Assessment of Health-Related Quality of Life in Robin Sequence: A Comparison of Mandibular Distraction Osteogenesis and Tongue-Lip Adhesion
Gespeichert in:
| Titel: | Assessment of Health-Related Quality of Life in Robin Sequence: A Comparison of Mandibular Distraction Osteogenesis and Tongue-Lip Adhesion |
|---|---|
| Autoren: | Logjes, Robrecht J. H., Mermans, Joline F., Paes, Emma C., Muradin, Marvick S. M., Don Griot, J. Peter, Breugem, Corstiaan C. |
| Weitere Verfasser: | Zorgeenheid Plastische Chirurgie Medisch, MS Mondziekten/Kaakchirurgie, Other research (not in main researchprogram) |
| Quelle: | Logjes, R J H, Mermans, J F, Paes, E C, Muradin, M S M, Don Griot, J P & Breugem, C C 2019, 'Assessment of Health-Related Quality of Life in Robin Sequence: A Comparison of Mandibular Distraction Osteogenesis and Tongue-Lip Adhesion', Plastic and reconstructive surgery, vol. 143, no. 5, pp. 1456-1465. https://doi.org/10.1097/PRS.0000000000005510 |
| Verlagsinformationen: | Ovid Technologies (Wolters Kluwer Health), 2019. |
| Publikationsjahr: | 2019 |
| Schlagwörter: | Male, Osteogenesis, Distraction, Osteogenesis, Distraction/methods, Tissue Adhesions, Mandible, 03 medical and health sciences, 0302 clinical medicine, Tissue Adhesions/etiology, Tongue, Mandible/abnormalities, Surveys and Questionnaires, Pierre Robin Syndrome/surgery, Tongue/abnormalities, Journal Article, Humans, Comparative Study, Caregivers/statistics & numerical data, Retrospective Studies, Pierre Robin Syndrome, Infant, Newborn, Infant, Lip, Treatment Outcome, Caregivers, Quality of Life, Surgery, Female, Lip/surgery, Surveys and Questionnaires/statistics & numerical data |
| Beschreibung: | Background: Numerous studies have proven the efficacy of mandibular distraction osteogenesis or tongue-lip adhesion in Robin sequence infants with upper airway obstruction. However, none has compared health-related quality of life outcomes. Methods: In the present retrospective study, Robin sequence infants younger than 1 year, who underwent mandibular distraction osteogenesis or tongue-lip adhesion, were included (2006 to 2016). The infants’ caregivers were asked to complete a questionnaire based on the Glasgow Children’s Benefit Inventory. Results: The response rate was 71 percent (22 of the 31 questionnaires; mandibular distraction osteogenesis, 12 of 15; and tongue-lip adhesion, 10 of 16) and median age at surgery was 24 days (range, 5 to 131 days). Median total Glasgow Children’s Benefit Inventory scores after mandibular distraction osteogenesis and after tongue-lip adhesion were 21.9 (interquartile range, 9.4) and 26.0 (interquartile range, 37.5), respectively (p = 0.716), indicating an overall benefit from both procedures. Positive changes were observed in all subgroups emotion, physical health, learning, and vitality. In syndromic Robin sequence, both procedures demonstrated a lower positive change in health-related quality of life compared with isolated Robin sequence (p = 0.303). Conclusions: Both surgical procedures demonstrated an overall benefit in health-related quality-of-life outcomes, with no significant differences. The authors’ findings contribute to the debate regarding the use of mandibular distraction osteogenesis versus tongue-lip adhesion in the surgical treatment of Robin sequence; however, studies evaluating health-related quality of life in larger Robin sequence cohorts are necessary to identify which procedure is likely to be best in each individual Robin sequence infant. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III. |
| Publikationsart: | Article |
| Dateibeschreibung: | application/pdf |
| Sprache: | English |
| ISSN: | 0032-1052 |
| DOI: | 10.1097/prs.0000000000005510 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/30789482 https://www.ncbi.nlm.nih.gov/pubmed/30789482 https://www.narcis.nl/publication/RecordID/oai%3Apure.atira.dk%3Apublications%2F6de5bc97-3afd-401e-83ce-4d8e506a305f http://dspace.library.uu.nl/handle/1874/391566 https://europepmc.org/abstract/MED/30789482 https://research.vumc.nl/en/publications/assessment-of-health-related-quality-of-life-in-robin-sequence-a- https://research.vumc.nl/en/publications/6de5bc97-3afd-401e-83ce-4d8e506a305f https://dspace.library.uu.nl/handle/1874/391566 https://pure.amsterdamumc.nl/en/publications/bb8d1f71-2ce3-4914-9510-f332cfda181c https://doi.org/10.1097/PRS.0000000000005510 |
| Dokumentencode: | edsair.doi.dedup.....ae2a569f88b0392a363d38d3723d0b28 |
| Datenbank: | OpenAIRE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstract: | Background: Numerous studies have proven the efficacy of mandibular distraction osteogenesis or tongue-lip adhesion in Robin sequence infants with upper airway obstruction. However, none has compared health-related quality of life outcomes. Methods: In the present retrospective study, Robin sequence infants younger than 1 year, who underwent mandibular distraction osteogenesis or tongue-lip adhesion, were included (2006 to 2016). The infants’ caregivers were asked to complete a questionnaire based on the Glasgow Children’s Benefit Inventory. Results: The response rate was 71 percent (22 of the 31 questionnaires; mandibular distraction osteogenesis, 12 of 15; and tongue-lip adhesion, 10 of 16) and median age at surgery was 24 days (range, 5 to 131 days). Median total Glasgow Children’s Benefit Inventory scores after mandibular distraction osteogenesis and after tongue-lip adhesion were 21.9 (interquartile range, 9.4) and 26.0 (interquartile range, 37.5), respectively (p = 0.716), indicating an overall benefit from both procedures. Positive changes were observed in all subgroups emotion, physical health, learning, and vitality. In syndromic Robin sequence, both procedures demonstrated a lower positive change in health-related quality of life compared with isolated Robin sequence (p = 0.303). Conclusions: Both surgical procedures demonstrated an overall benefit in health-related quality-of-life outcomes, with no significant differences. The authors’ findings contribute to the debate regarding the use of mandibular distraction osteogenesis versus tongue-lip adhesion in the surgical treatment of Robin sequence; however, studies evaluating health-related quality of life in larger Robin sequence cohorts are necessary to identify which procedure is likely to be best in each individual Robin sequence infant. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III. |
|---|---|
| ISSN: | 00321052 |
| DOI: | 10.1097/prs.0000000000005510 |