Cremona Maria, Bister Dirk, Sheriff Martyn, Abela Stefan
Private Practice, St. Paul's Bay, Malta, UK.
King's College and Guy's and St Thomas' NHS Foundation Trust, London, UK.
Eur J Orthod. 2022 Dec 1;44(6):603-613. doi: 10.1093/ejo/cjac015.
Function, aesthetics, and social and psychological well-being are all important aspects for patients undergoing orthognathic surgery.
To evaluate the impact of orthognathic surgery on patient perception and quality of life before, during and after treatment.
All relevant systematic reviews published up to 31st July 2020 have been searched via MEDLINE via OVID, Scopus, EMBASE, Web of Science, Cochrane Database of Systematic Reviews, PsycINFO, AMED (Allied and Complementary Medicine Database), and PubMed.Ongoing systematic reviews and grey literature were eliminated. A manual search was also undertaken, and no restrictions were applied to language or publication date.
Systematic reviews involving dentofacial deformities related to systemic disorders, cleft lip and palate, facial trauma, and syndromes affecting cranial and dentofacial structures were excluded.
Identification, screening, eligibility, and quality assessment [using the AMSTAR 2 tool (A Measurement Tool to Assess Systematic Reviews)] were performed by two authors independently. Data were synthesized qualitatively using thematic analysis.
A total of 662 eligible studies were obtained of which 24 studies were selected for full-text evaluation, resulting in 12 eligible systematic reviews.
Due to heterogeneity of data, quantitative analysis was not possible.
Aesthetics and function are the main motives for seeking orthognathic surgery. Patient assessment before, during, and after orthognathic surgery is necessary for a thorough evaluation of self-perception and satisfaction throughout treatment. While psychological and social domains improved after orthognathic surgery treatment, the quality of life can deteriorate transiently during the pre-surgical orthodontic phase of treatment. A standardized assessment tool needs to be developed to assess quality-of-life changes consistently and provide comparable results.
CRD42020199091.
功能、美观以及社会和心理健康对接受正颌手术的患者来说都是重要的方面。
评估正颌手术对患者在治疗前、治疗期间和治疗后的认知及生活质量的影响。
通过OVID平台的MEDLINE、Scopus、EMBASE、科学网、Cochrane系统评价数据库、PsycINFO、AMED（补充与替代医学数据库）和PubMed检索截至2020年7月31日发表的所有相关系统评价。排除正在进行的系统评价和灰色文献。还进行了手工检索，且对语言或出版日期没有限制。
排除涉及与全身疾病、唇腭裂、面部创伤以及影响颅骨和牙颌面结构的综合征相关的牙颌面畸形的系统评价。
由两位作者独立进行识别、筛选、合格性评估和质量评估[使用AMSTAR 2工具（一种评估系统评价的测量工具）]。采用主题分析对数据进行定性综合。
共获得662项合格研究，其中24项研究被选进行全文评估，最终有12项合格的系统评价。
由于数据的异质性，无法进行定量分析。
美观和功能是寻求正颌手术的主要动机。在正颌手术前、手术期间和手术后对患者进行评估，对于全面评估整个治疗过程中的自我认知和满意度是必要的。虽然正颌手术治疗后心理和社会领域有所改善，但在术前正畸治疗阶段生活质量可能会暂时下降。需要开发一种标准化的评估工具，以一致地评估生活质量变化并提供可比的结果。
CRD42020199091
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