Assessment of quality of life in patients treated for orbital fractures

Grace Paka Lubamba; Xinpeng Dai; Zhenyu Song; Eissa A Al-Shujaa; Jian Guan; Xinyu Wang; Jean-Paul Sekele Isouradi-Bourley; Yanqi Zhang; Augustin Mantshumba Milolo; Fidele Nyimi Bushabu; Pengkun Xu; Di Che

doi:10.1016/j.jormas.2023.101486

Assessment of quality of life in patients treated for orbital fractures

J Stomatol Oral Maxillofac Surg. 2023 Oct;124(5):101486. doi: 10.1016/j.jormas.2023.101486. Epub 2023 Apr 25.

Affiliations

¹ Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital of Jiamusi University, 522 Hong Qi Street, P.C., Jiamusi 154004, China; Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, University of Kinshasa, Kinshasa, People's Republic of Congo; Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
² Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital of Jiamusi University, 522 Hong Qi Street, P.C., Jiamusi 154004, China.
³ Department of Oral and Maxillofacial Surgery, State Key Laboratory of Oral Diseases and National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China.
⁴ Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital of Jiamusi University, 522 Hong Qi Street, P.C., Jiamusi 154004, China. Electronic address: guanjian1207@163.com.
⁵ Department of Prosthodontics, Faculty of Dental Medicine, University of Kinshasa, Kinshasa, People's Republic of Congo.
⁶ Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, University of Kinshasa, Kinshasa, People's Republic of Congo.

PMID: 37105493
DOI: 10.1016/j.jormas.2023.101486

Abstract

Purpose: This study aimed to assess the quality of life (QOL), before and after surgery, of patients who underwent open reduction and internal fixation for orbital fractures.

Study design: A prospective study.

Participants and setting: The self-report outcome measures of 50 patients treated at the Department of Oral and Maxillofacial Surgery of the Second Affiliated Hospital of Jiamusi University from January 2016 to June 2019 were prospectively collected.

Main measures: The quality of life was assessed using four patient-reported outcome measures (PROMs): the 15D questionnaire, Oral Health Impact Profile-14 (OHIP-14), Hospital Anxiety and Depression Scale (HADS), and 36-item Short Form Survey (SF-36). Both descriptive and comparative data analyses were calculated.

Results: Zygomaticomaxillary complex fractures were the most encountered (40.3%). The total OHIP-14 scores before and after treatment were 1.72 and 1.68, respectively. Vision, breathing, sleeping, eating, usual activities, discomfort and symptoms, and vitality showed minimal changes in the 15D questionnaire. The HADS scores were ranged from 0 to 7, indicating no anxiety or depression. The comparison of SF-36 scores after 3 months and after ≥6 months of treatment revealed no significant difference.

Conclusions: Patients' QOL was minimally impacted by orbital fractures and their treatments. The severity of the negative impact can be minimized if appropriate management strategies are taken.

Keywords: Orbit; Orbital fractures; Patient reported outcome measures; Quality of life; Therapeutics.

MeSH terms

Fracture Fixation, Internal
Humans
Orbital Fractures* / diagnosis
Orbital Fractures* / epidemiology
Orbital Fractures* / surgery
Patient Reported Outcome Measures
Prospective Studies
Quality of Life