Long-term impact of living with an obturator following a maxillectomy: a qualitative study

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dc.contributor.authorSemple, Cherith J.
dc.contributor.authorRutherford, Helen
dc.contributor.authorKillough, Simon
dc.contributor.authorMoore, Ciaran
dc.contributor.authorMcKenna, Gerald
dc.date.accessioned2021-11-25T14:51:45Z
dc.date.available2021-11-25T14:51:45Z
dc.date.issued2019-10-13
dc.description.abstractObjectives:To explore the long-term impact for patients living with an obturator prosthesis, following a max-illectomy for a head and neck neoplasm. Methods: A qualitative approach was employed, using semi-structured interviews. A purposive sample of eight men and four women, living with an obturator prosthesis for at least five years, were recruited. Interviews were digitally recorded and transcribed. Using thematic analysis, two researchers analysed the data. Results: The data were categorised into four themes: 1. Preparedness for living with an obturator, 2. Impact of living with an obturator–what changes to expect, 3. Stability and retention of the obturator, and 4. Coping strategies to aid adjustment. Long-term effects of living with an obturator spanned many aspects of life to include: chewing and eating, speaking, dealing with nasal leakage and altered body image, employment and intimacy issues, along with embarrassment during social encounters. Optimal retention and stability of the obturator, as perceived by the patient, lead to improved social confidence and engagement. The emotional impact varied greatly on peoples’ lives. Conclusions: Patients experiencing the greatest long-term challenges had larger defects, were of employment age and had not returned to work. Gaining an improved understanding of the psychology of coping overtime is clearly important, as this can inform interventions to facilitate adjustment for those who are emotionally struggling. Furthermore, the findings of this study could inform the design of a communication tool to facilitate shared-decision making and aid preparedness for living with an obturator following a maxillectomy. Clinical significance: The multidisciplinary head and neck team should provide patients with detailed pre-op-erative information, including potential effects on social, work and personal relationships. The restorative dentistry team has a pivotal role in the long-term management of these patients, as obturators have a finite lifespan with ongoing maintenance necessary to promote optimal retention and stabilityen
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid103212en
dc.identifier.citationSemple, C. J., Rutherford, H., Killough, S., Moore, C. and McKenna, G. (2019) 'Long-term impact of living with an obturator following a maxillectomy: a qualitative study', Journal of Dentistry, 90, 103212 (8pp). doi:10.1016/j.jdent.2019.103212en
dc.identifier.doi10.1016/j.jdent.2019.103212en
dc.identifier.endpage8en
dc.identifier.issn0300-5712
dc.identifier.journaltitleJournal of Dentistryen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/12270
dc.identifier.volume90en
dc.language.isoenen
dc.publisherElsevieren
dc.rights© 2019 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 licenseen
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectObturatoren
dc.subjectMaxillectomyen
dc.subjectLong-term impacten
dc.subjectShared-decision makingen
dc.subjectQualitative researchen
dc.subjectSurvivorshipen
dc.subjectHead and neck canceren
dc.subjectRestorative dentistryen
dc.titleLong-term impact of living with an obturator following a maxillectomy: a qualitative studyen
dc.typeArticle (peer-reviewed)en
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