Do patients benefit from orthognathic surgery? A systematic review on the effects of elective orthognathic surgery on psychosocial functioning and patient satisfaction

Abstract

The main purpose of this systematic review was to determine the current state of evidence regarding patient satisfaction with, and the impact of, orthognathic surgery on psychosocial functioning of patients 17 yr of age and older. A secondary aim was to determine whether individuals with psychiatric disorders and mental health conditions are more likely to be dissatisfied with the treatment outcome than those without. We systematically searched PubMed, PsycInfo, and Embase for relevant studies (up to 6 June 2016). After selection of articles we determined the Directness of Evidence (DoE) and Risk of Bias (RoB). We identified 3,948 studies (1,053 studies in Pubmed, 2,023 in Embase, and 872 in PsycInfo). Of these, 87 remained after screening of title and abstract, while after full-text screening only nine remained for DoE and RoB assessment. All nine studies had a high RoB and a low or moderate DoE. The quality of the methods of studies, published to date, on the effects of orthognathic surgery on patient satisfaction or the psychosocial impact carry a high RoB. Therefore, these do not allow inferences on the effects of orthognathic surgery on patient satisfaction or their psychosocial functioning.

Patient- and 3D morphometry-based nose outcomes after skeletofacial reconstruction

“…Although these objective outcomes are important, nose appearance is subjective, and incorporating patients' opinion about the same is of paramount importance 17,28 . A range of instruments has been adopted in PRO-based research 4,5,7,8 . However, the lack of reliability or validity has impaired the interpretation or further application of a number of these adopted tools 4,5 .…”

“…A range of instruments has been adopted in PRO-based research 4,5,7,8 . However, the lack of reliability or validity has impaired the interpretation or further application of a number of these adopted tools 4,5 . Additionally, most of these studies have employed generic instruments that were not designed to isolate the necessary areas of concern to specific patient populations 4,5 .…”

Autoestima E Aspectos Socioemocionais Em Pacientes De Cirurgia Ortognática: Propostas De Análise Psicológica

“…As principais razões para o paciente procurar pela cirurgia são, além do motivo estético, tanto facial quanto dentário, o distúrbio funcional, o qual envolve a má oclusão, as desordens temporomandibulares, a dor crônica ou intermitente, a limitação dos movimentos mandibulares e o ruído na articulação, as dores na face e, algumas vezes, a dor no ouvido [9][10] . Como observado nos resultados, além dessas limitações presentes no paciente com deformidades dentofaciais, algumas restrições fazem parte do pós-operatório imediato, tais como o inchaço e a parestesia.…”

Modern Surgery-First Approach Concept in Cleft-Orthognathic Surgery: A Comparative Cohort Study with 3D Quantitative Analysis of Surgical-Occlusion Setup

“…A substantial percentage of skeletally mature patients (20-75%) [2][3][4] present visible skeletofacial deformities and cleft-related psychosocial problems that contribute to social discrimination and stigmatization [5,6], requiring appropriate treatment [2][3][4]. Orthognathic surgery (OGS) is considered the mainstay of treatment due to the positive impact on oral function, facial appearance, and psychosocial health [7][8][9]. Classically, the dental arches of patients with clefts have been orthodontically prepared before OGS [10,11].…”