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Predicting psychologic responses to orthognathic surgery

H A Kiyak, R W McNeill, R A West

    Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
    |March 1, 1982
    PubMed
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    Orthognathic surgery patients generally have stable psychologic characteristics. Managing patient expectations regarding pain and paresthesia is crucial for better postsurgical outcomes.

    Area of Science:

    • Psychology
    • Oral and Maxillofacial Surgery

    Background:

    • Orthognathic surgery involves complex procedures impacting patients' psychologic well-being.
    • Understanding the influence of personality traits and expectations is vital for optimizing patient care.

    Purpose of the Study:

    • To investigate the psychologic characteristics of patients undergoing orthognathic surgery.
    • To examine the impact of neuroticism, locus of control, and expectations on postsurgical outcomes.

    Main Methods:

    • A longitudinal study design was employed.
    • Psychologic variables and postsurgical outcomes were assessed in 74 patients.

    Main Results:

    • Most patients exhibited normal personality variable scores, indicating intact ego and self-concept.

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  • Expectations of pain and paresthesia were significant predictors of postsurgical outcomes.
  • Neuroticism and locus of control influenced early postoperative results.

    • Conclusions:

    • Pre-surgical patient preparation should address and manage unrealistic expectations.
    • Postoperative counseling may benefit specific patient groups to mitigate psychological distress.