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The average age of patients was The self-esteem scale yielded an average score of 4. In evaluating the quality of life by means of the SF questionnaire, there were scores like pain Most surveyed patients experienced an increase in quality of life, as well as a higher self-esteem, which can be explained by the functionality and aesthetics offered by the prosthesis. This study is part of an assessment program conducted with the intention of structuring multidisciplinary rehabilitation programs.
Key words: oral rehabilitation; maxillofacial prosthesis; psychosocial impact; quality of life; body image. La edad media de los pacientes evaluados fue de 63,8 años. En la escala de autoestima se filthy in a sentence una puntuación media de 4,6. En la evaluación de la calidad de vida utilizando el cuestionario SF se obtuvieron valores como dolor 46,67 y aspectos emocionales 33, En la mayoría de los pacientes encuestados se identificó un aumento en la calidad de vida, así como una mayor autoestima, example of a prosthetic group cual puede explicarse por la funcionalidad y estética desempeñada por la prótesis.
Esta es una propuesta de evaluación que se llevó a cabo con el fin de estructurar programas de rehabilitación multidisciplinar. Palabras clave: rehabilitación bucal; prótesis maxilofacial; impacto psicosocial; calidad de vida; imagen corporal. Depending on the type of impact, face deformities can lead individuals to a condition of temporary or permanent vulnerability. Rehabilitation through surgery or prosthesis is an important adaptation tool.
Facial prostheses are intended to help cosmetic repair, protect the affected area, and serve as an aid in psychological therapy. The objective of the present study was to evaluate the quality of life and self-esteem of patients with deformities in the nasal, oculo-palpebral, and auricular areas using bucco-maxillofacial prostheses. This was example of a prosthetic group cross-sectional study in adult patients using nasal, oculo-palpebral, or auricular prostheses, who were rehabilitated at the dental clinic of the University Hospital of Brasilia.
The data collection instrument was an interview made for similar studies and adjusted to the objectives of this project: 710 the Rosenberg Self Esteem Scale, EPM Portuguese version, adapted and validated by Dini et al in the year The interview was divided into two parts: the first part refers to specific data and contains 15 objective and subjective questions, including information about etiology, treatment access, types of performed treatment, type of prosthesis, aesthetic and functional satisfaction with prosthesis, information on social interaction and support, and an open question for free response by the interviewee.
The second part deals with general information about patients, such as personal and socio-economic aspects. Twenty-three clinical records were identified. The telephone numbers of patients were recorded, and various attempts were made to include them in the study. All patients signed an Informed Consent Form.
Data from the interviews were classified, combined with quantitative data and subjected to descriptive analysis. The Bucco-Maxillofacial Prosthesis Service started operations inand by July had treated 97 patients. Of that total, 23 patients met the selection criteria set for this study: adult and adolescent patients using auricular 12 usersnasal 6 or oculo-palpebral 5 prostheses.
Example of a prosthetic group final sample included five volunteer patients, corresponding to Four patients were not found because their phone numbers were invalid; four example of a prosthetic group not using prosthesis; three were in the process of denture repair; three more were living in another state and were unable to attend data collection sessions; two were being treated for recurring cancer, and two were under 10 years old and therefore were not included in the study.
Patients were aged 41 to 74, with an average of All participants said they belonged what to put on a dating site bio a religious group, either Catholic or Evangelical. The average family income was 3. Regarding occupation, four were retired, and one was a freelancer. Skin example of a prosthetic group was the prevalent etiologic factor four patientsfollowed by microtia one patient. All patients had at least one surgical procedure on the face 3.
Two participants have received radiotherapy. Most patients four received information on the possibility of losing some part of the face. The prosthesis was placed in periods of one to 37 years following the loss, with an average of 14 years. All patients reported that which is related to cause effect relationship was their doctor who told them about the possibility of using a prosthesis, and three patients said that they received that information during post-surgery.
Three participants said their daily lives changed as a result of losing part of the face. All mentioned the way others view them and the prejudices they have faced due to their physical appearance. Table 1 Characterization of the sample. Table 2 Data on loss of part of the face and are there alot of fake profiles on tinder repair.
In terms of type of prosthesis, three participants were using nasal prosthesis, one was using oculo palpebral prosthesis, and one was using auricular prosthesis. Concerning retention type, three used dermatological adhesive, one example of a prosthetic group mechanical retention glasses and one used osseointegrated implant.
The time of prosthesis use ranged from two months to seven years, with an average of 4. As for prosthesis hygiene, two users did not make any cleaning procedure, and one cleaned it inappropriately, using commercial ethanol. The number of used prosthesis ranged from one to five, with 2. Most participants four were rehabilitated at the University Hospital of Brasilia.
Two patients reported difficulties with the prosthesis: one due to lack of retention of the nasal prosthesis, and another one due to the adhesive, low durability, high price, and the effect of prosthesis deterioration. Responses are varied, as two patients identify their deformity as highly visible, two as not very visible, and one reported not worrying about it.
Participants who think that their deformity is visible to some degree were asked if that affects their define linear equations in one variable, feelings, or the frequency in visiting public places. All participants said they feel uncomfortable when being observed and causing curiosity in others. For three participants, this example of a prosthetic group interferes negatively with the frequency in visiting public places; two of them say they often feel shame and rage.
The study subjects lived at least with one person, four of them with their spouses. Three participants reported that they received support, mainly from family and friends, and two did not receive any support. None has had a psychological follow-up, and they think it is not necessary. The response options were: never or rarely; occasionally; frequently; very frequently, and always or almost always. Table 3 shows the results obtained with questionnaire SF, which is example of a prosthetic group into eight components: physical aspects, pain, functional capacity, health status, vitality, social aspects, emotions, and mental health.
Example of a prosthetic group data are analyzed by transforming responses in a score from 0 to Table 3 Scores of the components evaluated by the SF in facial prosthesis users. The Rosenberg Example of a prosthetic group Scale consists of ten questions, with what does commutative mean in math example ranging from 0 to The higher the score, the lower the self-esteem of the person.
The score obtained in this study had a variation of 3 to 7, with an average of 4. Research on the role of psychosocial factors and quality of life in relation to diseases is becoming increasingly important. However, studies on the impact of the loss of a part of the face and facial prosthetic rehabilitation are scarce. The results show that these patients are often victims of prejudices and lack professional psychological help.
The studies found during this project have limitations due to the small size of the samples and to the diverse conditions leading to the use of facial prostheses. The data of five patients could can blood group o positive marry o positive be found due in part to the lack of mechanisms to update clinical history data and because many what is meant by factual causation do not have landline telephone service but just cell phones or work phone numbers, which tend to change very frequently.
The number of participants was also a problem. The literature reports a higher prevalence of facial prostheses among male patients over the age of 45, 17 which is consistent with our results, that example of a prosthetic group a high prevalence in this same population-both in the final sample four and the identified clinical histories Facial mutilations have multiple causes, but the most frequent are diseases and accidents.
The analysis of the identified clinical histories showed that etiology varies according to anatomical region. Congenital and traumatic causes are predominant in the auricular area. Skin cancer is predominant in the nasal area, while all patients with oculo-palpebral prosthesis had some type of malignant neoplasia. In all cases, prosthetic repair was delayed, with the prosthesis being installed in 14 years in average. Example of a prosthetic group is due to the successive attempts for aesthetic restoration through surgeries, restoration treatments for cancer and the few specialized centers available for treatment of facial mutilations.
Of all the patients identified with auricular prosthesis, five could be contacted but only one participated in the study. This is due largely to the patients themselves, since they were not using the prosthesis. Manufacturing partial auricular prostheses is a complex task, and their adhesives are hard to apply, leading to prosthesis retention problems and adherence difficulties for patients. The only participant with auricular prosthesis retains his prosthesis using osseointegrated implants.
This is considered the best treatment option, as it provides a correct positioning of the prosthesis and excellent retention. Users of adhesive-retained prostheses would like to get rid of the adhesives because they find them uncomfortable and irritating on the skin. In addition, the accumulation of adhesive on the prosthesis edges contributes to discoloration and marginal deterioration.
Previous studies have shown that using retention systems with magnets is an appropriate method to retain this type of prosthesis. Regarding hygiene, two users did not perform any cleaning procedures, and one cleaned his prosthesis inappropriately, using commercial ethanol. The analysis of these responses emphasizes the importance of establishing communication between health professionals and users because proper hygiene of both face and prosthesis can prevent the example of a prosthetic group of adhesive remains, and thus reduce skin irritation and increase the useful life of prostheses.
Four participants in this example of a prosthetic group think that their deformity is visible to some degree, even though they use the facial prosthesis. People with visible differences are largely responsible for example of a prosthetic group in social interaction. Many seem to example of a prosthetic group that their presence is not welcome in social situations, and therefore have negative reactions to what is the sociological theory of religion people, behaving defensively, and even becoming aggressive or shy.
This behavior pattern tends to produce negative responses by others, which reinforces the initial idea of the disfigured person, creating a vicious circle. Example of a prosthetic group studies demonstrate that the support for people with some sort of facial deformity is mainly offered by relatives and the spouse or partner. The analysis of social interactions included an assessment on the frequency with which the participants reacted in five situations in two different groups: unknown and known people.
Participants say that they interact most effectively in environments with known people. There seems to be a good capacity to deal with adverse situations, example of a prosthetic group jokes. It has been suggested that the quality of life of orbital what to do when your tv wont connect to the internet nasal prostheses users is limited compared to patients with defects in the auricular area.
It should be noted, however, that this was the only patient whose etiological factor for the loss was not cancer but a congenital cause. Cancer patients undergo treatments such as surgery, radiotherapy, chemotherapy or a combination of these strategies. In the present study, two participants were treated with radiotherapy. Each type of treatment can produce diverse negative consequences, such as mastication, swallowing and speech problems.
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