The purpose of our study was to assess if the Polish translation of the European Organisation for Research and Treatment of Cancer (EORTC) Colorectal Cancer (CRC)-Specific Quality of Life Questionnaire (QLQ-CR29) is an acceptable and psychometrically valid measure to collect quality of life (QoL) data in Polish patients with CRC for use in clinical trials and clinical practice. A total of 150 patients undergoing treatment for CRC were prospectively enrolled in the study. Psychometric assessment of the translated QLQ-CR29 structure, reliability, convergent and divergent validity, and clinical validity was subsequently performed. The Cronbach's alpha coefficient ranged from 0.70-0.89, indicating acceptable internal consistency. For test-retest reliability, the ICCs for each item ranged from 0.59-0.91, with exceptions for urinary incontinence and dysuria, indicating good to excellent reproducibility. In multi-trait scaling analyses, the criterion for item convergent and divergent validity was satisfied. The correlations between the EORTC QLQ-CR29 and QLQ-C30 scales were mostly low (r < .40), with a few items demonstrating higher correlations. The known group comparisons analyses demonstrated the ability of the questionnaire to distinguish between patients' differing age, stoma status, and treatment intent. The Polish translation of the QLQ-CR29 is a psychometrically reliable and valid tool. The results of this study are congruent with that of EORTC validation.
- MeSH
- chirurgické stomie MeSH
- dospělí MeSH
- fekální inkontinence patofyziologie psychologie MeSH
- inkontinence moči MeSH
- kolorektální nádory patofyziologie psychologie terapie MeSH
- kolostomie psychologie MeSH
- kvalita života * MeSH
- lidé středního věku MeSH
- lidé MeSH
- pilotní projekty MeSH
- představa o vlastním těle MeSH
- překlady MeSH
- prospektivní studie MeSH
- průzkumy a dotazníky MeSH
- psychometrie MeSH
- reprodukovatelnost výsledků MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- symptomy dolních močových cest patofyziologie psychologie MeSH
- zdravotní stav MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- validační studie MeSH
- Geografické názvy
- Polsko MeSH
Obzvláště nesnadnou výzvou pro maxilofaciální chirurgy je léčba pacientů s těžkou hypoplasií maxily. Distrakční osteogeneze maxily se jeví jako slibná metoda umožňující u těchto pacientů dosáhnout velmi dobrých výsledků. Cílem této práce bylo zjištění skeletálních změn i změn na měkkých tkáních obličeje po ventrálním posunu maxily u distrakčníosteogeneze. 22 pacientů ve věku 12-18 let s těžkou a středníhypoplasií a dorzálním posunem maxily bylo léčeno pomocí distrakční osteogeneze po osteotomii Le Fort I s plnou mob/lízací max/ly. Byla provedena rentgenolog/cká dokumentace (bočníkefalogramy) a fotografická dokumentace (snímky ve skusu a extraorální snímWý) před a 3 měsíce po distrakci. Pro zjištění skeletálních změn a změn na měkkých tkáních byla provedena analýza kefalogramů před a po distrakci. U všech pacientů bylo bez komplikací dosaženo výrazného ventrálního posunu maxily (10-15 mm). Hlavní výhodou této metody je možnost kontroly a řízení pohybu maxily během d/strakce. Distrakční osteogeneze je účinnou metodou léčby hypoplasie maxily u rozštěpových pacientů.
Patients with severe maxillary hypoplasia secondary to craniofacial dysplasia present a challenge to the craniofacial surgeon. Maxillary distraction presents a promising tool to treat these patients more successfully. The purpose of this study was to examine preoperative to postoperative changes of skeletal and soft tissue in the midface of cleft patients who underwent maxillary distraction. 22 patients aged 12 to 18 years with craniofacial dysplasia and maxillary retrusion were treated by modified high-stepped Le Fort I osteotomy followed by rigid external distraction. Facial and occlusal phothographs and lateral cephalometric radiograph were obtained preoperatively, and 3 months after distraction. A cephalometric analysis was performed to compare the sagital craniofacial and soft tissue morphology before and after distraction. Midface advancement between 10 and 15 mm was achieved in all patients without complications. The major advantage is the ability to direct and control the maxilla during distraction procedure. Maxillary distraction is an effective option for maxillary hypoplasia in cleft patients.
- MeSH
- dítě MeSH
- kefalometrie MeSH
- lidé MeSH
- maxilofaciální abnormality diagnóza chirurgie terapie MeSH
- mladiství MeSH
- osteogeneze pomocí distrakčního aparátu metody MeSH
- rozštěp patra chirurgie terapie MeSH
- rozštěp rtu chirurgie terapie MeSH
- zákroky plastické chirurgie metody MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- Publikační typ
- přehledy MeSH
- Geografické názvy
- Polsko MeSH
Introduction: Cleft lip and palate patients can present with a maxillary retrusion with tendency to Class III malocclusion after cleft repair. Within the last few years dististraction osteogenesis has been used as an alternative to maxillary osteotomies and bone grafting in cleft palate maxillary hypoplasia. Aim: This paper presents our experience in using external and internal devices for correction of midface hypoplasia and analyses long-term stability of skeletal and soft tissue changes after maxillary advancement with distraction osteogenesis. Material and Methods : 14 cleft lip and palate patients ,aged 12 to 18 years of age with severe maxillary and mid-face hypoplasia due to bilateral cleft lip and palate ,uiulateral cleft lip and palate , were treated in our centre with two different techniques after complete Le Fort I osteotomy : one group underwent face mask protraction (10 patients ), and other group underwent internal distraction device ( Dynaform Leibinger)( 4 patients ). Facial and occlusal phothographs and lateral cephalometric radiograph were obtained preoperatively, 3 months and 6 months after distraction. A cephalometric analysis was performed to compare the sagital craniofacial and soft tissue morphology before and afterr distraction. Results: In our series of patients undergoing internal and external maxillary distraction, maxilla was significantly advanced. Midface advancement between 10 and 15 vam was achieved in all patients without complications. Maxillary distraction improved the profile by increasing nasal projection, normalizing nasolabial angle, and making the upper lip more prominent The facial concavity turned into facial convexity. The profile changed from a prognatic into an orthognathic face.The final occlusal relation was satisfaing and negative overjets in all patients were corected to normal values. Postdistraction cephalometric evaluation revealed normalization of most of cephalometric values. No relapses were observed. All patients were kept under orthodontic control during distraction. Conclusion: Distraction osteogenesis offers new perspectives in the early treatment of midfacial hypoplasia. The major advantage is the ability to direct and control the maxUla during distraction procedure. MaxiUary distraction is an effective option for maxiUary hypoplasia in cleft patients.
Purpose: This raport presents the results of distraction osteogenesis using extraoral device among 32 patients with different grades of vertical mandibular ramus hypoplasia and analises the stability of ramus elongation. Material and Methods: A total of 32 patients at the age 2-15 years displaing hypoplastic mandibles were treated with unilateral or bilateral lengthening of the ascending ramus using uni and bilateral extraoral devices (Molina distractor). 5 patients suffered from bilateral hypoplasia and further 27 patients suffered from unUateral hypoplasia. In order to select the appropriate placement of the distractor device,as well as to determinate the placement of the mandibular osteotomy, 3D-CT and cephalometrric radiographs were analised. After 5-day latency period, distraction was commenced in compliance with the standard protocol, until the desired length of distraction was achieved. 3 months after the distraction, the device was removed which allowed the bone and the tissue to stabilise. The evaluation took account of 3D-CT, lateral and P.A. cephalograms, panoramic radiographs, dental models as well as facial photographs before 3, 6 and 12 months after the distraction osteogenesis. Results: Total distraction distances amounted to 5-37 mm with a mean lengthening distance equalling 16,5 mm. With the use of clinical results and radiografic data it became clearly evident that mandibular distraction occurred among all the patients. Lateral, P.A. cephalometric as well as panoramic radiographs displayed progressive ossification of distraction regenerate. No relapses were oberved. rlanned over correction of dental occlusion was achieved to overcome deficient mandibular growth. A coordinated growth between maxillary and mandibular arches witgh stable occlusion are being observed among our patients. Conclusion: Mandibular distraction osteogenesis has proved to offer new Derspectives as far as treatment of mandibular deficiency is concerned. Careful and intact planning of treatment coupled with control of distraction vector can bring about predictable results with minimal morbidities. Nevertheless, it is our conclusion that good and effective orthodontics within the period of consolidation is the key to achive satisfactory stability results.
- MeSH
- abnormality očí MeSH
- abnormality úst chirurgie MeSH
- lidé MeSH
- nosní přepážka abnormality MeSH
- novorozenec MeSH
- obličej abnormality MeSH
- orbita abnormality MeSH
- paranazální dutiny abnormality MeSH
- rozštěp patra chirurgie MeSH
- rozštěp rtu chirurgie MeSH
- tvář abnormality MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- novorozenec MeSH
