Quality of life in irradiated patients with head and neck cancer: a preliminary study about the impact of prosthetic rehabilitation

Frédéric Silvestri; B. Saliba-Serre; Nicolas Graillon; Nicolas Fakhry; Michel Ruquet; Gérald Maille

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Quality of life in irradiated patients with head and neck cancer: a preliminary study about the impact of prosthetic rehabilitation

Frédéric Silvestri ^[1] ; Bérengère Saliba-Serre ^[1] ; Nicolas Graillon ^[1] ; Nicolas Fakhry ^[2] ; Michel Ruquet ^[3] ; Gérald Maille ^[3]
1. [1] Aix-Marseille University
  
  Aix-Marseille University
  
  Arrondissement de Marseille, Francia
2. [2] Faculté des Sciences Médicales et Paramédicales, Aix-Marseille Université, 27 boulevard Jean Moulin, 13555 Marseille Cedex 5; Pôle PROMO, Service ORL et Chirurgie Cervico-faciale, Hôpital de la Conception, Assistance Publique des Hôpitaux de Marseille, 147 boulevard Baille, 13005 Marseille, France
3. [3] Faculté d’Odontologie, Aix-Marseille Université, 27 boulevard Jean Moulin, 13555 Marseille Cedex 5; Pôle Odontologie, UF des Soins Spécifiques, Hôpital Timone, Assistance Publique des Hôpitaux de Marseille, 264 rue Saint-Pierre, 13385 Marseille Cedex 5, France. EFS CNRS, Faculté des Sciences Médicales et Paramédicales, UMR 7268 ADES, Aix-Marseille Université, 51 boulevard Pierre Dramard, 13944 Marseille Cedex 15, France
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Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 13, Nº. 9 (September), 2021, págs. 906-912
Idioma: inglés
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Resumen
- Oral quality of life is of great importance in head and neck cancer, where each patient combines functional, social and esthetic needs. Our study aimed to evaluate the influence of prosthetic and/or maxillofacial rehabilitation on patients’ perceived oral quality of life.
  
  The General Oral Health Assessment Index (GOHAI) was used in 28 patients with head and neck cancer who had undergone radiotherapy, recruited at La Timone University Hospital, Marseille, France, and who required prosthetic rehabilitation. The questionnaire was completed at three timepoints in the study: before insertion of the prosthesis (T0), then one week (T1) and three months after insertion (T2).
  
  The percentage of patients with poor quality of oral health decreased from 96.4% to 64.3% between T0 and T1. Between T0 and T1, the mean score of the psychosocial component of the GOHAI increased from 14.28 ± 4.51 to 20.14 ± 5.20 and the mean functional component score increased from 9.32 ± 3.86 to 12.07 ± 4.04.
  
  Prosthetic rehabilitation appeared to have a positive impact on oral quality of life in our study subjects, particularly on social relations and self-esteem. Its influence on pain and discomfort remains to be clarified. This preliminary study gives a prospective view of the impact of prosthetic rehabilitation in patients with head and neck cancer who had undergone radiotherapy. Analysis of data yielded by cross-referencing of different questionnaires should make it possible to refine these results.