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Related Experiment Videos

Orthognathic surgery: is there a future?

James E Zins1, James Bruno, Andrea Moreira-Gonzalez

  • 1Department of Plastic Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA. zinsj@ccf.org

Plastic and Reconstructive Surgery
|October 12, 2005
PubMed
Summary
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Orthognathic surgery cases decreased in Ohio, with 75% of surgeons perceiving a decline. Reduced reimbursement was identified as the primary cause for this trend in orthognathic procedures.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Orthodontics

Background:

  • A perceived decline in orthognathic surgery cases was observed at an institutional level and suggested to be region-wide.
  • A study was initiated to investigate this trend among relevant dental and surgical professionals.

Purpose of the Study:

  • To assess the perceived changes in the volume of orthognathic surgery cases over a 5-year period (1996-2000).
  • To identify the primary factors contributing to any observed increase or decrease in orthognathic surgical procedures.

Main Methods:

  • A questionnaire was distributed to plastic surgeons, oral surgeons, and orthodontists in Ohio.
  • Surveys collected data on perceived trends in orthognathic case numbers and reasons for changes, with a follow-up survey for surgeons.

Related Experiment Videos

Main Results:

  • A 39% response rate was achieved across the surveyed professional groups.
  • Seventy-five percent of respondents perceived a decrease in orthognathic operations, with over 80% citing reimbursement as the main driver.
  • Reimbursement per hour for orthognathic cases was analyzed and compared to other plastic surgery procedures.

Conclusions:

  • The study highlights a significant perceived decrease in orthognathic surgery in Ohio.
  • Reduced financial reimbursement is identified as a key factor influencing the decline in these procedures.
  • Further research and documentation are recommended to address this healthcare issue.