LIFE QUALITY AS A CRITERION OF TREATMENT AND REHABILITATION EFFECTIVENESS OF PATIENTS WITH NASAL CAVITUY AND PARANASAL SINUS CANCER

Abstract

Life quality as a criterion of treatment and rehabilitation effectiveness was assessed in 38 patients with nasal cavity and paranasal sinus tumors, who underwent prosthetics of bone structures of the middle part of the face using tissue and porous implants made of titanium nickelid and postoperative magnetic laser therapy. Prior to treatment, marked changes in physical (81,1 ± 3,2 points) and emotional (70,4 ± 9,1 points) functioning were observed. Early postoperative period was characterized by positive dynamics on scales of physical (86,2 ± 8,1 points), role (92 ± 6,3 points) and social (92 ± 9,6 points) functioning. Neoplastic process and surgical treatment had a significant impact on problems with nutrition (27,5 ± 8,9 points) and speech (24 ± 10 points). Gradual decrease in the problem level was subsequently observed under conditions of rehabilitation procedures. Postoperative magnetic laser therapy contributed to smoother course of reparative processes and prevented the development of severe cicatricial changes in the masticatory muscles. Exoprosthetics provided optimal air flow passing and correct pronunciation of sounds. The use of the above techniques significantly reduced the level of problems with nutrition and speech (13 ± 7,9 and 9,5 ± 7,4 points (p<0,05) in 3 months and 9 ± 7,4 and 7 ± 6 points (p<0,05) in 12 months, respectively).