Evaluation of Quality of Life with Obturators in Patients Post Maxillectomies: An Original Research

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Dr. Virendra Singh MDS , Dr Renu, MDS , Dr. Ramniwas Kumawat MDS , Dr. Kalu Ram Kumawat , Dr Achira Bhaskar

Abstract

Introduction: In this study we evaluated the quality of life with obturators in patients post maxillectomies


Materials and Methods: Thirty-six subjects were enrolled with maxillary defects, irrespective of the cause, planned for definite obturator prosthesis, were recruited. Head and Neck version 1 of Quality of Life Questionnaire was used before surgical intervention and one month after definitive obturator. Questionnaire includes 35 questions related to the patient’s physical health, well being, psychological status, social relation and environmental conditions. The data were processed with statistical package for social science (SPSS). Probability level of P<.05 was considered statistically significant.


Results: The quality of life after rehabilitation with obturator prosthesis was 81.48% (±13.64) on average. On item-level, maximum mean scores were obtained for items problem with teeth (1.87 ± 0.94), pain in mouth (1.80 ± 0.92), trouble in eating (1.70 ± 0.88), trouble in talking to other people (1.60 ± 1.22), problems in swallowing solid food (1.57 ± 1.22) and bothering appearance (1.53 ± 1.04); while minimum scores were obtained for the items coughing (1.17 ± 0.38), hoarseness of voice (1.17 ± 0.53), painful throat (1.13 ± 0.43), trouble in having social contacts with friends (1.10 ± 0.40) and trouble having physical contacts with family or friends (1.10 ± 0.31).


Conclusion: Obturator prosthesis is a highly positive and non-invasive approach to improve the quality of life of patients with maxillectomy defects.

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