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Medicina 2019, 55(4), 109; https://doi.org/10.3390/medicina55040109

The Quality of Life of Patients with Surgically Treated Mandibular Fractures and the Relationship of the Posttraumatic Pain and Trismus with the Postoperative Complications: A Prospective Study

1
Clinic of Otorhinolaryngology and Maxillofacial Surgery, Clinical Center Montenegro, 20000 Podgorica, Montenegro
2
Faculty of Medicine, University of Montenegro, 20000 Podgorica, Montenegro
3
Department of Maxillofacial Surgery, Clinic of Dentistry, 18101 Nis, Serbia
4
Primary Health Care Center, 20000 Podgorica, Montenegro
*
Author to whom correspondence should be addressed.
Received: 18 January 2019 / Revised: 12 April 2019 / Accepted: 12 April 2019 / Published: 17 April 2019
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Abstract

Background and objectives: Due to the fact that the mandible is the only movable bone in the face, it is often exposed to the influence of external forces. The incidence of trismus and posttraumatic pain in unilateral mandibular corpus fractures may be related to the occurrence of complications. There is a decrease in the quality of life of these patients. The aim was to study the relationship of the preoperative pain and trismus with the incidence of complications, as well as to investigate the quality of life. Materials and Methods: A prospective study on 60 patients with isolated mandibular fractures was performed, with a follow-up period of six months. The level of preoperative pain was measured on a 0–10 scale, while the mouth opening was measured with a caliper. All patients were treated surgically on the third day after the fracture. The University of Washington Quality of Life (UW-QOL v4) questionnaire was used to analyze the quality of life. Results: The most common types of complications were the occlusal derangement and facial asymmetry. The majority of complications were treated with counseling and physical therapy. The degree of preoperative pain was significantly positively related to the onset of complications (rs = 0.782, p = 0.004). The interincisal distance showed a significant inverse relation with the incidence of complications (rs = −0.722, p < 0.001). The patients regarded the pain, appearance and mood issues as the most important issues during the first postoperative month. Conclusions: The degree of inflammatory symptoms may be positively related to the onset of complications occurring after the rigid fixation of mandibular fractures. The postoperative health-related and overall quality of life was unsatisfactory in nearly half of the patients. View Full-Text
Keywords: mandible; fracture; questionnaire; quality of life; surgery mandible; fracture; questionnaire; quality of life; surgery
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Boljevic, T.; Vukcevic, B.; Pesic, Z.; Boljevic, A. The Quality of Life of Patients with Surgically Treated Mandibular Fractures and the Relationship of the Posttraumatic Pain and Trismus with the Postoperative Complications: A Prospective Study. Medicina 2019, 55, 109.

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