Zamboni Rodrigo, de Moura Flávio Renato Reis, Brew Myrian Camara, Rivaldo Elken Gomes, Braz Marcylene Arruda, Grossmann Eduardo, Bavaresco Caren Serra
Master of the Graduate Program in Dentistry, Lutheran University of Brazil (ULBRA), Canoas, Brazil.
Postgraduate Program in Dentistry, Lutheran University of Brazil (ULBRA), Canoas, Brazil.
Int J Dent. 2019 Jun 16;2019:2864216. doi: 10.1155/2019/2864216. eCollection 2019.
Several treatments have been suggested to correct dentofacial abnormalities, including orthognathic surgery. The aim of the present systematic review was to assess the impact of orthognathic surgery on patient satisfaction, overall quality of life, quality of life related to oral health-and to orthognathic surgery in particular-among adult patients. Two investigators independently reviewed the available literature in the databases PubMed/MEDLINE, LILACS, SciELO, EMBASE, Trip, and Google Scholar (gray literature) based on the keywords "orthognathic surgery" and "quality of life." An analysis of bias was performed based on the MINORS (methodological index for nonrandomized studies). A total of 245 relevant studies were retrieved from the databases, and 6 additional studies were located after a manual search of the references. Following selection based on titles, abstracts, and full-text analysis, 30 studies were included in the present systematic review. To evaluate quality of life before and after orthognathic surgery, 12 studies applied the surgery-related Orthognathic Quality of Life Questionnaire (OQLQ), 12 used the Oral Health Impact Profile (OHIP-14), and 4 used the Short Form Health Survey (SF-36). Orthognathic surgery results in improvements in quality of life both physically and psychosocially after surgery and is associated with high rates of patient satisfaction.
已经提出了几种治疗方法来矫正牙颌面畸形，包括正颌手术。本系统评价的目的是评估正颌手术对成年患者的患者满意度、总体生活质量、与口腔健康相关的生活质量，特别是与正颌手术相关的生活质量的影响。两名研究人员基于关键词“正颌手术”和“生活质量”，独立检索了PubMed/MEDLINE、LILACS、SciELO、EMBASE、Trip和谷歌学术（灰色文献）数据库中的现有文献。基于MINORS（非随机研究的方法学指标）进行了偏倚分析。从数据库中检索到总共245项相关研究，在对参考文献进行人工检索后又找到了6项研究。在根据标题、摘要和全文分析进行筛选后，本系统评价纳入了30项研究。为了评估正颌手术前后的生活质量，12项研究应用了与手术相关的正颌生活质量问卷（OQLQ），12项使用了口腔健康影响量表（OHIP-14），4项使用了简短健康调查问卷（SF-36）。正颌手术术后在身体和心理社会方面均能改善生活质量，并且患者满意度较高。
