Patientenzufriedenheit mit dem Endergebnis eines orthognath-chirurgischen Eingriffs und Einfluss von ästhetischen und funktionellen Kriterien

Abstract

The following qualities of sensation were recorded: anesthetic (2.7%), hypesthetic (16.6%), paresthetic (8.3%), and normesthetic (72.4%). The patients' satisfaction was rated as very satisfied in 51.3%, as satisfactory in 44.8%, and in 3.9% the patients' expectations had not been fulfilled; 75% regarded their outward appearance as markedly improved and a good 50% of the patients noted improved mastication. Therefore, three-fourths of all the patients would even be willing to be operated on again. Two-dimensional analysis, however, demonstrated only a weakly significant positive relationship between patient satisfaction and the preserved, or restored, sensation in the trigeminal region.

Assessment of Quality of Life in Patients Undergoing Orthognathic Surgery

“…In addition to esthetic improvement, treatment objectives include harmonization of the occlusion and longterm stability of treatment results [3-5, 20, 21]. Standardized surgical techniques, miniaturized osteosynthesis systems, and antibiotic short-term prophylaxis have all made orthognathic surgery a routine procedure in the last 30 years [20,21]. In addition to studies on patient satisfaction upon finishing treatment, isolated reports and case studies have been published on the impact of dentofacial malocclusions on patients' quality of life [5,7,21,22].…”

The Importance of Temporomandibular Function for Patient Satisfaction following Orthognathic Surgery

“…Zum gleichen Zeitpunkt wurden die Patienten gebeten, einen Fragebogen auszufül-len. Der Fragebogen wurde in Anlehnung an Riedmann et al [20] entworfen und bezog sich sowohl auf die Beurteilung der ästhetischen und funktionellen Veränderungen als auch auf den Behandlungsablauf [16,17].…”

“…The patients were asked to fill out a questionnaire at the same time. The questionnaire was designed in analogy to Riedmann et al [20] and addressed the patient's appraisal of the esthetic and functional changes and treatment procedures [16,17].…”

“…Esthetic improvements and the achievement of a stable static and dynamic occlusion [15][16][17] are aspects of the treatment goals. Recent progress in surgical techniques and orthodontic treatment alternatives make good planning and prognosis for orthognathic surgical interventions possible.…”

“…Zu den erklärten Behandlungszielen gehört neben einer Verbesserung der Ästhetik das Erreichen einer gesicherten statischen und dynamischen Okklusion [15][16][17]. Der Fortschritt der Operationstechniken und der orthodontischen Behandlungsmöglichkeiten erlaubt eine gute Planbarkeit und Prognose für die dysgnathiechirurgischen Eingriffe.…”