Schwitzer Jonathan A, Albino Frank P, Mathis Ryan K, Scott Amie M, Gamble Laurie, Baker Stephen B
*Department of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, NY †Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC.
J Craniofac Surg. 2015 Nov;26(8):2293-8. doi: 10.1097/SCS.0000000000001983.
Primary outcomes for orthognathic surgery and genioplasty patients include satisfaction with appearance, improved motor function, and enhanced quality of life. The goal of this study was to assess outcomes among patients undergoing these procedures, and to highlight the potential use of FACE-Q instrument for use in patients with dentofacial deformities. A total of 56 patients presenting for orthognathic surgery and/or osseous genioplasty completed the FACE-Q during preoperative and/or at postoperative visits. FACE-Q scores increased following surgery in satisfaction with facial appearance overall (+24.5, P < 0.01), satisfaction with lower face and jawline (+40.7, P < 0.01), and in all satisfaction with chin items (profile, prominence, shape, and overall). Patients also demonstrated increased social confidence (+8.9, P = 0.29). There was no improvement in psychologic well-being (-0.8, P = 0.92). All 3 surgical groups of patients experienced gains in satisfaction with appearance following surgery. Patients who underwent orthognathic surgery either alone or in combination with genioplasty demonstrated statistically significant improvements in satisfaction with facial appearance overall (P < 0.01 for both groups), whereas patients who underwent genioplasty alone did not (P = 0.13). In addition, patients who underwent orthognathic surgery combined with genioplasty demonstrated greater improvement in satisfaction with chin than patients who underwent genioplasty alone. In conclusion, patients who underwent orthognathic surgery and/or genioplasty demonstrated improvement in appearance and social confidence. The use of this model supports the successful outcomes possible for patients undergoing these procedures.
正颌手术和颏成形术患者的主要预后指标包括对面部外观的满意度、运动功能改善和生活质量提高。本研究的目的是评估接受这些手术的患者的预后情况，并强调FACE-Q工具在牙颌面畸形患者中的潜在应用。共有56例接受正颌手术和/或骨性颏成形术的患者在术前和/或术后访视时完成了FACE-Q评估。术后，患者在整体面部外观满意度（提高24.5，P<0.01）、下脸和下颌缘满意度（提高40.7，P<0.01）以及所有下巴相关项目（侧面轮廓、突出度、形状和整体）的满意度方面均有所提高。患者的社交自信心也有所增强（提高8.9，P=0.29）。心理健康状况没有改善（降低0.8，P=0.92）。所有3组手术患者术后对面部外观的满意度均有所提高。单独接受正颌手术或联合颏成形术的患者在整体面部外观满意度方面有统计学显著改善（两组P均<0.01），而单独接受颏成形术的患者则没有（P=0.13）。此外，接受正颌手术联合颏成形术的患者在下巴满意度方面的改善比单独接受颏成形术的患者更大。总之，接受正颌手术和/或颏成形术的患者在外观和社交自信心方面有改善。该模型的应用支持了接受这些手术的患者可能取得的成功预后。
