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Orthognathic surgery satisfaction following FAB treatment
Antonio D'Agostino1, Lorenzo Trevisiol2, Guido Lobbia1
1Unit of Maxillo-Facial Surgery, Department of Surgical Sciences, Dentistry, Gynaecology and Paediatrics, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy.
Summary
Patients reported high satisfaction with bimaxillary orthognathic surgery planned using the Face-Airway-Bite (FAB) philosophy. Improvements in facial aesthetics, chewing function, and breathing were key factors in patient outcome approval.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Plastic Surgery
Background:
- Bimaxillary orthognathic surgery corrects complex malocclusions.
- Patient satisfaction is a crucial outcome measure.
- The Face-Airway-Bite (FAB) philosophy integrates facial aesthetics, airway, and occlusion in surgical planning.
Purpose of the Study:
- To evaluate long-term patient satisfaction after bimaxillary orthognathic surgery planned with the FAB philosophy.
- To assess changes in facial appearance, breathing, and chewing function post-surgery.
- To identify factors contributing to patient satisfaction.
Main Methods:
- Retrospective study of 65 patients treated between 2015-2017.
- Patients completed a 15-item questionnaire on satisfaction and reasons for surgery.
- Epworth Sleepiness Scale administered pre- and post-treatment.
Main Results:
- High mean long-term satisfaction score (9.06/10).
- Significant improvements in facial appearance (5.26 to 8.85/10) and chewing function (5.30 to 8.81/10).
- 65% reported improved breathing post-surgery, despite no pre-existing issues.
Conclusions:
- Bimaxillary orthognathic surgery guided by the FAB philosophy leads to high patient satisfaction.
- Improvements in function (aesthetics, chewing) are primary drivers of satisfaction.
- The FAB approach also positively impacts airway and pain management.
