Measures of health-related quality of life and socio-cultural aspects in young patients who after mandible primary reconstruction with free fibula flap

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• 作者：Juanfang Zhu (10)
  Yan Xiao (10)
  Fei Liu (10)
  Jing Wang (10)
  Wenli Yang (10)
  Weihong Xie (10)
  
• 关键词：Free fibula flap ; Health ; related quality of life ; Reconstruction
• 刊名：World Journal of Surgical Oncology
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：11
• 期：1
• 全文大小：163 KB
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  6. Chang YM, Wallace CG, Tsai CY, Shen YF, Hsu YM, Wei FC: Dental implant outcome after primary implantation into double-barreled fibula osteoseptocutaneous free flap-reconstructed mandible. / Plast Reconstr Surg 2011, 128:1220-228. CrossRef
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  16. Hsing CY, Wong YK, Wang CP, Wang CC, Jiang RS, Chen FJ, Liu SA: Comparison between free flap and pectoralis major pedicled flap for reconstruction in oral cavity cancer patients -a quality of life analysis. / Oral Oncol 2011, 47:522-27. CrossRef
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• 作者单位：Juanfang Zhu (10)
  Yan Xiao (10)
  Fei Liu (10)
  Jing Wang (10)
  Wenli Yang (10)
  Weihong Xie (10)
  
  10. Department of Stomatolagy, the First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, Henan, 450052, China
  
• ISSN：1477-7819

文摘

Background The reconstruction of mandibular defects after trauma or tumor resection is one of the most challenging problems facing reconstructive surgeons. Although the primary intended outcome of surgery to treat head-and-neck malignancies is still the disease-free survival of the patient, health-related quality of life (HRQOL) is now seen as an essential secondary outcome. This study aims to evaluate HRQOL outcomes in young patients undergoing primary mandible reconstruction with free fibula flap and to collect information about their socio-cultural situation. Methods The HRQOL outcomes of 25 young patients after primary mandible reconstruction with free fibula flap for mandible malignancies were assessed using the Medical Outcomes Study-Short Form-36 (MOS SF-36) and University of Washington Quality of Life (UW-QOL) questionnaires 12 months postoperatively. Results Using the UW-QOL questionnaire, the best-scoring domain was ‘pain- whereas ‘chewing-and ‘anxiety-were given the lowest scores. Using the MOS SF-36 questionnaire, the best-scoring domain was ‘physical functioning- while ‘bodily pain-and ‘general health-also scored well. Conclusions Mandible reconstruction with fibula flap will significantly influence a young patient’s HRQOL. Young patients pay more attention to postoperative facial appearance; this should be considered in surgical planning. The socio-cultural data show a fairly low level of education for the majority of patients.