M.W.M. van den Brekel
- Patients' satisfaction with facial prostheses
- British Journal of Oral & Maxillofacial Surgery
- Volume | Issue number
- 54 | 4
- Pages (from-to)
- Document type
- Faculty of Dentistry (ACTA)
Faculty of Humanities (FGw)
- Amsterdam Center for Language and Communication (ACLC)
We assessed the “impact on wellbeing” and “satisfaction” of patients who had a facial prosthesis (of the ear, nose, or orbit) fitted in The Netherlands Cancer Institute. Patients had either an adhesive-retained or an implant-retained facial prosthesis between 1951 and 2011. We did a cross-sectional survey of 104 patients, then gave a questionnaire to the final study group of 71 (68%), a year or more later. All were satisfied with their prostheses (visual analogue scale (VAS): mean (SD) 8.1(1.5). The implant-retained group were the most satisfied (p = 0.022), and the adhesive-retained group felt more self-conscious (p = 0.013). Three-quarters of all patients said that the prosthesis was not painful and there were no problems with the way it functioned. A well-designed facial prosthesis has obvious benefits, but there were no appreciable differences between the two groups. Each patient must make a careful decision about which type of prosthesis to choose, taking into account the quality of their remaining tissue, the site of the defect, and their general health.
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