Assessing Patient-Reported Outcomes Following Orthognathic Surgery and Osseous Genioplasty.
Primary outcomes for orthognathic surgery and genioplasty patients include satisfaction with appearance, improved motor function, and enhanced quality of life. The goal of this study was to assess outcomes among patients undergoing these procedures, and to highlight the potential use of FACE-Q instrument for use in patients with dentofacial deformities. A total of 56 patients presenting for orthognathic surgery and/or osseous genioplasty completed the FACE-Q during preoperative and/or at postoperative visits. FACE-Q scores increased following surgery in satisfaction with facial appearance overall (+24.5, P < 0.01), satisfaction with lower face and jawline (+40.7, P < 0.01), and in all satisfaction with chin items (profile, prominence, shape, and overall). Patients also demonstrated increased social confidence (+8.9, P = 0.29). There was no improvement in psychologic well-being (-0.8, P = 0.92). All 3 surgical groups of patients experienced gains in satisfaction with appearance following surgery. Patients who underwent orthognathic surgery either alone or in combination with genioplasty demonstrated statistically significant improvements in satisfaction with facial appearance overall (P < 0.01 for both groups), whereas patients who underwent genioplasty alone did not (P = 0.13). In addition, patients who underwent orthognathic surgery combined with genioplasty demonstrated greater improvement in satisfaction with chin than patients who underwent genioplasty alone. In conclusion, patients who underwent orthognathic surgery and/or genioplasty demonstrated improvement in appearance and social confidence. The use of this model supports the successful outcomes possible for patients undergoing these procedures.
*Department of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, NY †Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC.
Jonathan A
JA
Schwitzer
Frank P
FP
Albino
Ryan K
RK
Mathis
Amie M
AM
Scott
Laurie
L
Gamble
Stephen B
SB
Baker
D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D002680:Chin / Q000033:anatomy & histology; D063169:Dentofacial Deformities / Q000601:surgery; D004954:Esthetics; D005145:Face / Q000033:anatomy & histology; D005260:Female; D005500:Follow-Up Studies; D063172:Genioplasty / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D056948:Orthognathic Surgical Procedures / Q000523:psychology*; D019340:Osteotomy, Le Fort / Q000523:psychology; D059229:Osteotomy, Sagittal Split Ramus / Q000523:psychology; D063868:Patient Outcome Assessment; D017060:Patient Satisfaction; D011788:Quality of Life; D012649:Self Concept; D055815:Young Adult