ABSTRACT
Treatments for oral cancer can seriously impair the function and the aesthetic, and thus contribute to a significant reduction in the quality of life of affected patients. The role of prosthetic dentists in the multidisciplinary management of these patients is essential both in oral rehabilitation and in prosthetic planning and subsequent rehabilitation. Therefore, these dentists should be involved in the care pathway in order to shape and design the further oral rehabilitation prior to reconstructive surgery and ultimately make the patient smile again.
Les traitements des cancers de la cavité buccale peuvent gravement altérer la fonction et l'esthétique, et participer, ainsi, à réduire considérablement la qualité de vie des patients. Le rôle des dentistes spécialisés en prothèse dans la prise en charge pluridisciplinaire de ces patients est essentiel, tant en matière de rééducation orale que de planification prothétique et sa réhabilitation ultérieure. Dès lors, ces dentistes devraient être impliqués dans le parcours de soins afin de façonner et d'esquisser la réhabilitation bucco-dentaire en amont de la chirurgie reconstructrice et, in fine, rendre le sourire aux patients.
Subject(s)
Mouth Neoplasms , Plastic Surgery Procedures , Humans , Mouth Neoplasms/surgery , Quality of LifeABSTRACT
INTRODUCTION: The aims of this study are to describe qualitatively the perceptions of three groups involved in the cystic fibrosis transplant decision, looking for similarities and differences between groups, and to identify those that act as motivations or barriers to transplantation. METHODS: Thirty patients, 26 patient relatives and 27 physicians were interviewed, and concept maps were constructed from those interviews. Their degree of transplant acceptance at the time of the interview was measured. RESULTS: There were motivations and barriers in the pre-, peri- and post-transplant period. Analysis revealed similar perceptions regarding the risks and benefits of transplantation, but also different perceptions in the specific concerns of each group. Patients and patient relatives expressed many questions and fears in their concept maps, and physicians expressed difficulties. CONCLUSIONS: This study highlights the value of better understanding the perceptions of patients, relatives and physicians, in order to remove some of the barriers to transplantation. It also demonstrates the benefits of education and support activities for patients and patient relatives prior to transplantation, and continuing education and supervision for physicians.
