{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:38:57Z","timestamp":1747183137125,"version":"3.40.5"},"reference-count":50,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T00:00:00Z","timestamp":1703808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011371","name":"Royal Australasian College of Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011371","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100024053","name":"Sydney Local Health District","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024053","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Maxillomandibular reconstruction has various functional, aesthetic, and psychosocial effects that can decrease patients' health\u2010related quality of life (HRQOL). The aim of this study was to compare HRQOL outcomes in older and younger patients undergoing maxillomandibular reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study of patients undergoing maxillomandibular reconstruction surgery between November 2008 and January 2021 was conducted. Participants completed the FACE\u2010Q Head and Neck Cancer Module, M.D. Anderson Dysphagia Inventory (MDADI), and Speech Handicap Index (SHI). Results from these instruments were used to compare HRQOL outcomes in old (\u226570\u2009years) and young (&lt;70\u2009years) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010nine patients who underwent maxillomandibular reconstruction completed the instruments (response rate 50%), of which 33 (33%) were aged \u226570\u2009years. Older age was associated with improved FACE\u2010Q speaking (+11.3, <jats:italic>P<\/jats:italic>\u2009=\u20090.045), FACE\u2010Q cancer worry (\u22129.97, <jats:italic>P<\/jats:italic>\u2009=\u20090.050), and SHI score (\u221216.6, <jats:italic>P<\/jats:italic>\u2009=\u20090.013). After adjusting for the effect of radiotherapy, age was associated with improved FACE\u2010Q speaking (+16.8, <jats:italic>P<\/jats:italic>\u2009=\u20090.012), FACE\u2010Q smiling distress (+12.6, <jats:italic>P<\/jats:italic>\u2009=\u20090.040), FACE\u2010Q worry (\u221211.0, <jats:italic>P<\/jats:italic>\u2009=\u20090.032), and SHI scores (\u221218.4, <jats:italic>P<\/jats:italic>\u2009=\u20090.004). Older age was associated with an increased likelihood of postoperative complications (odds ratio (OR)\u2009=\u20092.9, <jats:italic>P<\/jats:italic>\u2009=\u20090.02) and medical complications (OR\u2009=\u20094.6, <jats:italic>P<\/jats:italic>\u2009=\u20090.012).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In patients undergoing maxillomandibular reconstruction, older age (\u226570\u2009years) was associated with better HRQOL outcomes in domains relating to speech and cancer worry. In all other HRQOL outcomes, the two age groups performed similarly.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18826","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T11:18:15Z","timestamp":1703848695000},"page":"148-155","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["How age affects <scp>health\u2010related\u2010quality<\/scp>\u2010of\u2010life outcomes in maxillomandibular reconstructive surgery"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3301-8767","authenticated-orcid":false,"given":"Alexander","family":"Patfield","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health The University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2956-0453","authenticated-orcid":false,"given":"James","family":"Wykes","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, Sydney Head and Neck Cancer Institute Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6493-7933","authenticated-orcid":false,"given":"Rebecca","family":"Venchiarutti","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, Sydney Head and Neck Cancer Institute Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Sydney School of Public Health, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales 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