Assessment of long term patient satisfaction in orthognathic surgery

Abstract

Objective: Even though there are many reliable data that deal with orthognatic surgery, there is very little information about patient satisfaction. When evaluating the success of the surgery, clinicians usually take postoperative occlusion and cephalometric measurements into consideration. However for the patietns,  aesthetic appearence is as important as occlusion.

Material and Methods: 80 patients who underwent orthognathic surgery between 2003-2011 in Çukurova University were studied. Patients were interviewed either personally or by the phone with a questionairre that reflect patient satisfaction such as preoperative and postoperative  aesthetic facial apperance, change in self confidence, mastication, hypoestesia and pain in temporomandibular joint.

Results: 22,5 % of the patients stated that there was aesthetic improvement, 8,8 % stated only improvement in mastication and 62,5 %  stated there was improvement in both.  A total of 70 %(n=56)  of the patients pointed out there was significant improvement in their self esteem.

Conclusion: This study suggests that outcomes of the surgeries can be evaluated not only by occlusion and cephalometric measurements but also  with subjective complaints and satisfaction of the patients. To achieve long term success in orthognathic surgery, one should know the relationship between function and aesthetic facial appearence and take both of them into consideration equally.

Keywords

• Malocclusion;Lefort 1 osteotomy;sagittal split ramus osteotomy;patient satisfaction

Medical Science and Discovery

Öz

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