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European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 5/2019

01-05-2019 | Head & Neck

Long-term health-related quality of life after mandibular resection and reconstruction

Authors: Anton Warshavsky, Dan M. Fliss, Gal Frenkel, Aviv Kupershmidt, Nuphar Moav, Roni Rosen, Melissa Sechter, Udi Shapira, Sara Abu-Ghanem, Moshe Yehuda, Arik Zaretski, Ravit Yanko-Arzi, Vadim Reiser, Gilad Horowitz

Published in: European Archives of Oto-Rhino-Laryngology | Issue 5/2019

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Abstract

Purpose

To compare short- and long-term quality of life (QOL) scores in patients undergoing mandibular resection and reconstruction.

Materials and methods

All the patients who underwent resection and reconstruction of the mandible between 2000 and 2015 at a large tertiary center were retrospectively reviewed. Their QOL was measured by the University of Washington QOL questionnaire. Between 12 and 189 months (median 83.5 months) had elapsed since the end of treatment. The QOL of the short-term (< 5 years) and long-term (> 5 years) follow-up groups was compared and analyzed.

Results

Fifty-eight patients completed the questionnaire. The scores for physical function, emotional function, activity, recreation, and taste domains were significantly higher for the long-term follow-up group. The activity and pain domains posed a significant problem for significantly more patients in the short-term follow-up group.

Conclusion

Comparison of the short- and long-term QOL scores of patients undergoing mandibular resection and reconstruction revealed that the scores for the latter were significantly higher in several domains. This finding might be indicative of a cumulative effect of time on patients’ QOL, even many years post-treatment.
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Metadata
Title
Long-term health-related quality of life after mandibular resection and reconstruction
Authors
Anton Warshavsky
Dan M. Fliss
Gal Frenkel
Aviv Kupershmidt
Nuphar Moav
Roni Rosen
Melissa Sechter
Udi Shapira
Sara Abu-Ghanem
Moshe Yehuda
Arik Zaretski
Ravit Yanko-Arzi
Vadim Reiser
Gilad Horowitz
Publication date
01-05-2019
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 5/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-019-05371-2

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