| Objective:Oral and maxillofacial tissue defects are often caused by oral cancer,trauma,infections,etc,which will lead to a decrease in the quality of life of patients.The reconstruction of defects is a common challenge for oral and maxillofacial surgeons.In clinic,the common reconstruction method of oral and maxillofacial soft tissue defects is skin flaps.Different flap repair patients also have different quality of life.This article aims to explore the differences in the quality of life of patients with supraclavicular artery flaps and pectoralis major muscle flaps for reconstruction of oral and maxillofacial soft tissue defects more than 2 years after surgery,and analyze the influencing factors of quality of life.Methods:1.From May 2007 to January 2018,21 patients with maxillofacial defects who met the standard after surgery in the Affiliated Hospital of Jiangxi University of traditional Chinese medicine and the First Affiliated Hospital of Nanchang University survived for more than 2 years were collected(including 9 patients in the supraclavicular artery flap group and 12 patients in the pectoralis major muscle flap group).From June 2019 to January 2020,we communicated with the patients by telephone or on-site interview,filled in the fourth edition of the University of Washington Quality of Life Scale(UW-QOL)and 36-item Concise Health Survey Scale(SF-36),and investigated the quality of life of the patients who survived more than 2 years.2.According to different repair methods,patients were divided into two groups:supraclavicular artery flap group and pectoralis major muscle flap group.The general clinical data of the two groups of patients were analyzed,the quality of life questionnaire data of the two groups were sorted out,the quality of life of patients with two flaps repairing oral and maxillofacial defects was evaluated,and the influencing factors of quality of life were analyzed.3.All collected data are analyzed by SPSS 20.0 software package.The general data of patients were analyzed by independent sample t test or chi-square test.The Mann-Whitney U test was used to analyze the UW-QOL scores of the two groups of patients;the independent sample t test was used to analyze the SF-36 scores of the two groups of patients.P <0.05,the difference between the two is considered statistically significant.Results:1.A total of 21 patients voluntarily completed the survey of the two quality of life questionnaires.There was no significant difference in the overall quality of life after surgery between the supraclavicular artery flap group and the pectoralis major muscle flap group(P> 0.05).2.In the University of Washington Quality of Life Scale,the supraclavicular artery flap group scored higher in appearance and shoulder function than the pectoralis major muscle flap group.The difference was statistically significant(P<0.05).Both groups of patients believed that swallowing,language,Chewing has the greatest impact on daily life.3.In the 36-item condensed health questionnaire,the supraclavicular artery flap is superior to the pectoralis major muscle flap in social function,and the difference is statistically significant(P <0.05).Conclusions:1.Defects Oral and maxillofacial tissue defects will cause a decrease in the patient’s quality of life.Repair of the pectoralis major muscle flap and supraclavicular artery flap can improve the patient’s quality of life to a certain extent,and the overall quality of life of the two groups of patients is not significantly different2.The supraclavicular artery flap is superior to the pectoralis major muscle flap in appearance,shoulder function,and social interaction.Patients with higher requirements in these aspects may consider using the supraclavicular artery flap..3.After the operation,the patient’s shoulder function,swallowing,language,etc.should be targeted for functional training and denture restoration to restore the patient’s chewing function.4.Gender,age,disease stage,and treatment methods all have varying degrees of impact on the quality of life of patients after surgery.For women and older people,life care and psychological intervention should be strengthened.Early diagnosis and treatment of diseases improves the quality of life of patients... |
