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Health-Related Quality of Life in Patients After Surgically Treated Midface Fracture: A Comparison with the Croatian Population Norm

Authors Lupi-Ferandin S, Glumac S, Poljak N, Galic T, Ivkovic N, Brborovic O, Pecotic R, Dogas Z

Received 12 February 2020

Accepted for publication 18 March 2020

Published 9 April 2020 Volume 2020:16 Pages 261—267

DOI https://doi.org/10.2147/TCRM.S249116

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Garry Walsh


Slaven Lupi-Ferandin,1 Sandro Glumac,2 Nancy Poljak,3 Tea Galic,4,5 Natalija Ivkovic,6 Ognjen Brborovic,7 Renata Pecotic,5,6 Zoran Dogas5,6

1Department of Maxillofacial and Oral Surgery, University Hospital of Split, Split, Croatia; 2Department of Anesthesiology and Intensive Care, University Hospital of Split, Split, Croatia; 3Study of Dental Medicine, School of Medicine, University of Zagreb, Zagreb, Croatia; 4Study of Dental Medicine, School of Medicine, University of Split, Split, Croatia; 5Department of Neuroscience, School of Medicine, University of Split, Split, Croatia; 6Sleep Medicine Center, School of Medicine, University of Split, Split, Croatia; 7Department of Social Medicine and Organization of Health Care, Andrija Stampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia

Correspondence: Zoran Dogas
Department of Neuroscience, School of Medicine, University of Split, Soltanska 2, Split 21000, Croatia
Tel +385 21557903
Fax +385 21557895
Email zdogas@gmail.com

Aim: To evaluate the health-related life quality of patients after surgically treated midface fractures.
Patients and Methods: This retrospective cohort study compared the 36-Item Short Form Health Survey (SF-36) scores of 42 male patients following surgically treated maxillary or zygomatic fractures with the reported normative data of the SF-36 for the Croatian population.
Results: The current study showed that the health-related life quality of surgically treated patients was comparable to similar age, gender, and regional demographics in the Croatian population norm. However, we revealed a significant deterioration of the “Emotional wellbeing” domain in younger patients (P = 0.03) and a severely affected domain of “Physical functioning” in older patients (P = 0.049).
Conclusion: There was a significant negative psychological impact from facial trauma on younger patients. In contrast, older patients were more prone to physical impairment. Therefore, follow-up visits are an opportunity to screen and refer younger patients to mental health services in a timely manner to prevent severe psychological difficulties and an opportunity to identify older patients who require physical therapy.

Keywords: quality of life, patient outcome assessment, maxillary fractures, zygomatic fractures, surgery, oral

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