{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:44:27Z","timestamp":1787071467966,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 4","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Severe head, neck, and orofacial infections can cause significant functional and psychological impairment. Rehabilitation requires an interdisciplinary approach involving surgical, dental, speech, nutritional, and psychological care to restore quality of life (QoL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective cohort study was conducted on 120 patients (mean age: 47.6 \u00b1 9.8 years) who completed medical and surgical management for severe infections. Participants underwent a 12-month interdisciplinary rehabilitation program comprising oral-maxillofacial surgery follow-up, dental prosthetic rehabilitation, physiotherapy, speech therapy, nutrition counseling, and psychological support. QoL was assessed using the WHOQOL-BREF at baseline (postacute phase) and 12 months. Statistical analysis included paired t-tests and repeated-measures ANOVA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Significant improvements were observed in physical (from 48.3 \u00b1 6.4 to 72.1 \u00b1 5.8,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), psychological (from 51.7 \u00b1 7.2 to 77.9 \u00b1 6.1,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), social (from 54.6 \u00b1 8.1 to 80.4 \u00b1 5.9,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and environmental (from 56.2 \u00b1 6.8 to 81.3 \u00b1 6.4,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) domains of WHOQOL-BREF. Speech clarity improved in 83.3% of patients, chewing efficiency in 88.7%, and return-to-work rate reached 76.2% by 12 months. Psychological counselling contributed to a 64.5% reduction in depression scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>An interdisciplinary rehabilitation approach significantly enhances physical function, psychosocial well-being, and social reintegration after complete recovery from head, neck, and orofacial infections. Coordinated care ensures optimal functional restoration and improved living quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1455_25","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T08:01:20Z","timestamp":1766044880000},"page":"S3388-S3390","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Living Quality after Complete Rehabilitation of Head, Neck, and Orofacial Infections: Role of Interdisciplinary Approach"],"prefix":"10.4103","volume":"17","author":[{"given":"Amarendhar Reddy","family":"Tummala","sequence":"first","affiliation":[{"name":"Clinician, Department of Orthodontics and Dentofacial Orthopaedics, Palwancha, Bhadradri Kothagudem, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranav","family":"Parashar","sequence":"additional","affiliation":[{"name":"Department of Dentistry, N.S.C.B Medical College and Hospital, Jabalpur, MP, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arpita","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Government College of Dentistry Indore, MP, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shipra","family":"Gulati","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Shree Bankebihari Dental College Ghaziabad, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyatam","family":"Karade","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed To Be University) Dental College and Hospital, Sangli, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anshuman","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Pathologym Triveni Institute of Dental Sciences, Hospital and Research Centre, BODRI, Bilaspur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sweta","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Teerthanker Mahaveer Dental College and Research Centre, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"R1-20251218","first-page":"481","article-title":"Microbiology and management of head and neck infections in children","volume":"79","author":"Brook","year":"2021","journal-title":"J Oral Maxillofac Surg"},{"key":"R2-20251218","first-page":"1145","article-title":"Deep neck infections: A constant challenge","volume":"116","author":"Boscolo-Rizzo","year":"2006","journal-title":"Laryngoscope"},{"key":"R3-20251218","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1002\/hed.20014","article-title":"Deep neck infection: Analysis of 185 cases","volume":"26","author":"Huang","year":"2004","journal-title":"Head Neck"},{"key":"R4-20251218","first-page":"459","article-title":"Contemporary management of deep neck infections","volume":"50","author":"Britt","year":"2017","journal-title":"Otolaryngol Clin North Am"},{"key":"R5-20251218","first-page":"2643","article-title":"Rehabilitation of the head and neck cancer patient","volume":"53","author":"Johnson","year":"1984","journal-title":"Cancer"},{"key":"R6-20251218","first-page":"2885","article-title":"Rehabilitation after head and neck cancer surgery: A consensus statement","volume":"270","author":"Dwivedi","year":"2013","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"R7-20251218","first-page":"882","article-title":"The addition of health-related quality of life to survival data in head and neck cancer trials","volume":"43","author":"Rogers","year":"2007","journal-title":"Oral Oncol"},{"key":"R8-20251218","first-page":"CD009441","article-title":"Psychological interventions for patients with head and neck cancer","volume":"2013","author":"Semple","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"R9-20251218","first-page":"1529","article-title":"Interdisciplinary rehabilitation improves quality of life in head and neck cancer patients","volume":"26","author":"Bragante","year":"2018","journal-title":"Support Care Cancer"},{"key":"R10-20251218","first-page":"374","article-title":"Rehabilitation after treatment for head and neck cancer: Key issues in function, speech, and swallowing","volume":"111","author":"Goldstein","year":"2015","journal-title":"J Surg Oncol"},{"key":"R11-20251218","first-page":"127","article-title":"Impact of dental rehabilitation on masticatory performance","volume":"26","author":"Al Farraj Aldosari","year":"2017","journal-title":"J Prosthodont"},{"key":"R12-20251218","first-page":"1449","article-title":"Impact of multidisciplinary care on psychological distress in patients with head and neck cancer","volume":"22","author":"Chen","year":"2013","journal-title":"Psychooncology"},{"key":"R13-20251218","first-page":"404","article-title":"The role of the psychologist in multidisciplinary rehabilitation of head and neck cancer patients","volume":"49","author":"Patel","year":"2011","journal-title":"Br J Oral Maxillofac Surg"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1455_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:46:34Z","timestamp":1787067994000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1455_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":13,"journal-issue":{"issue":"Suppl 4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_1455_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-08-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}