A comparative study of quality of life of patients with maxillofacial fracture and healthy controls at two tertiary healthcare institutions
Somoye Mayowa Solomon, Adetayo Adekunle Moses, Adeyemo Wasiu Lanre, Ladeinde Akinola Ladipo, Gbotolorun Micah Olalekan,
소속 상세정보
( Somoye Mayowa Solomon ) - Lagos University Teaching Hospital Department of Oral/Maxillofacial Surgery
( Adetayo Adekunle Moses ) - Babcock University Benjamin Carson School of Medicine Department of Surgery
( Adeyemo Wasiu Lanre ) - Lagos University Teaching Hospital Department of Oral/Maxillofacial Surgery
( Ladeinde Akinola Ladipo ) - Lagos University Teaching Hospital Department of Oral/Maxillofacial Surgery
( Gbotolorun Micah Olalekan ) - Lagos University Teaching Hospital Department of Oral/Maxillofacial Surgery
Abstract
Objectives: Despite treatment, the pre-traumatic facial appearance of patients with maxillofacial fractures might not be able to be restored, and this difference can affect the person’s quality of life (QoL). This study was designed to evaluate changes in QoL of people with maxillofacial fractures.
Materials and Methods: The study population was comprised of participants with maxillofacial fracture and age- and sex-matched healthy controls without history of such fracture. QoL was measured using the World Health Organization Quality of Life BREF (WHOQOL-BREF) questionnaire, which was administered to the patients before treatment (Time 1), at 6 weeks post-treatment (Time 2), and at 12 weeks postoperatively (Time 3). The values were compared with those of healthy controls. The QoL was compared between closed reduction group and open reduction and internal fixation group.
Results: The QoL scores of people with maxillofacial fracture before treatment were significantly lower (P=0.001) than those of healthy controls in all domains of the WHOQOL-BREF. The QoL scores in the psychological and social domains of patients with maxillofacial fracture at Time 3 were still lower than those of healthy controls (P=0.001).
Conclusion: The QoL of patients with maxillofacial fracture was significantly reduced before treatment in all domains and remained reduced in both psychological and social domains weeks after treatment. Therefore, clinicians must be aware of and manage the residual psychosocial issues that can accompany the post-treatment period of maxillofacial injury.
키워드
Bone fractures; Fixation; Quality of life
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