Evaluation of quality of life of patients with oral cavity cancer in three counties of south Bulgaria.

Aim: To evaluate the quality of life of patients with oral cavity cancer in three counties of South Bulgaria.

Materials And Methods: A standard questionnaire was developed to evaluate the social status. Twenty two patients with oral cancer were interviewed (diagnoses by ICD 9th Revision 141-149). SPSS statistical software version 8.0 was used for statistical analysis employing the alternative analysis and ANOVA.

Results And Discussion: Oral cancer affects 1) mostly men-68.2%, 2) smokers-59.1% (of the people we interviewed, smoking regularly twenty and more cigarettes daily), and 3) people who consume alcohol on regular basis - 40.9% of the interviewees. The life quality of the interviewed people was evaluated on a specially developed five-degree scale. 22.7% of the interviewed people were classified as first scale group characerised with speaking and alimentary disorders, impaired aesthetics and pains in the oral cavity. 36.4% were scored as the second scale group--these had speaking disorders and disorders of the alimentary tract, oral cavity pain without impairment of the orofacial aesthetics. 27.3% were classified as third scale group in which the patients had only two functions impaired. Group five contained 4.5% of all patients with no manifest disorders.

Conclusions: The results suggest that oral cancer patients need a lot of prosthetic care to mend their oral defects and a lot of rehabilitation to restore their ability to function socially, a task which must be realized by a rehabilitation team including the general dental practitioner.