Assessing Patient-Reported Outcomes Following Orthognathic Surgery and Osseous Genioplasty.

نویسندگان

  • Jonathan A Schwitzer
  • Frank P Albino
  • Ryan K Mathis
  • Amie M Scott
  • Laurie Gamble
  • Stephen B Baker
چکیده

Primary outcomes for orthognathic surgery and genioplasty patients include satisfaction with appearance, improved motor function, and enhanced quality of life. The goal of this study was to assess outcomes among patients undergoing these procedures, and to highlight the potential use of FACE-Q instrument for use in patients with dentofacial deformities. A total of 56 patients presenting for orthognathic surgery and/or osseous genioplasty completed the FACE-Q during preoperative and/or at postoperative visits. FACE-Q scores increased following surgery in satisfaction with facial appearance overall (+24.5, P < 0.01), satisfaction with lower face and jawline (+40.7, P < 0.01), and in all satisfaction with chin items (profile, prominence, shape, and overall). Patients also demonstrated increased social confidence (+8.9, P = 0.29). There was no improvement in psychologic well-being (-0.8, P = 0.92). All 3 surgical groups of patients experienced gains in satisfaction with appearance following surgery. Patients who underwent orthognathic surgery either alone or in combination with genioplasty demonstrated statistically significant improvements in satisfaction with facial appearance overall (P < 0.01 for both groups), whereas patients who underwent genioplasty alone did not (P = 0.13). In addition, patients who underwent orthognathic surgery combined with genioplasty demonstrated greater improvement in satisfaction with chin than patients who underwent genioplasty alone. In conclusion, patients who underwent orthognathic surgery and/or genioplasty demonstrated improvement in appearance and social confidence. The use of this model supports the successful outcomes possible for patients undergoing these procedures.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Osseous genioplasty with the use of a “Foundation Screw”

Introduction: Osseous genioplasty is a versatile procedure which can predictably influence the profile, vertical length and esthetics of the chin. It can be performed as an isolated procedure or in conjunction with orthognathic surgery. With recent advances in imaging technology, three-dimensional computer assisted surgical simulation with images obtained from cone beam computed tomography are ...

متن کامل

Ectopic Ciliated Cyst in the Mandible Secondary to Genioplasty and Lefort after Two Years: A Case Report and Literature Review

Introduction: The ectopic ciliated cyst is a rare non-odontogenic cyst which occurs as a delayed complication after maxillary sinus radical surgery; this lesion emerges due to the destruction of the sinus mucosa during the surgery and entrapment of the respiratoryepitheliumin the region. This lesion has been observed in very rare cases following genioplasty and bimaxillary orthognathic surgery....

متن کامل

Ectopic Ciliated Cyst in the Mandible Secondary to Genioplasty and Lefort after Two Years: A Case Report and Literature Review

INTRODUCTION The ectopic ciliated cyst is a rare non-odontogenic cyst which occurs as a delayed complication after maxillary sinus radical surgery; this lesion emerges due to the destruction of the sinus mucosa during the surgery and entrapment of the respiratory epithelium in the region. This lesion has been observed in very rare cases following genioplasty and bimaxillary orthognathic surgery...

متن کامل

The Art of Genioplasty: An Insight

Approximately 20% of the population is affected by dentofacial deformities which may demonstrate myriad degrees of functional and aesthetic compromise. Moderate to severe occlusal discrepancies most often require combined orthodontic treatment and orthognathic surgery to attain the most stable results with optimal function and aesthetic outcomes. Orthognathic surgery is said to be the art and s...

متن کامل

Mandibular distraction in hemifacial microsomia is not a permanent treatment: a long-term evaluation.

BACKGROUND Hemifacial microsomia presents with abnormalities including short ramus, absence of condyle, abnormal canting, deviated chin, and facial asymmetry. Many studies about distraction osteogenesis have been published over the last 20 years, but without long-term follow-up. The aim of this study was to evaluate patients with unilateral craniofacial microsomia who were treated with mandible...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Journal of craniofacial surgery

دوره 26 8  شماره 

صفحات  -

تاریخ انتشار 2015