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Related Experiment Videos

Orthognathic surgery: the patients' perspective

L H Cheng1, D Roles, M R Telfer

  • 1Department of Oral and Maxillofacial Surgery, York District Hospital, UK.

The British Journal of Oral & Maxillofacial Surgery
|October 8, 1998
PubMed
Summary
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Patients undergoing orthognathic surgery combined with orthodontic treatment report high satisfaction with both aesthetic and functional outcomes. This surgical-orthodontic approach significantly improves chewing function and addresses severe malocclusions.

Area of Science:

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

Background:

  • Orthognathic surgery is often perceived as primarily for aesthetic enhancement.
  • Functional improvements are frequently considered secondary patient motivations.

Purpose of the Study:

  • To evaluate patient satisfaction with both aesthetic and functional results after orthognathic surgery.
  • To determine if aesthetic outcomes are prioritized over functional improvements by patients.

Main Methods:

  • A questionnaire was distributed to 165 patients who underwent orthognathic operations between 1983 and 1994.
  • 139 patients (84% response rate) completed the survey, rating satisfaction using a visual analogue scale.

Main Results:

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  • Patients reported high satisfaction with both appearance (mean score 6.78) and function (mean score 7.24).
  • Statistical analysis (Wilcoxon test) showed a significant P-value of 0.046, indicating comparable satisfaction levels.

Conclusions:

  • Orthognathic surgery, particularly when combined with orthodontic treatment, yields substantial functional benefits beyond aesthetics.
  • The treatment effectively corrects severe malocclusions, leading to significant improvements in chewing ability and overall patient satisfaction.