Geddes A, Laverick S, McBride A, McIntyre G T
University Hospital of Wales, Cardiff.
Ninewells Hospital, Dundee.
Br J Oral Maxillofac Surg. 2019 Apr;57(3):246-250. doi: 10.1016/j.bjoms.2018.10.291. Epub 2019 Mar 7.
Many indices and scoring systems exist for assessing skeletal patterns and malocclusion but none have been universally adopted by teams providing orthognathic surgery in the UK. Using a standardised objective measure of a patient's condition is important both for service provision, treatment allocation, and other clinical governance domains. The Severity and Outcome Assessment tool (SOA) developed by the British Orthodontic Society (BOS) and British Association of Oral and Maxillofacial Surgeons (BAOMS) provides a standardised method of assessing patients throughout the orthognathic pathway and lends itself to case selection, resource allocation and auditing treatment outcomes. The SOA uses 7 cephalometric skeletal, dental and soft tissue measures to produce an overall score.The SOA has been used by the current NHS Tayside orthognathic team since August 2006 to audit treatment outcomes. While we recognise that cephalometric analysis forms only one part of orthognathic treatment we believe that having an objective measure on which to assess treatment is useful. We present our experience of using this quick, simple and reproducible tool in auditing orthognathic treatment outcomes.
有许多指标和评分系统可用于评估骨骼形态和错颌畸形，但在英国提供正颌外科手术的团队中，没有一个被普遍采用。使用标准化的客观指标来衡量患者的病情，对于服务提供、治疗分配以及其他临床管理领域都很重要。由英国正畸学会（BOS）和英国口腔颌面外科医生协会（BAOMS）开发的严重程度和结果评估工具（SOA），提供了一种在整个正颌治疗过程中评估患者的标准化方法，适用于病例选择、资源分配以及审核治疗结果。SOA使用7项头影测量骨骼、牙齿和软组织指标得出一个总分。自2006年8月以来，目前泰赛德国民保健服务（NHS）正颌团队一直使用SOA来审核治疗结果。虽然我们认识到头影测量分析只是正颌治疗的一部分，但我们认为拥有一个用于评估治疗的客观指标是有用的。我们介绍了使用这个快速简单且可重复的工具审核正颌治疗结果的经验。
