Emadian Razvadi Elham Sadat, Soheilifar Sepideh, Esmaeelinejad Mohammad, Naghdi Navid
*Orthodontic Department, School of Dentistry, Arak University of Medical Sciences, Arak †Orthodontic Department, Dental Research Center, Hamadan University of Medical Sciences, Hamadan ‡Oral and Maxillofacial Surgery Department, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran §Oral and Maxillofacial Surgery Department, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
J Craniofac Surg. 2017 Nov;28(8):e739-e743. doi: 10.1097/SCS.0000000000003887.
Orthognathic surgery can affect patients' quality of life. The aim of the present study was to assess changes in quality of life during combined orthodontics-surgery treatment and effect of orthodontist-surgeon teamwork on final patient's satisfaction. Twenty-six orthognathic patients who were referred to oral and maxillofacial department of 3 hospitals in Tehran were included in the study. Orthognathic quality of life questionnaire (OQLQ) was given to patients 1 week before, 4 weeks and 4 months after surgery. Two self-designed forms were used for evaluating mood and comfort of patients 1 week before surgery and 4 days after surgery. Self-designed forms were given to the orthodontists and the maxillofacial surgeons to assess quality of teamwork and difficulty of the procedure. Twenty-four patients (15 females and 9 males) with the mean age of 22.62 ± 3.57 completed the study. Quality of life increased from 1 week before surgery to 4 months after surgery (P < 0.013) and the difference was statistically significant between OQLQ score at 1 week before surgery and that of 4 months postoperative. Esthetic and social domain showed significant changes during the studied period. Orthognathic quality of life questionnaire at 4 months postoperative was correlated with surgery difficulty and duration. It can be concluded that orthognathic surgery can improve quality of life, especially in esthetic and social aspects.
正颌手术会影响患者的生活质量。本研究的目的是评估正畸 - 外科联合治疗期间生活质量的变化以及正畸医生 - 外科医生团队合作对患者最终满意度的影响。本研究纳入了26名转诊至德黑兰3家医院口腔颌面科的正颌患者。在手术前1周、术后4周和4个月向患者发放正颌生活质量问卷（OQLQ）。使用两份自行设计的表格在手术前1周和术后4天评估患者的情绪和舒适度。将自行设计的表格发放给正畸医生和颌面外科医生，以评估团队合作质量和手术难度。24名患者（15名女性和9名男性）完成了研究，平均年龄为22.62 ± 3.57岁。生活质量从手术前1周提高到术后4个月（P < 0.013），手术前1周的OQLQ评分与术后4个月的评分差异具有统计学意义。在研究期间，美学和社会领域出现了显著变化。术后4个月的正颌生活质量问卷与手术难度和持续时间相关。可以得出结论，正颌手术可以改善生活质量，尤其是在美学和社会方面。
