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Prospective Clinical Pilot Study to Evaluate the Effect of Prosthodontic Rehabilitation on Psychological Status and Quality of Life in Maxillectomy Patients: An Indian Experience

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The purpose of the study was to assess psychological status (PS) and quality of life (QOL) before surgical resection of maxilla (T0), 2 weeks after resection (T1), 2 weeks after use of intermediate obturator (T2), before (T3) and 12 weeks after use of definitive obturator (T4). 20 participants, planned for resection of maxilla and subsequent prosthodontic rehabilitation were enrolled. Assessment was done using Hospital Anxiety and Depression Scale (HADS) (HADS-A: anxiety and HADS-D: depression) for PS, World Health Organization Quality of Life BREF (WHOQOL-BREF) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire- Head and Neck Module (EORTC QLQ- H&N35) for QOL, and obturator functioning scale (OFS) for obturator functioning. Six cases were dropped out. Highest HADS-A score was observed presurgically (18.7 ± 1.1) and highest HADS-D score at T1 (18.5 ± 1.8). After rehabilitation, HADS-A and HADS-D decreased significantly (P < 001). Least WHOQOL-BREF score was observed at T1, followed by a consistent, significant rise after rehabilitation at all time intervals (P < 001). Highest EORTC QLQ-H&N 35 score was observed at T1, with significant reduction (P < 0.001) after rehabilitation for all questions, except those related to sexual wellness (P = 1). Highest OFS were observed at T2 (3.1 ± 10.3) and least at T4 (1.9 ± 0.2). QOL and PS decline after maxillectomy. Patient education and rehabilitation with obturator leads to improvement in QOL and PS probably due to restored oral functions, and improved health of soft tissue. Both parameters improved with enhanced obturator quality and time.

Registration at Clinical Trials Registry - India (ICMR-NIMS)

Reg. No. CTRI/2018/04/013164 http://ctri.nic.in/Clinicaltrials/regtrial.php?modid=1&compid=19&EncHid=67729.89030

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This research did not receive any special grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Prosthodontics, Centre for Dental Education and Research, AIIMS, New Delhi, India

    P. Vijayabharathi & Aditi Nanda

  2. Department of Prosthodontics, Centre for Dental Education and Research, AIIMS, New Delhi, India

    Dheeraj Kumar Koli

  3. Department of Prosthodontics, Centre for Dental Education and Research, AIIMS, Room no: 214, 2nd floor, New Delhi, 110029, India

    Veena Jain

  4. Department of Surgical Oncology, Dr. B.R.A.IRCH, AIIMS, New Delhi, India

    S. V. Deo

  5. Department of Otolaryngology and Head-Neck Surgery, AIIMS, New Delhi, India

    Alok Thakar

  6. Department of Psychiatry, AIIMS, New Delhi, India

    Koushik Sinha Deb

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  1. P. Vijayabharathi
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  2. Dheeraj Kumar Koli
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  3. Veena Jain
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  4. S. V. Deo
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  7. Aditi Nanda
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Correspondence to Veena Jain.

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Vijayabharathi, P., Koli, D.K., Jain, V. et al. Prospective Clinical Pilot Study to Evaluate the Effect of Prosthodontic Rehabilitation on Psychological Status and Quality of Life in Maxillectomy Patients: An Indian Experience. Indian J Otolaryngol Head Neck Surg 74, 287–295 (2022). https://doi.org/10.1007/s12070-021-02476-1

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  • DOI: https://doi.org/10.1007/s12070-021-02476-1

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