p< 0.001). Group B (83.8) had higher mean scores compared to Group A (71.58) when the total of both Zone 1 and Zone 2 were taken into consideration (p<0,001). In Group A, 9 out of 91 patients had a total score of 81- 100 compared to 68 in the same range in Group B. Conclusions: Proper surgical management with adequate care to the hard and soft tissues can improve the QOL by reducing postoperative psychosocial and functional complications. Aesthetic outcomes play an important role in determining the QOL. Mild/ Moderate injuries show better QOL compared to severe maxillofacial injuries.
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spelling doaj.art-f5ec83c1a447487397432cda7daf21d12024-04-03T00:00:03ZengF1000 Research LtdF1000Research2046-14022023-11-0112157525Assessment of quality of life in patients with surgically treated maxillofacial fractures [version 2; peer review: 2 approved]Srikant Gadicherla0Sreea Roy1Sunil S Nayak2https://orcid.org/0000-0003-4659-6500Vanishri S Nayak3https://orcid.org/0000-0003-1248-8296Muskaan Chichra4https://orcid.org/0000-0003-2723-7860Vinayak Kamath5Shriya Dhaundiyal6Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education,, Manipal, Karnataka, 576104, IndiaDepartment of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education,, Manipal, Karnataka, 576104, IndiaDepartment of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education,, Manipal, Karnataka, 576104, IndiaDepartment of Anatomy, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education,, Manipal, Karnataka, 576104, IndiaDepartment of Public Health Dentistry,, Goa Dental College and Hospital,, Bambolim, Goa, IndiaGraduate Research Apprentice, Post grad, Northeastern university, Boston, USABackground: The complex nature of maxillofacial injuries can affect the surgical treatment outcomes and general well-being of the patient. To evaluate the efficiency of the surgical treatment, assessment of the quality of life (QOL) of the patients is of vital importance. Due to the absence of an exclusive QOL assessment tool for maxillofacial fractures, we introduce the ‘Twenty-point quality of life assessment in facial trauma patients in Indian population'. The aim of this study was to assess and evaluate the QOL following surgical management of maxillofacial trauma patients based on the severity of the injury. Methods: The study consisted of 182 subjects divided into two groups of 91 each (Group A: severe facial injury and Group B: mild to moderate facial injury). The Facial Injury Severity Scale (FISS) was used to determine the severity of facial fractures and injuries. The twenty–point quality of life assessment tool includes Zone 1 (Psychosocial impact) and Zone 2 (Functional and aesthetic impact), with ten domains each to assess QOL. Results: In Zone 1, the mean scores for Group A and Group B were 38.6 and 39.26, respectively. In Zone 2, Group B (44.56) had higher mean scores compared to Group A (32.92) (p< 0.001). Group B (83.8) had higher mean scores compared to Group A (71.58) when the total of both Zone 1 and Zone 2 were taken into consideration (p<0,001). In Group A, 9 out of 91 patients had a total score of 81- 100 compared to 68 in the same range in Group B. Conclusions: Proper surgical management with adequate care to the hard and soft tissues can improve the QOL by reducing postoperative psychosocial and functional complications. Aesthetic outcomes play an important role in determining the QOL. Mild/ Moderate injuries show better QOL compared to severe maxillofacial injuries.https://f1000research.com/articles/12-483/v2Quality of life Maxillofacial injurieseng
spellingShingle Srikant Gadicherla
Sreea Roy
Sunil S Nayak
Vanishri S Nayak
Muskaan Chichra
Vinayak Kamath
Shriya Dhaundiyal
Assessment of quality of life in patients with surgically treated maxillofacial fractures [version 2; peer review: 2 approved]
F1000Research
Quality of life
Maxillofacial injuries
eng
title Assessment of quality of life in patients with surgically treated maxillofacial fractures [version 2; peer review: 2 approved]
title_full Assessment of quality of life in patients with surgically treated maxillofacial fractures [version 2; peer review: 2 approved]
title_fullStr Assessment of quality of life in patients with surgically treated maxillofacial fractures [version 2; peer review: 2 approved]
title_full_unstemmed Assessment of quality of life in patients with surgically treated maxillofacial fractures [version 2; peer review: 2 approved]
title_short Assessment of quality of life in patients with surgically treated maxillofacial fractures [version 2; peer review: 2 approved]
title_sort assessment of quality of life in patients with surgically treated maxillofacial fractures version 2 peer review 2 approved
topic Quality of life
Maxillofacial injuries
eng
url https://f1000research.com/articles/12-483/v2
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AT sunilsnayak assessmentofqualityoflifeinpatientswithsurgicallytreatedmaxillofacialfracturesversion2peerreview2approved
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