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Patients Satisfaction and Nasal Morphologic Change after Orthognathic Surgery
Reza Tabrizi1, Paria Rezaie1, Hassan Mirmohammad Sadeghi1
1Department of Oral and Maxillofacial Surgery, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
World Journal of Plastic Surgery
|September 19, 2022
Summary
Patient satisfaction with their nose significantly improved after orthognathic surgery. However, these positive changes in patient perception were not linked to measurable nasal morphologic alterations. This highlights the subjective nature of aesthetic outcomes following surgical procedures.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Aesthetic Surgery
Background:
- Orthognathic surgery often leads to significant facial changes, including alterations in nasal aesthetics.
- Patient perception of nasal changes is a crucial factor in evaluating surgical outcomes.
- Understanding patient attitudes towards nasal modifications post-surgery is essential for improving patient satisfaction.
Purpose of the Study:
- To evaluate patient satisfaction with nasal changes following orthognathic surgery.
- To assess the correlation between subjective patient opinions and objective morphologic nasal changes.
- To determine if orthognathic surgery improves patients' attitudes towards their nose.
Main Methods:
- A cross-sectional study involving 62 patients who underwent orthognathic surgery.
- Patients completed a modified nose evaluation form pre-surgery and nine months post-surgery.
- Objective nasal morphologic parameters including nasolabial angle, tip projection, and alar width were measured.
Main Results:
- Pre-surgery, 64.5% of patients were not completely satisfied with their nose, while post-surgery, only 6.5% reported dissatisfaction.
- Patient satisfaction with their nose significantly increased nine months after orthognathic surgery (P<0.001).
- Nasal morphologic changes did not significantly influence patient satisfaction levels post-surgery.
Conclusions:
- Orthognathic surgery appears to enhance patient satisfaction with their nose.
- Patient attitudes towards nasal aesthetics post-orthognathic surgery are not directly correlated with objective morphologic changes.
- Subjective patient perception plays a key role in the aesthetic success of orthognathic procedures.

