TY  - JOUR
AU  - Krejović-Trivić, Sanja
AU  - Milovanović, Jovica
AU  - Parapid, Biljana
AU  - Vukašinović, Milan
AU  - Miković, Nikola
AU  - Trivić, Aleksandar
PY  - 2018
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2353
AB  - Introduction/Objective Total laryngectomy is a very mutilating operation and it leads to drastic changes in life quality. The purpose of this study was to examine factors of importance to the laryngectomized patients' quality of life and to evaluate characteristics of esophageal voice and speech. Methods The study was conducted at the Clinic of Otorhinolaryngology and Maxillofacial Surgery, at the Clinical Center of Serbia (Belgrade, Serbia), during the period between March 2012-2015. The study included 223 patients diagnosed with laryngeal cancer, who underwent total laryngectomy. The total of 168 laryngectomized patients were provided with phoniatric rehabilitation. Results The quality of life was significantly better for those laryngectomized patients who did undergo phoniatric rehabilitation. By means of intensive phoniatric rehabilitation the esophageal voice and speech was established in 86.3% of laryngectomized patients registered by objective acoustic analysis. Rehabilitated laryngectomy patients had a significantly lower presence of voice handicap sense (VHI: 19.57 ± 7.35) and expressed significantly lower symptoms of depression and anxiety (PHQ-9: 3.8 ± 4.2; GAD-7: 3.4 ± 4.2). Cronbach's alpha coefficient was above 0.7 EORTC QLQ-C30 on three levels of Likert scales: the scale of physical and emotional functioning and fatigue; as well as EORTC QLQ-H&N43 questionnaire: the symptoms of head and neck pain, speech, swallowing and eating problems and body image. Conclusion Significantly improving the quality of life of laryngectomized patients was achieved by a multidisciplinary rehabilitation. Phoniatric rehabilitation carried out in a planned and systematic way is the most efficient rehabilitation of laryngectomized patients.
AB  - Uvod/Cilj Totalna laringektomija, kao veoma mutilantna operacija, dovodi do drastičnih promena u kvalitetu života. Cilj ove studije je da istraži faktore od značaja za kvalitet života laringektomisanih bolesnika i da proceni karakteristike ezofagusnog glasa i govora. Metode Istraživanje je sprovedeno u Klinici za otorinolaringologiju i maksilofacijalnu hirurgiju Kliničkog centra Srbije u Beogradu, u periodu od marta 2012. do marta 2015. godine. Ispitivanjem je bilo obuhvaćeno 223 bolesnika kojima je zbog verifikovanog karcinoma larinksa učinjena totalna laringektomija i sprovedena fonijatrijska rehabilitacija kod 168 laringektomisanih bolesnika. Rezultati Kvalitet života laringektomisanih bolesnika kod kojih je sprovedena fonijatrijska rehabilitacija je značajno bolji od onih koji nisu imali fonijatrijsku rehabilitaciju. Intenzivnom fonijatrijskom rehabilitacijom je uspostavljen ezofagusni glas i govor kod 86,3% laringektomisanih bolesnika, koji je registrovan objektivnom akustičkom analizom. Rehabilitovani laringektomisani bolesnici imaju značajno niže prisustvo hendikepa zbog glasa (VHI: 19,57 ± 7,35) i značajno niže izražene simptome depresije i anksioznosti (PHQ-9: 3,8 ± 4,2; GAD-7: 3,4 ± 4,2). Kronbahov α koeficijent je bio iznad 0,7 na tri skale upitnika EORTC QLQ-C30: fizičko funkcionisanje, emocionalno funkcionisanje i umor, kao i kod pet skala QLQ-H&N43 upitnika: bol u glavi/vratu, problemi sa gutanjem, problemi sa govorom, problemi pri jelu i slika o sebi. Zaključak Značajno poboljšanje kvaliteta života laringektomisanih bolesnika postiže se multidisciplinarnom rehabilitacijom. Fonijatrijska rehabilitacija, koja se sprovodi planski i sistematično, predstavlja najekonomičniji način rehabilitacije laringektomisanih bolesnika.
PB  - Srpsko lekarsko društvo, Beograd
T2  - Srpski arhiv za celokupno lekarstvo
T1  - Quality of life of laryngectomized patients in Serbia
T1  - Kvalitet života laringektomisanih bolesnika u Srbiji
VL  - 146
IS  - 11-12
SP  - 657
EP  - 662
DO  - 10.2298/SARH180926071K
ER  - 

@article{
author = "Krejović-Trivić, Sanja and Milovanović, Jovica and Parapid, Biljana and Vukašinović, Milan and Miković, Nikola and Trivić, Aleksandar",
year = "2018",
abstract = "Introduction/Objective Total laryngectomy is a very mutilating operation and it leads to drastic changes in life quality. The purpose of this study was to examine factors of importance to the laryngectomized patients' quality of life and to evaluate characteristics of esophageal voice and speech. Methods The study was conducted at the Clinic of Otorhinolaryngology and Maxillofacial Surgery, at the Clinical Center of Serbia (Belgrade, Serbia), during the period between March 2012-2015. The study included 223 patients diagnosed with laryngeal cancer, who underwent total laryngectomy. The total of 168 laryngectomized patients were provided with phoniatric rehabilitation. Results The quality of life was significantly better for those laryngectomized patients who did undergo phoniatric rehabilitation. By means of intensive phoniatric rehabilitation the esophageal voice and speech was established in 86.3% of laryngectomized patients registered by objective acoustic analysis. Rehabilitated laryngectomy patients had a significantly lower presence of voice handicap sense (VHI: 19.57 ± 7.35) and expressed significantly lower symptoms of depression and anxiety (PHQ-9: 3.8 ± 4.2; GAD-7: 3.4 ± 4.2). Cronbach's alpha coefficient was above 0.7 EORTC QLQ-C30 on three levels of Likert scales: the scale of physical and emotional functioning and fatigue; as well as EORTC QLQ-H&N43 questionnaire: the symptoms of head and neck pain, speech, swallowing and eating problems and body image. Conclusion Significantly improving the quality of life of laryngectomized patients was achieved by a multidisciplinary rehabilitation. Phoniatric rehabilitation carried out in a planned and systematic way is the most efficient rehabilitation of laryngectomized patients., Uvod/Cilj Totalna laringektomija, kao veoma mutilantna operacija, dovodi do drastičnih promena u kvalitetu života. Cilj ove studije je da istraži faktore od značaja za kvalitet života laringektomisanih bolesnika i da proceni karakteristike ezofagusnog glasa i govora. Metode Istraživanje je sprovedeno u Klinici za otorinolaringologiju i maksilofacijalnu hirurgiju Kliničkog centra Srbije u Beogradu, u periodu od marta 2012. do marta 2015. godine. Ispitivanjem je bilo obuhvaćeno 223 bolesnika kojima je zbog verifikovanog karcinoma larinksa učinjena totalna laringektomija i sprovedena fonijatrijska rehabilitacija kod 168 laringektomisanih bolesnika. Rezultati Kvalitet života laringektomisanih bolesnika kod kojih je sprovedena fonijatrijska rehabilitacija je značajno bolji od onih koji nisu imali fonijatrijsku rehabilitaciju. Intenzivnom fonijatrijskom rehabilitacijom je uspostavljen ezofagusni glas i govor kod 86,3% laringektomisanih bolesnika, koji je registrovan objektivnom akustičkom analizom. Rehabilitovani laringektomisani bolesnici imaju značajno niže prisustvo hendikepa zbog glasa (VHI: 19,57 ± 7,35) i značajno niže izražene simptome depresije i anksioznosti (PHQ-9: 3,8 ± 4,2; GAD-7: 3,4 ± 4,2). Kronbahov α koeficijent je bio iznad 0,7 na tri skale upitnika EORTC QLQ-C30: fizičko funkcionisanje, emocionalno funkcionisanje i umor, kao i kod pet skala QLQ-H&N43 upitnika: bol u glavi/vratu, problemi sa gutanjem, problemi sa govorom, problemi pri jelu i slika o sebi. Zaključak Značajno poboljšanje kvaliteta života laringektomisanih bolesnika postiže se multidisciplinarnom rehabilitacijom. Fonijatrijska rehabilitacija, koja se sprovodi planski i sistematično, predstavlja najekonomičniji način rehabilitacije laringektomisanih bolesnika.",
publisher = "Srpsko lekarsko društvo, Beograd",
journal = "Srpski arhiv za celokupno lekarstvo",
title = "Quality of life of laryngectomized patients in Serbia, Kvalitet života laringektomisanih bolesnika u Srbiji",
volume = "146",
number = "11-12",
pages = "657-662",
doi = "10.2298/SARH180926071K"
}

Krejović-Trivić, S., Milovanović, J., Parapid, B., Vukašinović, M., Miković, N.,& Trivić, A.. (2018). Quality of life of laryngectomized patients in Serbia. in Srpski arhiv za celokupno lekarstvo
Srpsko lekarsko društvo, Beograd., 146(11-12), 657-662.
https://doi.org/10.2298/SARH180926071K

Krejović-Trivić S, Milovanović J, Parapid B, Vukašinović M, Miković N, Trivić A. Quality of life of laryngectomized patients in Serbia. in Srpski arhiv za celokupno lekarstvo. 2018;146(11-12):657-662.
doi:10.2298/SARH180926071K .

Krejović-Trivić, Sanja, Milovanović, Jovica, Parapid, Biljana, Vukašinović, Milan, Miković, Nikola, Trivić, Aleksandar, "Quality of life of laryngectomized patients in Serbia" in Srpski arhiv za celokupno lekarstvo, 146, no. 11-12 (2018):657-662,
https://doi.org/10.2298/SARH180926071K . .

TY  - JOUR
AU  - Miković, Nikola
AU  - Lazarević, Miloš
AU  - Tatić, Zoran
AU  - Krejović-Trivić, Sanja
AU  - Petrović, Milan
AU  - Trivić, Aleksandar
PY  - 2016
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2114
AB  - Background/Aim. Postoperative condylar position is a substantial concern in surgical correction of mandibular prognathism. Orthognathic surgery may change condylar position and this is considered a contributing factor for early skeletal relapse and the induction of temporomandibular disorders. The purpose of this study was to evaluate changes in condylar position, and to correlate angular skeletal measurements following bimaxillary surgery. Methods. On profile teleradiographs of 21 patients with mandibular angular and linear parametres, the changes in condylar position, were measured during preoperative orthodontic treatment and 6 months after the surgical treatment. Results. A statistically significant difference in values between the groups was found. The most distal point on the head of condyle point (DI) moved backward for 1.38 mm (p = 0.02), and the point of center of collum mandibulae point (DC) moved backward for 1.52 mm (p = 0.007). The amount of upward movement of the point DI was 1.62 mm (p = 0.04). Conclusion. In the patients with mandibular prognathism, the condyles tend to migrate upward and forward six months after bimaxillary surgery.
AB  - Uvod/Cilj. Postoperativna pozicija kondila je značajna za hiruršku korekciju mandibularnog prognatizma. Ortognatska hirurgija može da promeni poziciju kondila, a to može biti jedan od faktora koji doprinosi ranom skeletnom recidivu i pojavi temporomandibularnih disfunkcija. Zbog toga je cilj ove studije bio da proceni promene pozicije kondila kao i da ne korelišu promene pozicije kondila sa angularnim skeletnim promenama nakon bimaksilarne hirurgije. Metode. Na telerendgenskim snimcima 21 bolesnika sa mandibularnim prognatizmom mereni su angularni i linearni parametri koji opisuju promene u položaju kondila, pre ortodontske pripreme i šest meseci nakon hirurške korekcije. Rezultati. Ustanovljena je statistička značajnost razlika u vrednosti parametara između grupa. Tačka DI - najdistalnija tačka na glavi kondila, pomerila se unazad 1,38 mm (p = 0,02), a tačka DC - tačka koja označava centar collum mandibulae, pomerila se, takođe, unazad za 1,52 mm (p = 0,007). Vrednost pomeranja tačke DI naviše bila je 1,62 mm (p = 0,04). Zaključak. Kod bolesnika sa mandibularnim prognatizmom, kondili su težili da migriraju unapred i naviše šest meseci nakon bimaksilarne operacije.
PB  - Vojnomedicinska akademija - Institut za naučne informacije, Beograd
T2  - Vojnosanitetski pregled
T1  - Radiographic cephalometry analysis of condylar position after bimaxillary osteotomy in patients with mandibular prognathism
T1  - Rendgen-kefalometrijska analiza pozicije kondila nakon bimaksilarne osteotomije mandibularnog prognatizma
VL  - 73
IS  - 4
SP  - 318
EP  - 325
DO  - 10.2298/vsp141210051M
ER  - 

@article{
author = "Miković, Nikola and Lazarević, Miloš and Tatić, Zoran and Krejović-Trivić, Sanja and Petrović, Milan and Trivić, Aleksandar",
year = "2016",
abstract = "Background/Aim. Postoperative condylar position is a substantial concern in surgical correction of mandibular prognathism. Orthognathic surgery may change condylar position and this is considered a contributing factor for early skeletal relapse and the induction of temporomandibular disorders. The purpose of this study was to evaluate changes in condylar position, and to correlate angular skeletal measurements following bimaxillary surgery. Methods. On profile teleradiographs of 21 patients with mandibular angular and linear parametres, the changes in condylar position, were measured during preoperative orthodontic treatment and 6 months after the surgical treatment. Results. A statistically significant difference in values between the groups was found. The most distal point on the head of condyle point (DI) moved backward for 1.38 mm (p = 0.02), and the point of center of collum mandibulae point (DC) moved backward for 1.52 mm (p = 0.007). The amount of upward movement of the point DI was 1.62 mm (p = 0.04). Conclusion. In the patients with mandibular prognathism, the condyles tend to migrate upward and forward six months after bimaxillary surgery., Uvod/Cilj. Postoperativna pozicija kondila je značajna za hiruršku korekciju mandibularnog prognatizma. Ortognatska hirurgija može da promeni poziciju kondila, a to može biti jedan od faktora koji doprinosi ranom skeletnom recidivu i pojavi temporomandibularnih disfunkcija. Zbog toga je cilj ove studije bio da proceni promene pozicije kondila kao i da ne korelišu promene pozicije kondila sa angularnim skeletnim promenama nakon bimaksilarne hirurgije. Metode. Na telerendgenskim snimcima 21 bolesnika sa mandibularnim prognatizmom mereni su angularni i linearni parametri koji opisuju promene u položaju kondila, pre ortodontske pripreme i šest meseci nakon hirurške korekcije. Rezultati. Ustanovljena je statistička značajnost razlika u vrednosti parametara između grupa. Tačka DI - najdistalnija tačka na glavi kondila, pomerila se unazad 1,38 mm (p = 0,02), a tačka DC - tačka koja označava centar collum mandibulae, pomerila se, takođe, unazad za 1,52 mm (p = 0,007). Vrednost pomeranja tačke DI naviše bila je 1,62 mm (p = 0,04). Zaključak. Kod bolesnika sa mandibularnim prognatizmom, kondili su težili da migriraju unapred i naviše šest meseci nakon bimaksilarne operacije.",
publisher = "Vojnomedicinska akademija - Institut za naučne informacije, Beograd",
journal = "Vojnosanitetski pregled",
title = "Radiographic cephalometry analysis of condylar position after bimaxillary osteotomy in patients with mandibular prognathism, Rendgen-kefalometrijska analiza pozicije kondila nakon bimaksilarne osteotomije mandibularnog prognatizma",
volume = "73",
number = "4",
pages = "318-325",
doi = "10.2298/vsp141210051M"
}

Miković, N., Lazarević, M., Tatić, Z., Krejović-Trivić, S., Petrović, M.,& Trivić, A.. (2016). Radiographic cephalometry analysis of condylar position after bimaxillary osteotomy in patients with mandibular prognathism. in Vojnosanitetski pregled
Vojnomedicinska akademija - Institut za naučne informacije, Beograd., 73(4), 318-325.
https://doi.org/10.2298/vsp141210051M

Miković N, Lazarević M, Tatić Z, Krejović-Trivić S, Petrović M, Trivić A. Radiographic cephalometry analysis of condylar position after bimaxillary osteotomy in patients with mandibular prognathism. in Vojnosanitetski pregled. 2016;73(4):318-325.
doi:10.2298/vsp141210051M .

Miković, Nikola, Lazarević, Miloš, Tatić, Zoran, Krejović-Trivić, Sanja, Petrović, Milan, Trivić, Aleksandar, "Radiographic cephalometry analysis of condylar position after bimaxillary osteotomy in patients with mandibular prognathism" in Vojnosanitetski pregled, 73, no. 4 (2016):318-325,
https://doi.org/10.2298/vsp141210051M . .