Patient reported outcome measures (PROMs) in bilateral sagittal split osteotomy with osseous genioplasty

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic Surgery
• Patient-Reported Outcomes

Background:

• Genioplasty and bilateral sagittal split osteotomy (BSSO) are surgical procedures to correct jaw deformities.
• Evidence supporting patient-reported outcomes for these combined procedures in the UK National Health Service (NHS) is limited.
• This study addresses the need for data to inform the commissioning of these treatments.

Purpose of the Study:

• To evaluate the impact of genioplasty with BSSO on patient-reported outcomes within the UK NHS.
• To provide evidence for the continued commissioning of these surgical procedures.

Main Methods:

• Retrospective, multi-site cohort study design.
• Utilized validated patient-reported outcome measures (PROMs) via postoperative telephone consultations.
• Assessed outcomes in 21 patients with a minimum six-month follow-up.

Main Results:

• High overall patient satisfaction rate of 90%.
• Significant improvements observed in psychological wellbeing (40%), quality of life (32%), and social confidence (42%).
• Marked increases in satisfaction with lower jaw appearance (60%) and chin aesthetics (61%).

Conclusions:

• Genioplasty combined with BSSO yields substantial benefits for patients undergoing jaw reconstruction surgery.
• The findings strongly support the continued commissioning and provision of these procedures within the NHS.
• Patient-reported outcomes demonstrate significant positive impacts on aesthetics, confidence, and overall wellbeing.