Health-related quality of life in patients surgically treated for orbital blow-out fracture: a prospective study
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ORIGINAL ARTICLE
Health-related quality of life in patients surgically treated for orbital blow-out fracture: a prospective study Hanna Rajantie 1 & Leena Kaukola 1 & Johanna Snäll 1 & Risto Roine 2,3 & Harri Sintonen 4 & Hanna Thorén 5,6 Received: 14 April 2020 / Accepted: 3 November 2020 # The Author(s) 2020
Abstract Purpose The purpose of this study was to evaluate patients’ health-related quality of life (HRQoL) before and after surgical treatment of orbital blow-out fracture. Methods This prospective study comprises of all adult patients undergoing a surgical reconstruction of an orbital blow-out fracture in 2006–2010. Their HRQoL was evaluated for 6 months postoperatively with the aid of the standardized 15D instrument and was compared with that of an age- and gender-standardized sample of the general Finnish population. A complementary questionnaire for more detailed information was also administered. Results Twenty-six patients completed the study. Mean 15D score among the patients preoperatively (0.898) was statistically significantly and clinically importantly worse than the score of the control population (0.936). Six months postoperatively, the mean 15D score was 0.920, with no significant difference compared with the control population and the significant differences on the different dimensions had disappeared. The most common complaint at 6 months postoperatively was diplopia in daily life (19%). Disturbances in facial sensation (27%) and defects in facial appearance (15%) were the most unpleasant subjective outcomes. Conclusion The HRQoL is significantly decreased after orbital blow-out fracture compared with the general population but will recover completely in 6 months. Thus, the negative impact of orbital blow-out fracture on HRQoL is only transient. Disturbances in facial sensation, defects in facial appearance, and diplopia are the most common subjective complaints after the injury and its surgical treatment. However, these do not appear to affect the overall quality of life in the long term. Keywords Facial trauma . Orbital fracture . Orbital reconstruction . Patient satisfaction . Health-related quality of life
Introduction * Hanna Rajantie [email protected] 1
Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
2
Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland
3
Helsinki and Uusimaa Hospital District, Administration, Helsinki, Finland
4
Department of Public Health, University of Helsinki, Helsinki, Finland
5
Department of Oral and Maxillofacial Surgery, University of Turku, Turku, Finland
6
Department of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland
Orbital fracture is common in patients with facial trauma [1, 2]. Facial trauma can cause esthetic and functional defects as well as psychological distress and significant emotional, social, and behavioral problems, therefore, having a great impact on the quality of life of the patients
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