Document Detail

Complex orthognathic surgery: assessment of patient satisfaction.
MedLine Citation:
PMID:  18423283     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose of our survey study was to determine if bimaxillary orthognathic surgery with simultaneous intranasal surgery and other procedures carried out primarily for the correction of a developmental dentofacial deformity can be completed with a high level of patient satisfaction and minimal complications. PATIENTS AND METHODS: A consecutive series of 42 patients entered in the study from senior surgeon's (J.P.) patients at a single institution who underwent the minimum designated simultaneous procedures (Le Fort I, sagittal osteotomies of the mandible, septoplasty, inferior turbinate reduction) during a 1-year period. Patient satisfaction was assessed through analysis of data gathered from a postsurgical patient satisfaction questionnaire. The questionnaire is used to assess overall postsurgical/orthodontic patient satisfaction and patient assessment of head and neck function. The questionnaire was independently completed by each subject at least 6 months after surgery and only after removal of all orthodontic appliances and planned dental rehabilitation. RESULTS: The results of our study clarify that bimaxillary orthognathic surgery including simultaneous intranasal (septoplasty and turbinate reduction) and other procedures (genioplasty, liposuction, and removal of third molars) can be carried out with a high level of patient satisfaction (89% of our study patients). Nevertheless, 2 of 42 patients (5%) in our study group were dissatisfied despite the absence of surgical or orthodontic complications and the clinicians' feelings that the results achieved were an improvement. CONCLUSIONS: The results of our study clarify that complex bimaxillary orthognathic surgery including simultaneous intranasal and other procedures can be carried out with a high level of patient satisfaction.
Jeffrey C Posnick; John Wallace
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  66     ISSN:  1531-5053     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-21     Completed Date:  2008-05-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  934-42     Citation Subset:  AIM; D; IM    
Posnick Center for Facial Plastic Surgery, Chevy Chase, MD, USA.
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MeSH Terms
Dental Occlusion
Dentist-Patient Relations
Esthetics, Dental
Mandible / surgery
Maxilla / surgery
Maxillofacial Abnormalities / psychology,  surgery*
Middle Aged
Nasal Septum / surgery
Oral Surgical Procedures / psychology*
Orthodontics, Corrective
Patient Satisfaction*
Rhinoplasty / psychology*
Temporomandibular Joint / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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