Ostler S, Kiyak H A
University of Washington School of Dentistry, Seattle 98185.
Int J Adult Orthodon Orthognath Surg. 1991;6(4):247-55.
As a followup to a longitudinal study of orthognathic surgery patients who had participated in a study of alternative approaches to surgical preparation, 27 patients were administered questionnaires regarding postsurgical changes in their oral, general, and psychological well-being. Age and sex had minimal effect on the patients' responses. Diagnosis, surgery type, and complications did not influence postoperative patient reports. Esthetic improvement was most often cited as a motive for surgery and most likely to be achieved. Fewer postoperative problems were experienced than expected, although interpersonal problems increased for some patients. Oral and general health problems declined significantly after surgery; the greatest improvements were found in occlusion and appearance of teeth and facial profile. Satisfaction with outcomes reflected these improvements in patient well-being. Exceptions to these generally favorable outcomes and the implications for patient preparation for orthognathic surgery are discussed.
作为一项针对接受过手术准备替代方法研究的正颌手术患者的纵向研究的后续，对27名患者进行了问卷调查，询问他们术后口腔、总体和心理健康状况的变化。年龄和性别对患者的回答影响最小。诊断、手术类型和并发症并未影响术后患者报告。美学改善最常被引述为手术动机，且最有可能实现。术后出现的问题比预期少，尽管一些患者的人际问题有所增加。术后口腔和总体健康问题显著减少；在咬合、牙齿外观和面部轮廓方面改善最大。对结果的满意度反映了患者健康状况的这些改善。文中讨论了这些总体良好结果的例外情况以及对正颌手术患者准备工作的启示。
