Evaluation of postoperative patient satisfaction after orthognathic surgery

Abstract

OBJECTIVE: The aim of this study was to evaluate the postoperative satisfaction of the patients who attended to the Department of Oral and Maxillofacial Surgery Clinic, Faculty of Dentistry, Gazi University for dentofacial deformity correction and underwent orthognatic surgery.

MATERIALS AND METHOD: Thirty-six subjects (20 female, 16 male) without any syndromes who received orthognatic surgery at least 6 months ago and whose orthodontic treatments were finished, were included in this study. Patients were divided into three groups according to the surgical technique, as Lefort 1 osteotomy (Group 1), bilateral sagittal split ramus osteotomy (Group 2) and bimaxillary surgery (Group 3). Patients were asked to complete a form including demographic information, anamnesis and Post Surgical Patient Satisfaction Questionnaire (PSPSQ), a questionnaire which is used to assess patient satisfaction after surgical operation. The statistical analysis was performed using a statistical software package at a significance level of p<0.05.

RESULTS: There was no statistically significant difference among groups in terms of demographic variables. A high level of postoperative satisfaction was found in the majority of patients. The majority of the patients reported a high level of satisfaction for the functional and psychological outcomes of orthognathic surgery.

CONCLUSION: It was observed that orthognathic surgery had a positive impact on postoperative satisfaction in the evaluated patients.

Keywords

• Orthognathic surgery,patient satisfaction,questionnaires

Ortognatik cerrahi sonrası postoperatif hasta memnuniyetinin değerlendirilmesi

Abstract

AMAÇ: Bu araştırmanın amacı Gazi Üniversitesi Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi Kliniği’ne dentofasiyal deformite onarımı için başvuran ve ortognatik cerrahi uygulanmış hastalarda postoperatif hasta memnuniyetinin değerlendirilmesidir.

GEREÇ VE YÖNTEM: Çalışmaya en az 6 ay önce cerrahi tedavi uygulanmış, ortodontik tedavisi tamamlanmış ve herhangi bir sendromu olmayan 20’si kadın 16’sı erkek toplam 36 birey dahil edildi. Hastalar uygulanan cerrahi teknik göz önüne alınarak; Lefort 1 osteotomisi (Grup 1), bilateral sagittal split ramus osteotomisi (Grup 2) ve çift çene operasyonu (Grup 3) olarak 3 ayrı gruba bölündü. Hastalara ilk bölümü demografik bilgiler ve hasta öyküsünden oluşan, ikinci bölümü ise operasyon sonrası hasta memnuniyetini ölçmek için kullanılan Cerrahi Sonrası Hasta Memnuniyeti anketini içeren bir form doldurtuldu. Çalışmadan elde edilen verilerin istatistiksel analizi bir software kullanılarak yapıldı ve p<0.05 değeri anlamlı kabul edildi.

BULGULAR: Demografik özellikler açısından gruplar arasında istatistiksel fark gözlenmedi. Hastaların büyük çoğunluğunda operasyon sonrası memnuniyetin yüksek olduğu bulgulandı. Hastaların büyük çoğunluğu ortognatik cerrahinin fonksiyonel ve psikolojik sonuçları açısından yüksek oranda memnuniyet belirtti.

SONUÇ: Ortognatik cerrahinin değerlendirilen hasta grubunda postoperatif memnuniyeti olumlu etkilediği görüldü.

Keywords

• Ortognatik cerrahi,hasta memnuniyeti,anketler

References

1. Panula K, Finne K, Oikarinen K. Incidence of complications and prob- lems related to orthognathic surgery: a review of 655 patients. J Oral Maxillofac Surg 2001;59:1128-36.
2. Kiyak HA, Hohl T, West RA, McNeill RW. Psychologic changes in ort- hognathic surgery patients: a 24-month follow up. J Oral Maxillofac Surg 1984;42:506-12.
3. Khadka A, Liu Y, Li J, Zhu S, Luo E, Feng G, et al. Changes in qua- lity of life after orthognathic surgery: a comparison based on the invol- vement of the occlusion. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:719-25.
4. Modig M, Andersson L, Wårdh I. Patients' perception of improvement after orthognathic surgery: pilot study. Br J Oral Maxillofac Surg 2006;44:24-7.
5. Epker BN, Wolford LM. Dentofacial deformities: Surgical-orthodontic correction. St Louis: CV Mosby; 1980.
6. Scott AA, Hatch JP, Rugh JD, Hoffman TJ, Rivera SM, Dolce C, et al. Psychosocial predictors of satisfaction among orthognathic surgery pa- tients. Int J Adult Orthodon Orthognath Surg 2000;15:7-15.
7. Øland J, Jensen J, Melsen B. Factors of importance for the functio- nal outcome in orthognathic surgery patients: a prospective study of 118 patients. J Oral Maxillofac Surg 2010;68:2221-31.
8. Oland J, Jensen J, Papadopoulos MA, Melsen B. Does skeletal facial profile influence preoperative motives and postoperative satisfaction? A prospective study of 66 surgical-orthodontic patients. J Oral Maxillofac Surg 2011;69:2025-32.

9. Flanary CM, Barnwell GM Jr, Alexander JM. Patient perceptions of orthognathic surgery. Am J Orthod 1985;88:137-45.
10. Athanasiou AE, Melsen B, Eriksen J. Concerns, motivation, and ex- perience of orthognathic surgery patients: a retrospective study of 152 patients. Int J Adult Orthodon Orthognath Surg 1989;4:47-55.
11. Kiyak HA, Hohl T, Sherrick P, West RA, McNeill RW, Bucher F. Sex differences in motives for and outcomes of orthognathic surgery. J Oral Surg 1981;39:757-64.
12. Pepersack WJ, Chausse JM. Long term follow-up of the sagittal split- ting technique for correction of mandibular prognathism. J Maxillofac Surg 1978;6:117-40.
13. Nurminen L, Pietila T, Vinkka-Puhakka H. Motivation for and satis- faction with orthodontic-surgical treatment: a retrospective study of 28 patients. Eur J Orthod 1999;21:79-87.
14. Kiyak HA, McNeill RW, West RA. The emotional impact of orthog- nathic surgery and conventional orthodontics. Am J Orthod 1985;88:224-34.
15. Cunningham SJ, Hunt NP, Feinmann C. Psychological aspects of orthognathic surgery: a review of the literature. Int J Adult Orthodon Ort- hognath Surg 1995;10:159-72.
16. Lazaridou-Terzoudi T, Kiyak HA, Moore R, Athanasiou AE, Melsen B. Long-term assessment of psychologic outcomes of orthognathic sur- gery. J Oral Maxillofac Surg 2003;61:545-52.
17. Turker N, Varol A, Ogel K, Basa S. Perceptions of preoperative ex- pectations and postoperative outcomes from orthognathic surgery: part I: Turkish female patients. Int J Oral Maxillofac Surg 2008;37:710-5.
18. Posnick JC, Wallace J. Complex orthognathic surgery: assessment of patient satisfaction. J Oral Maxillofac Surg 2008;66:934-42.
19. Nemeth DZ, Rodrigues-Garcia RC, Sakai S, Hatch JP, Van Sickels JE, Bays RA, et al. Bilateral sagittal split osteotomy and temporoman- dibular disorders: rigid fixation versus wire fixation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:29-34.
20. Lemke RR, Clark GM, Bays RA, Tiner BD, Rugh JD. Effects of hypesthesia on oral behaviors of the orthognathic surgery patient. J Oral Maxillofac Surg 1998;56:158-60.