Khadka Ashish, Liu Yao, Li Jihua, Zhu Songsong, Luo En, Feng Ge, Hu Jing
State Key Laboratory of Oral Diseases and Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu, China.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Dec;112(6):719-25. doi: 10.1016/j.tripleo.2011.01.002. Epub 2011 Mar 31.
The aims of this study were to investigate the impact of dentofacial deformities on quality of life in Chinese patients and to make a comparison between facial deformities that do and do not involve the occlusion.
Consecutive patients with dentofacial deformities requiring surgical correction were divided into 2 groups. Group A represented those who had undergone presurgical orthodontic treatment, and group B represented patients with square faces or prominent zygoma. All subjects were assessed by the 36-item Short-Form Health Survey (SF-36) and the 22-item Orthognathic Quality of Life Questionnaire (OQLQ-22) during 2 time periods: preoperatively and 6-8 months postoperatively.
The SF-36 revealed that there was significant difference in role physical and bodily pain (P < .05) preoperatively between the 2 groups, whereas postoperatively the difference was not significant. Preoperatively, there was significant difference in oral function and facial esthetics components of OQLQ (P < .001), whereas postoperatively only the oral function domain showed significant difference.
Orthognathic surgery had a positive impact on patients' quality of life regardless of the type of deformity. OQLQ showed better discerning ability and was able to point out the subtle differences between the 2 groups.
本研究旨在调查牙颌面畸形对中国患者生活质量的影响，并对涉及和不涉及咬合的面部畸形进行比较。
将需要手术矫正的牙颌面畸形连续患者分为两组。A组为接受过术前正畸治疗的患者，B组为方形脸或颧骨突出的患者。所有受试者在术前和术后6至8个月这两个时间段接受36项简短健康调查（SF - 36）和22项正颌生活质量问卷（OQLQ - 22）评估。
SF - 36显示，两组术前在角色身体和身体疼痛方面存在显著差异（P < 0.05），而术后差异不显著。术前，OQLQ的口腔功能和面部美学成分存在显著差异（P < 0.001），而术后仅口腔功能领域显示出显著差异。
无论畸形类型如何，正颌手术对患者的生活质量都有积极影响。OQLQ显示出更好的辨别能力，能够指出两组之间的细微差异。
