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正颌手术改善生活质量:一项调查性临床研究。

Orthognathic surgery improves quality of life: a survey clinical study.

机构信息

Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Tokat Gaziosmanpasa University, Tokat, Turkey.

Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Kocaeli University, Kocaeli, Turkey.

出版信息

BMC Oral Health. 2024 Jul 25;24(1):844. doi: 10.1186/s12903-024-04638-3.

DOI:10.1186/s12903-024-04638-3
PMID:39054469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11270847/
Abstract

BACKGROUND

The aim of this study was to evaluate the quality of life (QoL) of patients with dentofacial deformity (n = 107) compared with that of healthy individuals (n = 108) from 2019 to 2020.

METHODS

Oral Health Impact Profile 14 (OHIP-14) and the Orthognathic Quality of Life Questionnaire (OQLQ) were administered to the individuals before surgery (T1) and 6 months after surgery (T2).

RESULTS

Preoperative scores (T1) were greater in the surgical group than in the control group in all domains of both surveys (p ≤ 0.001). Postoperative scores (T2) in the surgery group decreased significantly after surgery in all domains in both surveys (p < 0.001). The OHIP-14 scores in the control group at T2 were significantly greater than those in the other domains except for functional limitation at T1. The type of surgery had no effect on quality of life. Class III patients had higher preoperative scores in certain domains. Postoperative physical disability (p = 0.037), physical pain (p = 0.047), and preoperative social disability (p = 0.030) scores of OHIP-14 awareness of dentofacial aesthetics of OQLQ (p = 0.019) were found to be higher in females than in males.

CONCLUSIONS

The results showed that orthognathic surgery positively affected quality of life. The control group showed differences in T1 and T2 scores, which can be attributed to their psychological status.

摘要

背景

本研究旨在评估 2019 年至 2020 年牙颌面畸形患者(n=107)与健康个体(n=108)的生活质量(QoL)。

方法

在手术前(T1)和手术后 6 个月(T2),对个体进行口腔健康影响量表 14 项(OHIP-14)和正颌质量生活问卷(OQLQ)评估。

结果

手术组在所有调查领域的所有领域的术前评分(T1)均高于对照组(p≤0.001)。手术组的术后评分(T2)在手术后所有领域均显著下降(p<0.001)。在 T2 时,对照组的 OHIP-14 评分在除功能限制外的其他所有领域均显著大于 T1。手术类型对生活质量没有影响。III 类患者在某些领域的术前得分较高。术后身体残疾(p=0.037),身体疼痛(p=0.047)和术前社会残疾(p=0.030)OHIP-14 对 OQLQ 牙颌面美学意识的得分(p=0.019)女性高于男性。

结论

结果表明正颌手术对生活质量有积极影响。对照组在 T1 和 T2 评分上存在差异,这可能与他们的心理状态有关。

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Gender Differences in Pain Threshold, Unpleasantness, and Descending Pain Modulatory Activation Across the Adult Life Span: A Cross Sectional Study.性别差异在疼痛阈值、不适和成年生命跨度的下行疼痛调制激活:一项横断面研究。
J Pain. 2024 Apr;25(4):1059-1069. doi: 10.1016/j.jpain.2023.10.027. Epub 2023 Nov 11.
3
The impact of orthognathic surgery on quality of life for class III dentofacial deformities.正颌手术对 III 类牙颌面畸形患者生活质量的影响。
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Oral Maxillofac Surg. 2022 Jun;26(2):281-289. doi: 10.1007/s10006-021-00992-6. Epub 2021 Jul 29.
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