Changes in quality of life and impact on patients' perception of esthetics after orthognathic surgery.
OBJECTIVE
The aim of our study is to determine the changes in quality of life and patient's perception of esthetic improvement after anterior maxillary osteotomy.


METHODS
Our prospective study consisted of 14 patients who had been diagnosed of skeletal orthodontic deformity and underwent anterior maxillary osteotomy, along with orthodontic correction. The quality of life was evaluated using questionnaires based on Oral Health Impact Profile-14 questionnaire (OHIP-14) and a 22-item orthognathic quality of life questionnaire. They were evaluated at baseline pre-surgical, 8 weeks postoperatively, and 24 weeks postoperatively.


RESULTS
Our results showed mild improvement in generic health related quality of life immediately following surgery, while condition-specific quality of life and patient's perception of esthetic improvement were noted only at 24 weeks following anterior maxillary osteotomy.


CONCLUSIONS
We conclude that anterior maxillary osteotomy had a positive impact on the quality of life. The improvement in patient's perception of esthetics is seen only 2 months after surgery, while improvements in oral health and function were seen within 2 months following surgery. The acceptance and satisfaction of patient toward surgery was more positive 2 months after surgery.
Department of Oral Surgery, Vivekananda Dental College for Women, Tiruchengode, India.
Thangavelu
T
Kavin
Anbuselvan Gobichetty Palayam
AG
Jagadesan
Siva Subramaniam
SS
Venkataraman