Patients' satisfaction with facial prostheses.
We assessed the "impact on wellbeing" and "satisfaction" of patients who had a facial prosthesis (of the ear, nose, or orbit) fitted in The Netherlands Cancer Institute. Patients had either an adhesive-retained or an implant-retained facial prosthesis between 1951 and 2011. We did a cross-sectional survey of 104 patients, then gave a questionnaire to the final study group of 71 (68%), a year or more later. All were satisfied with their prostheses (visual analogue scale (VAS): mean (SD) 8.1(1.5). The implant-retained group were the most satisfied (p=0.022), and the adhesive-retained group felt more self-conscious (p=0.013). Three-quarters of all patients said that the prosthesis was not painful and there were no problems with the way it functioned. A well-designed facial prosthesis has obvious benefits, but there were no appreciable differences between the two groups. Each patient must make a careful decision about which type of prosthesis to choose, taking into account the quality of their remaining tissue, the site of the defect, and their general health.
The Netherlands Cancer Institute, Antoni van Leeuwenhoek, Department of Head and Neck Surgery, P.O. Box 90203, 1006 BE Amsterdam, The Netherlands; The University Medical Centre Groningen, Department of Otorhinolaryngology, P.O. Box 30001, 9700 RB Groningen, The Netherlands. Electronic address: m.wondergem@umcg.nl.
Marloes
M
Wondergem
The Netherlands Cancer Institute, Antoni van Leeuwenhoek, Department of Head and Neck Surgery, P.O. Box 90203, 1006 BE Amsterdam, The Netherlands. Electronic address: g.lieben@nki.nl.
George
G
Lieben
The Netherlands Cancer Institute, Antoni van Leeuwenhoek, Department of Head and Neck Surgery, P.O. Box 90203, 1006 BE Amsterdam, The Netherlands. Electronic address: s.bouman@nki.nl.
Shirley
S
Bouman
The Netherlands Cancer Institute, Antoni van Leeuwenhoek, Department of Head and Neck Surgery, P.O. Box 90203, 1006 BE Amsterdam, The Netherlands; Academic Medical Centre of the University of Amsterdam, Department of Oral and Maxillofacial Surgery, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands. Electronic address: m.vd.brekel@nki.nl.
Michiel W M
MW
van den Brekel
The Netherlands Cancer Institute, Antoni van Leeuwenhoek, Department of Head and Neck Surgery, P.O. Box 90203, 1006 BE Amsterdam, The Netherlands. Electronic address: p.lohuis@nki.nl.
Peter J F M
PJ
Lohuis
D003430:Cross-Sectional Studies; D003738:Dental Cements; D005145:Face; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D009426:Netherlands; D020273:Orbital Implants; D017060:Patient Satisfaction; D019736:Prostheses and Implants
D003738:Dental Cements
adhesive; facial prosthesis; osseointegrated implants; patients’ satisfaction