title: Self-assessment of facial form oral function and psychosocial function before and after orthognathic surgery: a retrospective study.
abstract: Orthognathic surgery is a well-accepted treatment for patients with skeletal discrepancies. The primary motivation of many patients who seek orthognathic surgery is esthetics and not for correction of functional disability. The treatment is incomplete if the surgeon attempts to correct the physical deformity alone without adequate understanding and regard for the emotional framework. The purpose of this study is aimed at patient's self-perceptions of facial form oral function and psychosocial function before and after orthognathic surgery. Fifty patients were included in the study, of which 21 were used as control. Twenty-two questions were asked to evaluate the problem in all four areas as mentioned earlier. Each question takes a score from one to five. In group I, the internal consistency of each scale indicates moderate to high internal reliability, ranging from alpha = 0.71 for general health to alpha = 0.88 for psychosocial problem. In group II, except for functional problems, the internal consistency of each scale has moderate to high reliability. The psychological wellbeing of an orthognathic surgery patient is enhanced by careful preoperative counseling regarding the expected surgical treatment objectives, the operative course, and the expected postoperative sequelae. Patients who undergo orthognathic surgery readily accept the changes in their postoperative appearance and are satisfied with achieved results.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Saveetha University, Velappanchavadi, Chennai, India. vinodnarayan@vsnl.net
authors.forename: Vinod
authors.initials: V
authors.lastname: Narayanan
authors.forename: Shankar
authors.initials: S
authors.lastname: Guhan
authors.forename: K
authors.initials: K
authors.lastname: Sreekumar
authors.forename: Ashok
authors.initials: A
authors.lastname: Ramadorai
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D005145:Face / Q000033:anatomy & histology; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008409:Mastication; D019647:Oral Surgical Procedures / Q000523:psychology*; D056948:Orthognathic Surgical Procedures; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012649:Self Concept; D012647:Self-Assessment; D013060:Speech; D011795:Surveys and Questionnaires