Quality of life assessment in patients with long-term neurosensory dysfunction after mandibular fractures.

IF 1.1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Chandan S N, Sujeeth K Shetty, Sahith K Shetty, Anjan K Shah
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Abstract

Background: Long-term neurosensory dysfunction after mandibular fractures can have a significant impact on daily performances and quality of life (QoL) of the patient. The daily activities such as eating, speaking, shaving, kissing, and other social interactions can be affected due to the impaired sensation in the face and lip region.

Methods: A cross-sectional QoL assessment was done for the patients with inferior alveolar nerve dysfunction (IAND) from mandibular fractures at the 6-month follow-up visit. An interviewer-administered oral impacts on daily performances (OIDP) questionnaire was used. The OIDP scores were compared against the age and the severity of IAND.

Results: A total of 232 patients with mandibular fractures were initially examined, out of which 145 patients had IAND. At the end of 6 months, 52 patients still had some form of IAND and were included in this study. In our study, most affected activities were eating food (96.2%) and speaking clearly (98.1%) whereas the least affected were relaxing (9.6%) and doing major work (9.6%). Smiling (P<0.001), emotional state (P<0.001), and contact of other (P=0.02) were affected significantly more in younger patients than in older patients. Patients who had severe IAND at 6 months had problems with activities like cleaning teeth (P=0.04), doing light physical activity (P=0.007), going out (P=0.003), sleeping (P=0.012), and relaxing (P=0.03).

Conclusions: Long-term IAND causes a significant impact on daily activities. This impact on QoL is particularly high and more frequent in the younger age group and patients with more severe IAND.

下颌骨骨折后长期神经感觉功能障碍患者的生活质量评价。
背景:下颌骨骨折后长期的神经感觉功能障碍对患者的日常表现和生活质量(QoL)有显著影响。日常活动,如吃饭、说话、刮胡子、接吻和其他社交活动都会受到影响,因为面部和嘴唇区域的感觉受损。方法:对下颌骨骨折后下牙槽神经功能障碍(IAND)患者进行6个月的随访,对患者的生活质量进行横断面评估。使用访谈者管理的口腔对日常表现的影响问卷(OIDP)。将OIDP得分与年龄和IAND严重程度进行比较。结果:我们对232例下颌骨折患者进行了初步检查,其中145例患者发生了IAND。在6个月结束时,52例患者仍有某种形式的IAND,并被纳入本研究。在我们的研究中,受影响最大的活动是吃饭(96.2%)和清晰说话(98.1%),而受影响最小的活动是放松(9.6%)和做主要工作(9.6%)。结论:长期抑郁对日常活动有显著影响。这种对生活质量的影响在较年轻的年龄组和较严重的IAND患者中尤其高且更常见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Minerva dental and oral science
Minerva dental and oral science DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.50
自引率
5.00%
发文量
61
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