University of North Carolina, Chapel Hill, NC, USA.
University of California, San Francisco, CA, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2023 Feb;135(2):e15-e24. doi: 10.1016/j.oooo.2022.06.016. Epub 2022 Jul 8.
This study attempted to understand the specific motivations of patients who undergo orthognathic surgery and determine their satisfaction with the surgery. The study also assessed the prevalence of complications and how they may impact patient satisfaction.
Patients who underwent orthognathic surgery at the University of California between 2016 and 2019 and had completed postoperative orthodontic treatment for ≥9 months were interviewed. They responded to an open-ended telephone interview regarding their motivations, satisfaction, and complications.
The patients showed a high level of satisfaction with the surgery, but there were persistent complications that affected satisfaction. The predominant complication was paresthesia over the distribution of the inferior alveolar nerve. The majority of patients who reported prior headaches and temporomandibular joint problems described improvement in those areas. Comparing the patients' motivations before and after surgery showed that before surgery, patients reported functional concerns, whereas postoperatively they were much more likely to recall aesthetic reasons for the surgery.
This study showed that although patients are generally satisfied after orthognathic surgery, patients need to be realistically informed of their expectations and adequately informed of possible complications.
本研究试图了解接受正颌手术患者的具体动机，并确定他们对手术的满意度。本研究还评估了并发症的发生率以及它们如何影响患者满意度。
对 2016 年至 2019 年在加利福尼亚大学接受正颌手术且术后正畸治疗≥9 个月的患者进行了访谈。他们通过电话进行了开放式访谈，回答了关于他们的动机、满意度和并发症的问题。
患者对手术的满意度很高，但仍存在持续影响满意度的并发症。最常见的并发症是下牙槽神经分布区域的感觉异常。大多数报告术前头痛和颞下颌关节问题的患者描述说这些问题有所改善。比较患者手术前后的动机发现，术前患者报告的是功能问题，而术后他们更有可能回忆起手术的美容原因。
本研究表明，尽管患者通常对正颌手术后感到满意，但需要让患者对自己的期望有现实的认识，并充分了解可能出现的并发症。
