Impact of Orthognathic Surgery on Quality of Life in Patients with Dentofacial Deformities.
Impact of Orthognathic Surgery on Quality of Life in Patients with Dentofacial Deformities.
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DOI：
10.1155/2017/4103905
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发表时间：
2017
影响因子：
2.1
通讯作者：
Azamian Z
中科院分区：
文献类型：
--
作者：
Eslamipour F;Najimi A;Tadayonfard A;Azamian Z
本研究的目的是确定正颌外科手术对牙面畸形患者术前即刻、术后3周、3个月和6个月生活质量的影响。受试者包括43名18-40岁的伊朗正颌患者，他们被转诊到伊斯法罕的私人诊所。数据收集使用22项下颌生活质量问卷（OQLQ）。参与者在手术前和手术后3周、3个月和6个月完成问卷调查，通过双尾t检验、重复测量方差分析和Pearson相关系数计算差异和相关性。结果显示，在手术后的所有3个时间段内，OQLQ平均评分以及美学、意识和社会子域均显著降低，恢复至基线水平。而口腔功能域在T2时呈上升趋势，随后又呈下降趋势。最大和最小效应量分别在美学（ES = 0.7）和口腔功能（ES = 0.3）领域。基于本研究的发现，在术后6个月的时间间隔内，正颌手术导致牙颌面畸形患者在情感、心理、口腔功能和社会领域评估的生活质量显著改善，其中情感领域的变化最大。
The aim of this investigation was to determine the impact of orthognathic surgery on quality of life in patients with dentofacial deformities at immediate presurgery and at 3-week, 3-month, and 6-month intervals following the surgery. Subjects included forty-three 18–40-year-old Iranian orthognathic patients who were referred to private offices in Isfahan. Data collection was performed using the 22-item Orthognathic Quality of Life Questionnaire (OQLQ). Participants completed the questionnaire prior to surgery and 3 weeks, 3 months, and 6 months after it. Differences and correlations were calculated by the two-tailed t-test, ANOVA with Repeated Measure test, and the Pearson correlation coefficient. The results showed significant reduction returned to baseline in OQLQ mean scores and aesthetic, awareness, and social subdomains in all 3 intervals after surgery. However oral function domain showed an increase at T2 and then a decrease at next intervals. Maximum and minimum effect size were observed in aesthetic (ES = 0.7) and oral function (ES = 0.3) domain, respectively. Based on the finding of this study, in 6-month interval after surgery, orthognathic surgery causes significant improvements in quality of life in patients with dentofacial deformities as assessed in emotional, psychological, oral function, and social domains and maximum changes occurred in emotional domain.