title: Assessment of quality of life and sociocultural aspects in patients with ameloblastoma after immediate mandibular reconstruction with a fibular free flap.
abstract: Our aim was to evaluate the quality of life (QoL) in patients with ameloblastoma who had been treated by immediate mandibular reconstruction with a fibular free flap, and to analyse the association between QoL and their sociocultural and medical characteristics. We assessed the QoL outcomes of 33/45 patients using the University of Washington quality of life (UW-QoL) questionnaire and the 14-item Oral Health Impact Profile (OHIP-14). Thirty-three of the 45 questionnaires were returned (73%). In the UW-QoL the best-scoring domain was "shoulder", whereas the lowest scores were for "chewing" and "activity". In the OHIP-14 the lowest-scoring domain was "handicap", followed by "social disability" and "psychological discomfort". Mandibular reconstruction with a fibular free flap significantly influenced the patients' QoL and oral function. Their sociocultural data showed that most patients had a fairly low level of education.
authors.affiliation: Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.
authors.forename: Juanfang
authors.initials: J
authors.lastname: Zhu
authors.affiliation: Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.
authors.forename: Yanjie
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China. Electronic address: lwldoctor@163.com.
authors.forename: Wenlu
authors.initials: W
authors.lastname: Li
mesh_terms: D000564:Ameloblastoma / Q000523:psychology* / Q000601:surgery; D016025:Bone Transplantation / Q000523:psychology*; D003430:Cross-Sectional Studies; D003679:Deglutition / Q000502:physiology; D004522:Educational Status; D004954:Esthetics; D005260:Female; D058752:Free Tissue Flaps; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000523:psychology* / Q000601:surgery; D063175:Mandibular Reconstruction / Q000523:psychology*; D008409:Mastication / Q000502:physiology; D008875:Middle Aged; D009043:Motor Activity; D009909:Oral Health; D010149:Postoperative Pain / Q000523:psychology; D011788:Quality of Life; D011998:Recreation; D012189:Retrospective Studies; D013060:Speech / Q000502:physiology; D013315:Stress, Psychological / Q000523:psychology
keywords: Free fibula flap; OHIP-14; Quality of life; Reconstruction; UW-QOL