Dubel H, Honigmann K
Swiss Dent. 1992;13(7):15, 17-9.
Within this study patients with mandibular prognathism were studied as to their psychological situation pre- and postoperatively with the help of the Freiburg Personality Evaluation Sheet. Since it was our special interest, whether psychologically it makes a big difference whether the patients were operated during the time of adolescence or after the age of twenty, the postoperative investigation was carried out with special reference to this point. Without any doubt, the correction of prognathism improved the psychological situation of the patients. It was obvious that for those patients in between fourteen and seventeen the improvement was more helpful than for those patients after the age of twenty. On the other hand the rate of recurrence was much higher within the group of those patients operated in between fourteen and seventeen (29.8%) than for those patients which were operated later than at age twenty (8%). The ideal age for the correction of mandibular prognathism must be found individually. While the operation at an early time is more helpful for the psychological situation of the patients, it must on the other hand be seen that for this age-group the danger of recurrence is higher.
在本研究中，借助弗赖堡人格评估表，对下颌前突患者术前和术后的心理状况进行了研究。由于我们特别感兴趣的是，患者在青春期还是二十岁以后接受手术在心理上是否有很大差异，因此术后调查特别针对这一点进行。毫无疑问，下颌前突的矫正改善了患者的心理状况。显然，对于14至17岁的患者，这种改善比20岁以后的患者更有帮助。另一方面，在14至17岁接受手术的患者组中的复发率（29.8%）比20岁以后接受手术的患者（8%）高得多。矫正下颌前突的理想年龄必须因人而异。虽然早期手术对患者的心理状况更有帮助，但另一方面必须看到，对于这个年龄组来说，复发的风险更高。
