The clinical relevance of orthognathic surgery on quality of life

Abstract The aim of orthognathic surgery is to produce a more aesthetic facial skeletal appearance, and improve jaw function. This prospective study, aimed to evaluate the impact of orthognathic surgery on quality of life for patients with dentofacial deformity, and whether it was clinically meaning...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2011-09, Vol.40 (9), p.926-930
Main Authors: Murphy, C, Kearns, G, Sleeman, D, Cronin, M, Allen, P.F
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Combined Modality Therapy
Dentistry
Female
Humans
Jaw Abnormalities - psychology
Jaw Abnormalities - surgery
Longitudinal Studies
Male
Mandible - abnormalities
Mandible - surgery
Maxilla - abnormalities
Maxilla - surgery
Medical sciences
Oral Surgical Procedures - methods
Oral Surgical Procedures - psychology
Orthodontics, Corrective - psychology
Orthognathic Surgical Procedures - methods
Orthognathic Surgical Procedures - psychology
Otorhinolaryngology. Stomatology
Quality of Life - psychology
Surgery
Treatment Outcome
Young Adult
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Summary:Abstract The aim of orthognathic surgery is to produce a more aesthetic facial skeletal appearance, and improve jaw function. This prospective study, aimed to evaluate the impact of orthognathic surgery on quality of life for patients with dentofacial deformity, and whether it was clinically meaningful. 62 consecutive patients were recruited (27 male, 35 female) aged 18–38 years. Baseline data were collected using a validated health status measure (Orthognathic Quality of Life Questionnaire (OQLQ)) and a visual analogue scale (VAS). Postoperative questionnaires (OQLQ, VAS) and a Global Transition Scale (GTS) were completed at 6 months after completion of treatment and compared with pre-treatment scores. Following surgery, there was a significant ( p < 0.05, paired t test) improvement in OQLQ scores for each domain. The proportion of patients reporting a moderate or large improvement was: facial appearance (93%), chewing function (64%), comfort (60%) and speech (32%). Clinical relevance of change scores was reported in terms of effect sizes, and the largest effect was on facial aesthetics. The clinical impact was moderate on social aspects of deformity and oral function and a small effect on awareness of facial deformity. This research reaffirms that orthognathic surgery has positive effects on quality of life.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2011.04.001