Al-Hadi N, Chegini S, Klontzas M E, McKenny J, Heliotis M
Regional North West London Maxillofacial Unit, London North West University Healthcare NHS Trust, Northwick Park Hospital, Harrow, London, UK.
Regional North West London Maxillofacial Unit, London North West University Healthcare NHS Trust, Northwick Park Hospital, Harrow, London, UK; Imperial College London, London, UK.
Int J Oral Maxillofac Surg. 2019 Feb;48(2):211-216. doi: 10.1016/j.ijom.2018.07.013. Epub 2018 Aug 22.
Orthognathic surgery aims to correct dentoskeletal and facial discrepancies. Treatment usually requires a minimum of 18 months, necessitating that patients are adequately satisfied with the treatment provided. This study aimed to assess the determinants of patient satisfaction following treatment. One hundred and eighteen patients who had undergone orthognathic surgery were included prospectively. All participants completed a questionnaire regarding their reasons for undergoing treatment, treatment logistics, treatment outcomes, and satisfaction throughout their journey. Most patients were 'very satisfied' (71.2%) or 'satisfied' (19.5%) with the overall treatment. The majority wished to improve their smile (78.0%); post-treatment, 89.0% of patients reported an improved smile. Almost half of the patients (46.6%) stayed in hospital for only one night, and 41.5% took over 4 weeks off work or school post-surgery. People with postoperative breathing difficulties spent more days in hospital (P=0.021), but importantly, the duration of hospital stay did not differ between maxillary advancement, bilateral sagittal split osteotomy, and bimaxillary surgery (P=0.78). In conclusion, patient satisfaction was high following orthognathic treatment. The results highlight areas for improvement, such as information delivery to the patient throughout the treatment journey, and show that the presence of ongoing problems is an important predictor of patient satisfaction.
正颌手术旨在矫正牙颌面及面部畸形。治疗通常至少需要18个月，这就要求患者对所提供的治疗充分满意。本研究旨在评估治疗后患者满意度的决定因素。前瞻性纳入了118例行正颌手术的患者。所有参与者均完成了一份关于其治疗原因、治疗安排、治疗结果以及整个治疗过程中满意度的问卷。大多数患者对整体治疗“非常满意”（71.2%）或“满意”（19.5%）。大多数患者希望改善笑容（78.0%）；治疗后，89.0%的患者报告笑容有所改善。几乎一半的患者（46.6%）仅住院一晚，41.5%的患者术后请假超过4周。术后有呼吸问题的患者住院天数更多（P = 0.021），但重要的是，上颌前徙术、双侧矢状劈开截骨术和双颌手术之间的住院时间并无差异（P = 0.78）。总之，正颌治疗后患者满意度较高。结果突出了需要改进的方面，例如在整个治疗过程中向患者提供信息，并表明存在持续问题是患者满意度的重要预测因素。
