Self-esteem following maxillofacial and orthopedic injuries: preliminary observations in sub-Saharan Africans.

Journal: Oral and maxillofacial surgery

Volume: 23

Issue: 1

Year of Publication: 2019

Affiliated Institutions:  Department of Dental and Maxillofacial Surgery, Usmanu Danfodio University Teaching Hospital, Sokoto, Nigeria. robdeji@yahoo.com. Department of Mental Health, Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria. Department of Oral & Maxillofacial Surgery, University of Nigeria, Nsukka, Nigeria. Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria.

Abstract summary 

The face is a vital component of one's personality and body image while extremities are important in function (mobility, routine daily activities). Recovery and rehabilitation from acquired maxillofacial and orthopedic traumas are psychological in nature.This was a prospective study of recruited subjects in a Nigerian University teaching hospital. A total of 160 participants (80 with maxillofacial injuries and 80 with orthopedic injuries) had repeated review assessments within 1 week of arrival in the hospital (time 1), 4-8 weeks after initial contact (time 2), and 10-12 weeks thereafter (time 3), using Rosenberg's Self-Esteem Questionnaire.Thirty-three (41.3%) participants in the maxillofacial injured and 12 (15.0%) in the orthopedic injured subjects scored between 0 and 14 at time 1. At time 2, 39 (51.3%) subjects in the maxillofacial fracture group and 20 (29.0%) in the orthopedic injured group scored between 0 and 14, while at time 3, 7 (9.2%) in the maxillofacial fracture group and 1 (1.5%) in the orthopedic injured group scored between 0 and 14. There was a statistical significant difference between the two groups when compared at times 1, 2, and 3 with p < 0.001, p = 0.006, and p = 0.041 respectively. Subjects with maxillofacial fracture consistently had lower self-esteem compared to subjects with orthopedic injured for times 1, 2, and 3.Self-esteem may be reduced following maxillofacial injuries; therefore, measures should be taken by surgeons to minimize the risk of facial scarring by careful handling of tissues. Also, management of these injuries should integrate multidisciplinary care that will address psychological needs of patients.Not applicable.

Authors & Co-authors:  Braimah Ramat Oyebunmi RO Ukpong Dominic Ignatius DI Ndukwe Kizito Chioma KC Akinyoola Lawrence L

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Injury. 2002 Oct;33(8):669-71
Authors :  4
Identifiers
Doi : 10.1007/s10006-018-0735-5
SSN : 1865-1569
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Fracture;Maxillofacial;Orthopedic;Psychological;Self-esteem
Study Design
Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
Germany