{"title":"Role of obturator in restoring quality of life and function in maxillary oncological defect cases- A systematic review","authors":"Neelima Manoj, Ahila Singaravel Chidambaranathan, MuthuKumar Balasubramanium, Ganesh RamKumar Rajapandi","doi":"10.1016/j.oor.2024.100636","DOIUrl":null,"url":null,"abstract":"<div><h3>Statement of problem</h3><p>Whether prosthetic rehabilitation significantly affects quality of life and functions of post maxillectomy patients.</p></div><div><h3>Objective</h3><p>Systematically analyze the effects of different types of obturators on post-maxillectomy patients focusing on quality of life and function.</p></div><div><h3>Materials and methods</h3><p>An electronic search was conducted across four databases PubMed, Google Scholar, Cochrane Library, and ScienceDirect in English language from January 1995 June 2024 using the key terms maxillectomy OR hemi-maxillectomy OR palatomaxillary defect OR Aramany OR Brown OR Okay AND obturator OR denture OR prosthetic AND flap OR surgery OR prosthetic rehabilitation. Additionally, a hand search was performed in the institutional library on Journal of Prosthetic Dentistry, Journal of Indian Prosthodontic Society, Journal of Prosthodontics, International Journal of Prosthodontics and Indian Journal of Prosthodontic Research.</p></div><div><h3>Results</h3><p>Seven articles were included in this systematic review. Patient scores from quality-of-life questionnaires and functional ability evaluations were compared across a total of 251 patients, including those with and without obturators. The evaluation included 3 prospective studies, 2 retrospective studies, 1 clinical study, and 1 randomized controlled trial. The results demonstrated a statistically significant improvement in both speech and quality of life for patients using maxillary obturators.</p></div><div><h3>Conclusion</h3><p>Obturator prostheses are not only improved the health-related quality of life (HRQOL) but also enhance overall function of the patient rehabilitated with maxillary oncological defects. They play a crucial role in orofacial rehabilitation by addressing functional and aesthetic challenges faced by individuals with such defects. This positive impact is likely due to the prostheses' ability to restore oral and facial functions, improve speech, and enhance self-esteem and social interactions.</p></div>","PeriodicalId":94378,"journal":{"name":"Oral Oncology Reports","volume":"11 ","pages":"Article 100636"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772906024004825/pdfft?md5=00a0a09c92a0e72a9d18b68ff8673947&pid=1-s2.0-S2772906024004825-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral Oncology Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772906024004825","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Statement of problem
Whether prosthetic rehabilitation significantly affects quality of life and functions of post maxillectomy patients.
Objective
Systematically analyze the effects of different types of obturators on post-maxillectomy patients focusing on quality of life and function.
Materials and methods
An electronic search was conducted across four databases PubMed, Google Scholar, Cochrane Library, and ScienceDirect in English language from January 1995 June 2024 using the key terms maxillectomy OR hemi-maxillectomy OR palatomaxillary defect OR Aramany OR Brown OR Okay AND obturator OR denture OR prosthetic AND flap OR surgery OR prosthetic rehabilitation. Additionally, a hand search was performed in the institutional library on Journal of Prosthetic Dentistry, Journal of Indian Prosthodontic Society, Journal of Prosthodontics, International Journal of Prosthodontics and Indian Journal of Prosthodontic Research.
Results
Seven articles were included in this systematic review. Patient scores from quality-of-life questionnaires and functional ability evaluations were compared across a total of 251 patients, including those with and without obturators. The evaluation included 3 prospective studies, 2 retrospective studies, 1 clinical study, and 1 randomized controlled trial. The results demonstrated a statistically significant improvement in both speech and quality of life for patients using maxillary obturators.
Conclusion
Obturator prostheses are not only improved the health-related quality of life (HRQOL) but also enhance overall function of the patient rehabilitated with maxillary oncological defects. They play a crucial role in orofacial rehabilitation by addressing functional and aesthetic challenges faced by individuals with such defects. This positive impact is likely due to the prostheses' ability to restore oral and facial functions, improve speech, and enhance self-esteem and social interactions.
问题陈述假体康复是否会明显影响上颌骨切除术后患者的生活质量和功能。目的系统分析不同类型的闭孔器对上颌骨切除术后患者的影响，重点关注生活质量和功能。材料和方法使用关键术语上颌骨切除术或半上颌骨切除术或腭颌缺损或阿拉曼尼或布朗或Okay AND obturator OR denture OR prosthetic AND flap OR surgery OR prosthetic rehabilitation，对1995年1月至2024年6月期间的四个英文数据库PubMed、Google Scholar、Cochrane Library和ScienceDirect进行了电子检索。此外，还在机构图书馆对《口腔修复学杂志》、《印度口腔修复学会杂志》、《口腔修复学杂志》、《国际口腔修复学杂志》和《印度口腔修复研究杂志》进行了人工检索。对总共 251 名患者的生活质量问卷和功能能力评估结果进行了比较，其中包括使用和未使用顺铂的患者。评估包括 3 项前瞻性研究、2 项回顾性研究、1 项临床研究和 1 项随机对照试验。结果表明，使用上颌钝器的患者在言语和生活质量方面都有显著的统计学改善。它们在口面部康复中发挥着至关重要的作用，解决了此类缺损患者所面临的功能和美学挑战。这种积极影响可能是由于假体能够恢复口腔和面部功能、改善言语、增强自尊和社会交往。
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