Quality of life after oral and maxillofacial reconstruction with vascularized fibula bone graft
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Published:
Sep 10, 2020
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Abstract
Abstract
Objective: To assess the quality of life (QoL) and the impact on oral health after oral and maxillofacial reconstruction with vascularized fibula bone graft.
Materials and Methods: This was a cross-sectional analytic study. The patients who were undergone oral and maxillofacial reconstruction between January 2009 and December 2017 in Dental Hospital,Prince of Songkla University were included in the study. The demographic data and clinical data were collected. The QoL was assessed by using the WHOQOL–BREF–THAI and OHIP-14 Thai version. The correlation between various factors and QoL were analysed
Results: Eighteen patients were included, 10 patients were male. Most of the patients had a mandibular defect (88%). The QoL was assessed as good in 10 cases (55.6%), as moderate in 7 cases (38.9%). During the risk analysis, harvested fibula length significantly related to the overall QoL (p=0.037). The study found that the impaction on QoL after fibular bone graft were sexual health, uncomfortable to chew some food, loss of self-confidence and inability to eat some food which the patient favors.
Conclusion: The QoL was moderate to good. Oral rehabilitation with a denture or dental implants after oral and maxillofacial reconstruction may improve the QoL in all dimensions.
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วิถีรุ่งโรจน์ ท., & วิทยากิตติพงษ์ พ. . (2020). Quality of life after oral and maxillofacial reconstruction with vascularized fibula bone graft. Thai Journal of Otolaryngology Head and Neck Surgery, 20(2), 3–14. Retrieved from https://he02.tci-thaijo.org/index.php/rcotJ/article/view/245256
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Reseach Articles
ต้นฉบับที่ส่งมาพิจารณายังวารสารหู คอ จมูก และใบหน้า จะต้องไม่อยู่ในการพิจารณาของวารสารอื่น ในขณะเดียวกันต้นฉบับที่จะส่งมาจะผ่านการอ่านโดยผู้ทรงคุณวุฒิ หากมีการวิจารณ์หรือแก้ไขจะส่งกลับไปให้ผู้เขียนตรวจสอบแก้ไขอีกครั้ง ต้นฉบับที่ผ่านการพิจารณาให้ลงตีพิมพ์ถือเป็นสมบัติของวารสารหู คอ จมูกและใบหน้า ไม่อาจนำไปลงตีพิมพ์ที่อื่นโดยไม่ได้รับอนุญาต
ตารางแผนภูมิ รูปภาพ หรือข้อความเกิน 100 คำที่คัดลอกมาจากบทความของผู้อื่น จะต้องมีใบยินยอมจากผู้เขียนหรือผู้ทรงลิขสิทธิ์นั้นๆ และใหร้ะบุกำกับไว้ในเนื้อเรื่องด้วย
References
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2. Wilson KM, Rizk NM, Armstrong SL, Gluckman JL. Effects of hemimandibulectomy on quality of life. Laryngoscope 1998; 108: 1574–7
3. Schliephake H, Neukam FW, Schmelzeisen R, Varoga B, Schneller H. Long-term quality of life after ablative intraoral tumour surgery. J Craniomaxillofac Surg 1995; 23: 243–9
4. Chim H, Salgado CJ, Mardini S, Chen HC. Reconstruction of mandibular defects. Semin Plast Surg 2010; 24: 188–97
5. Cordeiro PG, Disa JJ, Hidalgo DA, Hu QY. Reconstruction of the mandible with osseous free flaps: a 10-year experience with 150 consecutive patients. Plast Reconstr Surg 1999; 104: 1314–1320.
6. Chang YM, Wallace CG, Tsai CY, Shen YF, Hsu YM, Wei FC. Dental implant outcome after primary implantation into double-barreled fibula osteoseptocutaneous free flap-reconstructed mandible. Plast Reconstr Surg 2011; 128: 1220–1228
7. Anthony JP, Foster RD, Pogrel MA: The free fibula bone graft for salvaging failed mandibular reconstructions. J Oral Maxillofac Surg 1997;55:1417
8. Rogers SN, Lakshmiah SR, Narayan B, et al. A comparison of the long-term morbidity following deep circumflex iliac and fibula free flaps for reconstruction following head and neck cancer. Plast Reconstr Surg 2003; 112: 1517
9. Momoh AO, Yu P, Skoracki RJ, et al. A prospective cohort study of fibula free flap donor-site morbidity in 157 consecutive patients. Plast Reconstr Surg 2011; 128(3): 714-20
10. Zimmermann CE, Bo¨rner BI, Hasse A, Sieg P. Donor site morbidity after microvascular fibula transfer. Clin Oral Investig 2001; 5(4): 214-9.
11. Chandu A, Smith AC, Rogers SN. Health-related quality of life in oral cancer: a review. J Oral Maxillofac Surg 2006; 64: 495–502.
12. Murphy BA, Ridner S, Wells N, et al. Quality of life research in head and neck cancer: a review of the current state of the science. Crit Rev Oncol Hematol 2007; 62: 251–67.
13. Smith GI, Yeo D, Clark J, et al. Measures of health-related quality of life and functional status in survivors of oral cavity cancer who have had defects reconstructed with radial forearm free flaps. Br J Oral Maxillofac Surg 2006; 44(3): 187-192
14. The WHOQOL Group. The Development of the World Health Organization Quality of Life Assessment Instrument (the WHOQOL). Quality of Life Assessment: International Perspectives. 1994: 41-57
15. Jewer DD, Boyd JB, Manktelow RT, et al. Orofacial and mandibular reconstruction with the iliac crest free flap: a review of 60 cases and a new method of classification. Plastic and reconstructive surgery. 1989;84(3):391-403
16. Brown JS, Shaw RJ. Reconstruction of the maxilla and midface: introducing a new classification. Lancet Oncol 2010; 11(10): 1001–8
17. ชัชชัย อนุสรณ์ธีรกุล, การย์กวิน ภัทรธีรนาถ, จุฑารัตน์ ชัยวีรพันธ์เดช, ภัสสร์วัลย์ รังสิปราการ, มานพ คณะโต, นฤมล สินสุพรรณ. การศึกษาเปรียบเทียบระดับคุณภาพชีวิตของนักศึกษาแพทย์ มหาวิทยาลัยขอนแก่น กับประชาชนที่ชุมชนสามเหลี่ยมในช่วงอายุเดียวกัน. ศรีนครินทร์เวชสาร 2551; 23:200-206.
18. Girish RS, Aditya TN, Gopinath KS, Anand K. Free fibula flap in the reconstruction of mandible: a report of six cases. J Maxillofac Oral Surg 2009; 8(3): 275-278
19. สุวัฒน์ มหัตนิรันดร์กุล, วิระวรรณ ตันติพิวัฒน์สกุล, วนิดา พุ่มไพศาลชัย, กรองจิตต์ วงศ์สุวรรณ, ราณี พรหมานะจิรังกุล. เปรียบเทียบแบบวัดคุณภาพชีวิตขององค์การอนามัยโลกทุก 100 ตัวชี้วัด และ 26 ตัวชี้วัด, โรงพยาบาลสวนปรุง จังหวัดเชียงใหม่, 2540.
20. สัมภาษณ์ ชาติอลงกรณ์ คุณสมบัติการวัดทางจิตวิทยาของแบบประเมินผลกระทบของสุขภาพช่องปากฉบับภาษาไทย. วารสารศูนย์การศึกษาแพทยศาสตร์คลินิกโรงพยาบาลพระปกเกล้า 2560; 3: 158-70
21. Rogers SN, Lowe D, Brown JS, Vaughan ED. The University of Washington head and neck cancer measure as a predictor of outcome following primary surgery for oral cancer. Head Neck 1999; 21: 394-401
22. Rogers SN, Lowe D, Fisher SE, Brown JS, Vaughan ED. Health-related quality of life and clinical function after primary surgery for oral cancer. Br J Oral Maxillofac Surg 2002; 40: 11-18
23. Ling XF, Peng X. What is the price to pay for a free fibula flap? A systematic review of donor-site morbidity following free fibula flap surgery. Plast Reconstr Surg. 2012; 129: 657–74
24. Anthony JP, Foster RD, Pogrel MA: The free fibula bone graft for salvaging failed mandibular reconstructions. J Oral Maxillofac Surg 1997; 55: 1417-21
25. Bodde EW, de Visser E, Duysens JE, Hartman EH. Donor-site morbidity after free vascularized autogenous fibular transfer: subjective and quantitative analyses. Plast Reconstr Surg 2003; 111: 2237–42
26. Farhadi J, Valderrabano V, Kunz C, Kern R, Hinterman B, Pierer G. Free fibula donor-site morbidity: clinical and biomechanical analysis. Ann Plast Surg 2007; 58: 405–10
27. Sieg P, Taner C, Hakim SG, Jacobsen HC. Long-term evaluation of donor site morbidity after free fibula transfer. Br J Oral Maxillofac Surg 2010; 48: 267–70
28. Anthony JP, Rawnsley JD, Benhaim P, Ritter EF, Sadowsky SH, Singer MI. Donor leg morbidity and function after fibula free flapแmandible reconstruction. Plast Reconstr Surg 1995; 96: 146–52
29. Feuvrier D, Sagawa Y Jr, Béliard S, Pauchot J, Decavel P. Long-term donor-site morbidity after vascularized free fibula flap harvesting: Clinical and gait analysis. J Plast Reconstr Aesthet Surg. 2016; 69: 262-9.
30. Kearns M, Ermogenous P, Myers S, Ghanem AM. Osteocutaneous flaps for head and neck reconstruction: A focused evaluation of donor site morbidity and patient reported outcome measures in different reconstruction options. Arch Plast Surg. 2018; 45: 495–503
31. Apinhasmit W, Sinpitaksakul P, Chompoopong S. Anatomical Considerations of the Thai Fibula Used as a Fibula Osteocutaneous Free Flap in Mandibular Reconstruction and Dental Implant Placement. J Med Assoc Thai 2012; 95: 561-8
32. Vittayakittipong P, Jarudejkajon J, Kirirat P, Chaijaroonkhanarak W, Chaisiwamongkol K. Feasibility of the vascularized fibula bone graft for reconstruction of the mandible: a cadaveric study. Int J Oral Maxillofac Surg. 2016; 45: 960-3
33. Li P, Fang Q, Qi J, Luo R, Sun C. Risk Factors for Early and Late Donor-Site Morbidity After Free Fibula Flap Harvest. J Oral Maxillofac Surg. 2015; 73: 1637-40
34. Shindo M, Fong BP, Funk GF, Karnell LH. The fibula osteocutaneous flap in head and neck reconstruction: a critical evaluation of donor site morbidity. Arch Otolaryngol Head Neck Surg 2000; 126: 1467–72
35. Gamba A, Romano M, Grosso IM, et al. Psychosocial adjustment of patients surgically treated for head and neck cancer. Head Neck. 1992; 14: 218-23
36. Danielsson D, Munck-Wikland E, Hagel E, Halle M. Quality of life after microvascular mandibular reconstruction for osteoradionecrosis—A prospective study Head & Neck.2019; 1–6
37. Rhoten BA. Head and Neck Cancer and Sexuality A Review of the Literature Cancer. Cancer Nurs. 2016; 3: 313-2
38. Zhu J, Yang Y, Li W. Assessment of quality of life and sociocultural aspects in patients with ameloblastoma after immediate mandibular reconstruction with a fibular free flap. Br J Oral Maxillofac Surg. 2014; 52: 163-167
39. Yang W, Zhao S, Liu F, Sun M. Health-related quality of life after mandibular resection for oral cancer: reconstruction with free fibula flap. Med Oral Patol Oral Cir Bucal. 2014; 19: e414-8
40. Pappalardo M, Tsao CK, Tsang ML, Zheng J, Chang YM, Tsai CY. Long-term outcome of patients with or without osseointegrated implants after resection of mandibular ameloblastoma and reconstruction with vascularized bone graft: Functional assessment and quality of life. J Plast Reconstr Aesthet Surg. 2018; 71: 1076-1085.
41. Jacobsen HC, Wahnschaff F, Trenkle T, Sieg P, Hakim SG. Oral rehabilitation with dental implants and quality of life following mandibular reconstruction with free fibular flap. Clinical oral investigations. 2016; 20: 187-92
2. Wilson KM, Rizk NM, Armstrong SL, Gluckman JL. Effects of hemimandibulectomy on quality of life. Laryngoscope 1998; 108: 1574–7
3. Schliephake H, Neukam FW, Schmelzeisen R, Varoga B, Schneller H. Long-term quality of life after ablative intraoral tumour surgery. J Craniomaxillofac Surg 1995; 23: 243–9
4. Chim H, Salgado CJ, Mardini S, Chen HC. Reconstruction of mandibular defects. Semin Plast Surg 2010; 24: 188–97
5. Cordeiro PG, Disa JJ, Hidalgo DA, Hu QY. Reconstruction of the mandible with osseous free flaps: a 10-year experience with 150 consecutive patients. Plast Reconstr Surg 1999; 104: 1314–1320.
6. Chang YM, Wallace CG, Tsai CY, Shen YF, Hsu YM, Wei FC. Dental implant outcome after primary implantation into double-barreled fibula osteoseptocutaneous free flap-reconstructed mandible. Plast Reconstr Surg 2011; 128: 1220–1228
7. Anthony JP, Foster RD, Pogrel MA: The free fibula bone graft for salvaging failed mandibular reconstructions. J Oral Maxillofac Surg 1997;55:1417
8. Rogers SN, Lakshmiah SR, Narayan B, et al. A comparison of the long-term morbidity following deep circumflex iliac and fibula free flaps for reconstruction following head and neck cancer. Plast Reconstr Surg 2003; 112: 1517
9. Momoh AO, Yu P, Skoracki RJ, et al. A prospective cohort study of fibula free flap donor-site morbidity in 157 consecutive patients. Plast Reconstr Surg 2011; 128(3): 714-20
10. Zimmermann CE, Bo¨rner BI, Hasse A, Sieg P. Donor site morbidity after microvascular fibula transfer. Clin Oral Investig 2001; 5(4): 214-9.
11. Chandu A, Smith AC, Rogers SN. Health-related quality of life in oral cancer: a review. J Oral Maxillofac Surg 2006; 64: 495–502.
12. Murphy BA, Ridner S, Wells N, et al. Quality of life research in head and neck cancer: a review of the current state of the science. Crit Rev Oncol Hematol 2007; 62: 251–67.
13. Smith GI, Yeo D, Clark J, et al. Measures of health-related quality of life and functional status in survivors of oral cavity cancer who have had defects reconstructed with radial forearm free flaps. Br J Oral Maxillofac Surg 2006; 44(3): 187-192
14. The WHOQOL Group. The Development of the World Health Organization Quality of Life Assessment Instrument (the WHOQOL). Quality of Life Assessment: International Perspectives. 1994: 41-57
15. Jewer DD, Boyd JB, Manktelow RT, et al. Orofacial and mandibular reconstruction with the iliac crest free flap: a review of 60 cases and a new method of classification. Plastic and reconstructive surgery. 1989;84(3):391-403
16. Brown JS, Shaw RJ. Reconstruction of the maxilla and midface: introducing a new classification. Lancet Oncol 2010; 11(10): 1001–8
17. ชัชชัย อนุสรณ์ธีรกุล, การย์กวิน ภัทรธีรนาถ, จุฑารัตน์ ชัยวีรพันธ์เดช, ภัสสร์วัลย์ รังสิปราการ, มานพ คณะโต, นฤมล สินสุพรรณ. การศึกษาเปรียบเทียบระดับคุณภาพชีวิตของนักศึกษาแพทย์ มหาวิทยาลัยขอนแก่น กับประชาชนที่ชุมชนสามเหลี่ยมในช่วงอายุเดียวกัน. ศรีนครินทร์เวชสาร 2551; 23:200-206.
18. Girish RS, Aditya TN, Gopinath KS, Anand K. Free fibula flap in the reconstruction of mandible: a report of six cases. J Maxillofac Oral Surg 2009; 8(3): 275-278
19. สุวัฒน์ มหัตนิรันดร์กุล, วิระวรรณ ตันติพิวัฒน์สกุล, วนิดา พุ่มไพศาลชัย, กรองจิตต์ วงศ์สุวรรณ, ราณี พรหมานะจิรังกุล. เปรียบเทียบแบบวัดคุณภาพชีวิตขององค์การอนามัยโลกทุก 100 ตัวชี้วัด และ 26 ตัวชี้วัด, โรงพยาบาลสวนปรุง จังหวัดเชียงใหม่, 2540.
20. สัมภาษณ์ ชาติอลงกรณ์ คุณสมบัติการวัดทางจิตวิทยาของแบบประเมินผลกระทบของสุขภาพช่องปากฉบับภาษาไทย. วารสารศูนย์การศึกษาแพทยศาสตร์คลินิกโรงพยาบาลพระปกเกล้า 2560; 3: 158-70
21. Rogers SN, Lowe D, Brown JS, Vaughan ED. The University of Washington head and neck cancer measure as a predictor of outcome following primary surgery for oral cancer. Head Neck 1999; 21: 394-401
22. Rogers SN, Lowe D, Fisher SE, Brown JS, Vaughan ED. Health-related quality of life and clinical function after primary surgery for oral cancer. Br J Oral Maxillofac Surg 2002; 40: 11-18
23. Ling XF, Peng X. What is the price to pay for a free fibula flap? A systematic review of donor-site morbidity following free fibula flap surgery. Plast Reconstr Surg. 2012; 129: 657–74
24. Anthony JP, Foster RD, Pogrel MA: The free fibula bone graft for salvaging failed mandibular reconstructions. J Oral Maxillofac Surg 1997; 55: 1417-21
25. Bodde EW, de Visser E, Duysens JE, Hartman EH. Donor-site morbidity after free vascularized autogenous fibular transfer: subjective and quantitative analyses. Plast Reconstr Surg 2003; 111: 2237–42
26. Farhadi J, Valderrabano V, Kunz C, Kern R, Hinterman B, Pierer G. Free fibula donor-site morbidity: clinical and biomechanical analysis. Ann Plast Surg 2007; 58: 405–10
27. Sieg P, Taner C, Hakim SG, Jacobsen HC. Long-term evaluation of donor site morbidity after free fibula transfer. Br J Oral Maxillofac Surg 2010; 48: 267–70
28. Anthony JP, Rawnsley JD, Benhaim P, Ritter EF, Sadowsky SH, Singer MI. Donor leg morbidity and function after fibula free flapแmandible reconstruction. Plast Reconstr Surg 1995; 96: 146–52
29. Feuvrier D, Sagawa Y Jr, Béliard S, Pauchot J, Decavel P. Long-term donor-site morbidity after vascularized free fibula flap harvesting: Clinical and gait analysis. J Plast Reconstr Aesthet Surg. 2016; 69: 262-9.
30. Kearns M, Ermogenous P, Myers S, Ghanem AM. Osteocutaneous flaps for head and neck reconstruction: A focused evaluation of donor site morbidity and patient reported outcome measures in different reconstruction options. Arch Plast Surg. 2018; 45: 495–503
31. Apinhasmit W, Sinpitaksakul P, Chompoopong S. Anatomical Considerations of the Thai Fibula Used as a Fibula Osteocutaneous Free Flap in Mandibular Reconstruction and Dental Implant Placement. J Med Assoc Thai 2012; 95: 561-8
32. Vittayakittipong P, Jarudejkajon J, Kirirat P, Chaijaroonkhanarak W, Chaisiwamongkol K. Feasibility of the vascularized fibula bone graft for reconstruction of the mandible: a cadaveric study. Int J Oral Maxillofac Surg. 2016; 45: 960-3
33. Li P, Fang Q, Qi J, Luo R, Sun C. Risk Factors for Early and Late Donor-Site Morbidity After Free Fibula Flap Harvest. J Oral Maxillofac Surg. 2015; 73: 1637-40
34. Shindo M, Fong BP, Funk GF, Karnell LH. The fibula osteocutaneous flap in head and neck reconstruction: a critical evaluation of donor site morbidity. Arch Otolaryngol Head Neck Surg 2000; 126: 1467–72
35. Gamba A, Romano M, Grosso IM, et al. Psychosocial adjustment of patients surgically treated for head and neck cancer. Head Neck. 1992; 14: 218-23
36. Danielsson D, Munck-Wikland E, Hagel E, Halle M. Quality of life after microvascular mandibular reconstruction for osteoradionecrosis—A prospective study Head & Neck.2019; 1–6
37. Rhoten BA. Head and Neck Cancer and Sexuality A Review of the Literature Cancer. Cancer Nurs. 2016; 3: 313-2
38. Zhu J, Yang Y, Li W. Assessment of quality of life and sociocultural aspects in patients with ameloblastoma after immediate mandibular reconstruction with a fibular free flap. Br J Oral Maxillofac Surg. 2014; 52: 163-167
39. Yang W, Zhao S, Liu F, Sun M. Health-related quality of life after mandibular resection for oral cancer: reconstruction with free fibula flap. Med Oral Patol Oral Cir Bucal. 2014; 19: e414-8
40. Pappalardo M, Tsao CK, Tsang ML, Zheng J, Chang YM, Tsai CY. Long-term outcome of patients with or without osseointegrated implants after resection of mandibular ameloblastoma and reconstruction with vascularized bone graft: Functional assessment and quality of life. J Plast Reconstr Aesthet Surg. 2018; 71: 1076-1085.
41. Jacobsen HC, Wahnschaff F, Trenkle T, Sieg P, Hakim SG. Oral rehabilitation with dental implants and quality of life following mandibular reconstruction with free fibular flap. Clinical oral investigations. 2016; 20: 187-92