Relationship between patients' perceptions of postsurgical sequelae and altered sensations after bilateral sagittal split osteotomy
Relationship between patients' perceptions of postsurgical sequelae and altered sensations after bilateral sagittal split osteotomy
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DOI：
10.1016/j.joms.2005.12.078
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发表时间：
2007-04-01
影响因子：
1.9
通讯作者：
Tucker, Myron
中科院分区：
文献类型：
--
作者：
Phillips, Ceib;Essick, Greg;Tucker, Myron
目的：正颌手术后，患者使用性质不同的词语来描述面部感觉的改变。这些词表示正常、感觉减退、感觉异常或感觉迟钝的感觉，因此反映了感觉改变的侵入性。本研究的目的是检查感觉改变的侵入性与感觉改变和相关面部功能损伤被认为是患者生活中的问题的程度之间的关系。 患者和方法：纳入了 146 名接受或不接受上颌手术的下颌截骨患者。词语选择数据是在患者术前和术后第 1 周、1、3 和 6 个月评估自发和诱发的面部感觉时获得的，并且与感觉本身改变 (PAS) 和日常生活中的面部功能或口腔行为 (PAT) 相关的困难或问题水平从经过验证的问卷中获得。计算按受试者分层重复测量 Mantel Haenszel 相关统计数据，以评估感觉改变的侵入性与感觉改变和面部功能相关的问题水平之间的关联。 结果：平均而言，对 PAS 和 PAF 项目的难度感知从术后 1 周到 6 个月下降（所有 P 值）
Purpose: Following orthognathic surgery, patients use qualitatively different words to describe altered sensation on their face. These words indicate normal, hypoesthetic, paresthetic, or dysesthetic sensations and so reflect the intrusiveness of the altered sensation. The objective of this study was to examine the relationship between the intrusiveness of the altered sensation and the extent to which it and the associated impairment in facial function were perceived to be a problem in the lives of the patients.Patients and Methods: One hundred forty-six patients who had a mandibular osteotomy with or without a maxillary procedure were included. Word choice data were obtained during patients' assessment of spontaneous and evoked facial sensations before surgery and at I week, 1, 3, and 6 months after surgery and the difficulty or problem levels associated with the altered sensation itself (PAS) and facial functions or oral behaviors in every day life (PAT) were obtained from validated questionnaires. Stratified-by-subject repeated measures Mantel Haenszel correlation statistics were calculated to assess the associations between the intrusiveness of the altered sensation and the problem levels associated with the altered sensation and with the facial functions.Results: On average, the perception of the difficulty with each of the PAS and PAF items decreased from 1 week to 6 months after surgery (all P values