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Assessment of long term patient satisfaction in orthognathic surgery

Year 2016, Volume: 3 Issue: 4, 171 - 7, 15.04.2016

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.

References

  • Patel PK, Morris DE, Zhao L. Orthognathic Surgery. (Updated: 12.02.2014, Access time: 25.02.2016) Available from: http://emedicine.medscape.com/article/1279747-overview
  • Rosen HM. Aesthetic Orthognathic Surgery. In: Mathes SJ, Hentz VR, editors. Plastic Surgery. Vol 2. Philadelphia: Saunders Elsevier; 2006. p. 649-86.
  • Berger JL, Pangrazio-Kulbersh V, Bacchus SN, Kaczynski R. Stability of bilateral sagittal split ramus osteotomy: rigid fixation versus transosseous wiring. American Journal of Orthodontics and Dentofacial Orthopedics. 2000;118(4):397-403.
  • Hoppenreijs TJ, Freihofer HPM, Stoelinga PJ, Tuinzing DB, van't Hof MA. Condylar remodelling and resorption after Le Fort I and bimaxillary osteotomies in patients with anterior open bite: A clinical and radiological study aesthetic and reconstructive surgery. International journal of oral and maxillofacial surgery. 1998;27(2):81-91.
  • Tucker MY, Ochs MW. Correction of dentofacial deformities. In: Peterson LJ, Edward E, Hupp JR, Tucker MR, editors. Contemporary Oral and Maxillofacial surgery . 4th ed. New York: Mosby; 2003. p. 559-602.
  • Schendel SA. Orthognathic surgey. In: Achauer BM, Eriksson E, Guyuron B, Coleman JJ, Russell RC, Vander Kolk CA, editors. Plastic Surgery, Vol. 2, St. Louis: Mosby; 2000. p. 871-895.
  • Bailey L, Proffit W, White Jr R. Trends in surgical treatment of Class III skeletal relationships. The International journal of adult orthodontics and orthognathic surgery. 1994;10(2):108-18.
  • Panula K, Finne K, Oikarinen K. Incidence of complications and problems related to orthognathic surgery: a review of 655 patients. Journal of oral and maxillofacial surgery. 2001;59(10):1128-36.
  • Schendel SA, Mason ME. Adverse outcomes in orthognathic surgery and management of residual problems. Clinics in plastic surgery. 1997;24(3):489-505.
  • Borstlap W, Stoelinga P, Hoppenreijs T, Van’t Hof M. Stabilisation of sagittal split advancement osteotomies with miniplates: a prospective, multicentre study with two-year follow-up: Part I. Clinical parameters. International journal of oral and maxillofacial surgery. 2004;33(5):433-41.
  • -
  • Cunningham SJ, Garratt AM, Hunt NP. Development of a condition‐specific quality of life measure for patients with dentofacial deformity: I. Reliability of the instrument. Community dentistry and oral epidemiology. 2000;28(3):195-201.
  • Apaydın A. (Harris M, Reynolds I.R) Ortognatik Cerrahinin Temelleri, Nobel Tıp Kitabevi, İstanbul 1992.
  • O'Brien K, Kay L, Fox D, Mandall N. Assessing oral health outcomes for orthodontics -measuring health status and quality of life. Community dental health. 1998;15(1):22-6.
  • Bennett M, Phillips C. Assessment of health-related quality of life for patients with severe skeletal disharmony: a review of the issues. The International journal of adult orthodontics and orthognathic surgery. 1998;14(1):65-75.
  • Siow K, Ong S, Lian C, Ngeow W. Satisfaction of orthognathic surgical patients in a Malaysian population. Journal of oral science. 2002;44(3/4):165-71.
  • Nicodemo D, Pereira MD, Ferreira LM. Self-esteem and depression in patients presenting angle class III malocclusion submitted for orthognathic surgery. Medicina Oral Patologia Oral y Cirugia Bucal. 2008;13(1):48.
  • Rustmeyer J, Eke Z, Bremerich A. Perception of improvement after orthognathic surgery: the important variables affecting patient satisfaction. Oral Maxillofacial Surgery 2010;14:155-162
  • Campbell RL, Shamaskin RG, Harkins SW. Assessment of recovery from injury to inferior alveolar and mental nerves. Oral Surgery, Oral Medicine, Oral Pathology. 1987;64(5):519-26.
  • Colella G, Cannavale R, Vicidomini A, Lanza A. Neurosensory disturbance of the inferior alveolar nerve after bilateral sagittal split osteotomy: a systematic review. Journal of oral and maxillofacial surgery. 2007;65(9):1707-15.
  • Kim Y-K, Kim S-G, Kim J-H. Altered sensation after orthognathic surgery. Journal of Oral and Maxillofacial Surgery. 2011;69(3):893-8.
  • Raveh J, Vuillemin T, Ládrach K, Sutter F. New techniques for reproduction of the condyle relation and reduction of complications after sagittal ramus split osteotomy of the mandible. Journal of Oral and Maxillofacial Surgery. 1988;46(9):751-7.
  • Westermark A, Bystedt H, Von Konow L. Inferior alveolar nerve function after mandibular osteotomies. British Journal of Oral and Maxillofacial Surgery. 1998;36(6):425-8.
  • Wijbenga J, Verlinden C, Jansma J, Becking A, Stegenga B. Long-lasting neurosensory disturbance following advancement of the retrognathic mandible: distraction osteogenesis versus bilateral sagittal split osteotomy. International journal of oral and maxillofacial surgery. 2009;38(7):719-25.
  • August M, Marchena J, Donady J, Kaban L. Neurosensory deficit and functional impairment after sagittal ramus osteotomy: a long-term follow-up study. Journal of oral and maxillofacial surgery. 1998;56(11):1231-5.
  • Ylikontiola L, Kinnunen J, Laukkanen P, Oikarinen K. Prediction of recovery from neurosensory deficit after bilateral sagittal split osteotomy. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2000;90(3):275-81.
  • Westermark A, Bystedt H, von KL. Inferior alveolar nerve function after sagittal split osteotomy of the mandible: correlation with degree of intraoperative nerve encoun¬ter and other variables in 496 operations. British Journal of Oral and Maxillofacial Surgery, 1998;36: 429-33.
  • Van de Perre JP, Stoelinga PJ, Blijdorp PA, Brouns JJ, Hoppenreijs TJ. Perioperative morbidity in maxillofacial orthopaedic surgery: a retrospective study. Journal of Cranio-Maxillofacial Surgery. 1996;24(5):263-70.
  • Kramer F-J, Baethge C, Swennen G, Teltzrow T, Schulze A, Berten J, et al. Intra-and perioperative complications of the LeFort I osteotomy: a prospective evaluation of 1000 patients. Journal of Craniofacial Surgery. 2004;15(6):971-7.
  • Lanigan DT, Hey JH, West RA. Aseptic necrosis following maxillary osteotomies: report of 36 cases. Journal of Oral and Maxillofacial Surgery. 1990;48(2):142-56.
  • Dolce C, Van Sickels JE, Bays RA, Rugh JD. Skeletal stability after mandibular advancement with rigid versus wire fixation. Journal of oral and maxillofacial surgery. 2000;58(11):1219-27.
  • Costa F, Robiony M, Politi M. Stability of Le Fort I osteotomy in maxillary advancement: review of the literature. The International journal of adult orthodontics and orthognathic surgery. 1998;14(3):207-13.
  • Proffit W, Turvey T, Phillips C. Orthognathic surgery: a hierarchy of stability. The International journal of adult orthodontics and orthognathic surgery. 1995;11(3):191-204.
  • Hoffman G, Brennan P. The skeletal stability of one-piece Le Fort 1 osteotomy to advance the maxilla: Part 1. Stability resulting from non-bone grafted rigid fixation. British Journal of Oral and Maxillofacial Surgery. 2004;42(3):221-5.
  • Proffit WR, Phillips C, Turvey TA. Stability after surgical-orthodontic corrective of skeletal class III malocclusion. 3. Combined maxillary and mandibular procedures. International journal of adult orthodontics and orthognathic surgery. 1991; 6: 211 – 225
  • Rosen HM. Definitive surgical correction of vertical maxillary deficiency. Plastic and reconstructive surgery. 1990;85(2):215-21.

Medical Science and Discovery

Year 2016, Volume: 3 Issue: 4, 171 - 7, 15.04.2016

Abstract

References

  • Patel PK, Morris DE, Zhao L. Orthognathic Surgery. (Updated: 12.02.2014, Access time: 25.02.2016) Available from: http://emedicine.medscape.com/article/1279747-overview
  • Rosen HM. Aesthetic Orthognathic Surgery. In: Mathes SJ, Hentz VR, editors. Plastic Surgery. Vol 2. Philadelphia: Saunders Elsevier; 2006. p. 649-86.
  • Berger JL, Pangrazio-Kulbersh V, Bacchus SN, Kaczynski R. Stability of bilateral sagittal split ramus osteotomy: rigid fixation versus transosseous wiring. American Journal of Orthodontics and Dentofacial Orthopedics. 2000;118(4):397-403.
  • Hoppenreijs TJ, Freihofer HPM, Stoelinga PJ, Tuinzing DB, van't Hof MA. Condylar remodelling and resorption after Le Fort I and bimaxillary osteotomies in patients with anterior open bite: A clinical and radiological study aesthetic and reconstructive surgery. International journal of oral and maxillofacial surgery. 1998;27(2):81-91.
  • Tucker MY, Ochs MW. Correction of dentofacial deformities. In: Peterson LJ, Edward E, Hupp JR, Tucker MR, editors. Contemporary Oral and Maxillofacial surgery . 4th ed. New York: Mosby; 2003. p. 559-602.
  • Schendel SA. Orthognathic surgey. In: Achauer BM, Eriksson E, Guyuron B, Coleman JJ, Russell RC, Vander Kolk CA, editors. Plastic Surgery, Vol. 2, St. Louis: Mosby; 2000. p. 871-895.
  • Bailey L, Proffit W, White Jr R. Trends in surgical treatment of Class III skeletal relationships. The International journal of adult orthodontics and orthognathic surgery. 1994;10(2):108-18.
  • Panula K, Finne K, Oikarinen K. Incidence of complications and problems related to orthognathic surgery: a review of 655 patients. Journal of oral and maxillofacial surgery. 2001;59(10):1128-36.
  • Schendel SA, Mason ME. Adverse outcomes in orthognathic surgery and management of residual problems. Clinics in plastic surgery. 1997;24(3):489-505.
  • Borstlap W, Stoelinga P, Hoppenreijs T, Van’t Hof M. Stabilisation of sagittal split advancement osteotomies with miniplates: a prospective, multicentre study with two-year follow-up: Part I. Clinical parameters. International journal of oral and maxillofacial surgery. 2004;33(5):433-41.
  • -
  • Cunningham SJ, Garratt AM, Hunt NP. Development of a condition‐specific quality of life measure for patients with dentofacial deformity: I. Reliability of the instrument. Community dentistry and oral epidemiology. 2000;28(3):195-201.
  • Apaydın A. (Harris M, Reynolds I.R) Ortognatik Cerrahinin Temelleri, Nobel Tıp Kitabevi, İstanbul 1992.
  • O'Brien K, Kay L, Fox D, Mandall N. Assessing oral health outcomes for orthodontics -measuring health status and quality of life. Community dental health. 1998;15(1):22-6.
  • Bennett M, Phillips C. Assessment of health-related quality of life for patients with severe skeletal disharmony: a review of the issues. The International journal of adult orthodontics and orthognathic surgery. 1998;14(1):65-75.
  • Siow K, Ong S, Lian C, Ngeow W. Satisfaction of orthognathic surgical patients in a Malaysian population. Journal of oral science. 2002;44(3/4):165-71.
  • Nicodemo D, Pereira MD, Ferreira LM. Self-esteem and depression in patients presenting angle class III malocclusion submitted for orthognathic surgery. Medicina Oral Patologia Oral y Cirugia Bucal. 2008;13(1):48.
  • Rustmeyer J, Eke Z, Bremerich A. Perception of improvement after orthognathic surgery: the important variables affecting patient satisfaction. Oral Maxillofacial Surgery 2010;14:155-162
  • Campbell RL, Shamaskin RG, Harkins SW. Assessment of recovery from injury to inferior alveolar and mental nerves. Oral Surgery, Oral Medicine, Oral Pathology. 1987;64(5):519-26.
  • Colella G, Cannavale R, Vicidomini A, Lanza A. Neurosensory disturbance of the inferior alveolar nerve after bilateral sagittal split osteotomy: a systematic review. Journal of oral and maxillofacial surgery. 2007;65(9):1707-15.
  • Kim Y-K, Kim S-G, Kim J-H. Altered sensation after orthognathic surgery. Journal of Oral and Maxillofacial Surgery. 2011;69(3):893-8.
  • Raveh J, Vuillemin T, Ládrach K, Sutter F. New techniques for reproduction of the condyle relation and reduction of complications after sagittal ramus split osteotomy of the mandible. Journal of Oral and Maxillofacial Surgery. 1988;46(9):751-7.
  • Westermark A, Bystedt H, Von Konow L. Inferior alveolar nerve function after mandibular osteotomies. British Journal of Oral and Maxillofacial Surgery. 1998;36(6):425-8.
  • Wijbenga J, Verlinden C, Jansma J, Becking A, Stegenga B. Long-lasting neurosensory disturbance following advancement of the retrognathic mandible: distraction osteogenesis versus bilateral sagittal split osteotomy. International journal of oral and maxillofacial surgery. 2009;38(7):719-25.
  • August M, Marchena J, Donady J, Kaban L. Neurosensory deficit and functional impairment after sagittal ramus osteotomy: a long-term follow-up study. Journal of oral and maxillofacial surgery. 1998;56(11):1231-5.
  • Ylikontiola L, Kinnunen J, Laukkanen P, Oikarinen K. Prediction of recovery from neurosensory deficit after bilateral sagittal split osteotomy. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2000;90(3):275-81.
  • Westermark A, Bystedt H, von KL. Inferior alveolar nerve function after sagittal split osteotomy of the mandible: correlation with degree of intraoperative nerve encoun¬ter and other variables in 496 operations. British Journal of Oral and Maxillofacial Surgery, 1998;36: 429-33.
  • Van de Perre JP, Stoelinga PJ, Blijdorp PA, Brouns JJ, Hoppenreijs TJ. Perioperative morbidity in maxillofacial orthopaedic surgery: a retrospective study. Journal of Cranio-Maxillofacial Surgery. 1996;24(5):263-70.
  • Kramer F-J, Baethge C, Swennen G, Teltzrow T, Schulze A, Berten J, et al. Intra-and perioperative complications of the LeFort I osteotomy: a prospective evaluation of 1000 patients. Journal of Craniofacial Surgery. 2004;15(6):971-7.
  • Lanigan DT, Hey JH, West RA. Aseptic necrosis following maxillary osteotomies: report of 36 cases. Journal of Oral and Maxillofacial Surgery. 1990;48(2):142-56.
  • Dolce C, Van Sickels JE, Bays RA, Rugh JD. Skeletal stability after mandibular advancement with rigid versus wire fixation. Journal of oral and maxillofacial surgery. 2000;58(11):1219-27.
  • Costa F, Robiony M, Politi M. Stability of Le Fort I osteotomy in maxillary advancement: review of the literature. The International journal of adult orthodontics and orthognathic surgery. 1998;14(3):207-13.
  • Proffit W, Turvey T, Phillips C. Orthognathic surgery: a hierarchy of stability. The International journal of adult orthodontics and orthognathic surgery. 1995;11(3):191-204.
  • Hoffman G, Brennan P. The skeletal stability of one-piece Le Fort 1 osteotomy to advance the maxilla: Part 1. Stability resulting from non-bone grafted rigid fixation. British Journal of Oral and Maxillofacial Surgery. 2004;42(3):221-5.
  • Proffit WR, Phillips C, Turvey TA. Stability after surgical-orthodontic corrective of skeletal class III malocclusion. 3. Combined maxillary and mandibular procedures. International journal of adult orthodontics and orthognathic surgery. 1991; 6: 211 – 225
  • Rosen HM. Definitive surgical correction of vertical maxillary deficiency. Plastic and reconstructive surgery. 1990;85(2):215-21.
There are 36 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

İbrahim Tabakan

Omer Kokacya

Erol Kesiktas

Cengiz Eser

Eyuphan Gencel This is me

Publication Date April 15, 2016
Published in Issue Year 2016 Volume: 3 Issue: 4

Cite

APA Tabakan, İ., Kokacya, O., Kesiktas, E., Eser, C., et al. (2016). Assessment of long term patient satisfaction in orthognathic surgery. Medical Science and Discovery, 3(4), 171-7. https://doi.org/10.17546/msd.08021
AMA Tabakan İ, Kokacya O, Kesiktas E, Eser C, Gencel E. Assessment of long term patient satisfaction in orthognathic surgery. Med Sci Discov. April 2016;3(4):171-7. doi:10.17546/msd.08021
Chicago Tabakan, İbrahim, Omer Kokacya, Erol Kesiktas, Cengiz Eser, and Eyuphan Gencel. “Assessment of Long Term Patient Satisfaction in Orthognathic Surgery”. Medical Science and Discovery 3, no. 4 (April 2016): 171-7. https://doi.org/10.17546/msd.08021.
EndNote Tabakan İ, Kokacya O, Kesiktas E, Eser C, Gencel E (April 1, 2016) Assessment of long term patient satisfaction in orthognathic surgery. Medical Science and Discovery 3 4 171–7.
IEEE İ. Tabakan, O. Kokacya, E. Kesiktas, C. Eser, and E. Gencel, “Assessment of long term patient satisfaction in orthognathic surgery”, Med Sci Discov, vol. 3, no. 4, pp. 171–7, 2016, doi: 10.17546/msd.08021.
ISNAD Tabakan, İbrahim et al. “Assessment of Long Term Patient Satisfaction in Orthognathic Surgery”. Medical Science and Discovery 3/4 (April 2016), 171-7. https://doi.org/10.17546/msd.08021.
JAMA Tabakan İ, Kokacya O, Kesiktas E, Eser C, Gencel E. Assessment of long term patient satisfaction in orthognathic surgery. Med Sci Discov. 2016;3:171–7.
MLA Tabakan, İbrahim et al. “Assessment of Long Term Patient Satisfaction in Orthognathic Surgery”. Medical Science and Discovery, vol. 3, no. 4, 2016, pp. 171-7, doi:10.17546/msd.08021.
Vancouver Tabakan İ, Kokacya O, Kesiktas E, Eser C, Gencel E. Assessment of long term patient satisfaction in orthognathic surgery. Med Sci Discov. 2016;3(4):171-7.