Dissatisfaction with facial appearance and personality in orthognathic surgical patients with mandibular prognathism

目的：其目的是评估治疗前和治疗后的不满与面部外观和个性的患者rognathis.SUBJECTS和方法：患者组包括76例手术患者下颌骨nagnathism（21.8岁的平均年龄）* *rol组包括或128名大学生没有面部差异（20.8岁的平均年龄）。采用自评11分法评定对性生活的不满程度，采用MMPI评定人格特征。将这两种评价进行比较 * * 两组。此外，在患者组中，研究了面部外观不满意与下颌前突的几个预测变量、性别、年龄和心理状况的相关性。治疗后1年以上，患者组48例进行同样的研究。治疗前1)大部分患者有严重的面部不满意，尤其是下面部，患者组的平均不满意评分为7.2，对照组为4.2。2)Patient组Pd、Pt、Ma量表Z分显著低于对照组，Hs、Hy量表Z分显著低于对照组。3)患者组的不满意度较高，与D、Pd、Pa量表的Z分呈显著正相关，与S* * 关节炎无显著相关.治疗后1)患者组的面部不满意度降至3.2。2)患者组中D和Pd量表的Z评分降低。3)治疗后的面部不满意度与D和Pd量表的不满意度和Z得分呈显著正相关。结论：治疗前的面部不满意度、抑郁和对s* * 和治疗后的不适应与治疗后的不满意度有相关性。

AIM: The aim was to assess the pre- and post-treatment dissatisfaction with facial appearance and personality in patients* *rognathism.SUBJECTS and METHODS: Patient group consisted of 76 surgical patients with mandibular prognathism (21.8 years of mean age)* *rol group consisted or 128 university students without facial discrepancy (20.8 years of mean age). The dissatisfaction with fa* *was evaluated by a self-rating 11-point score and the personality was evaluated using MMPI. These two evaluations were compared * *wo groups. Moreover, in Patient group, correlations between dissatisfaction with facial appearance and several predicting varia* *erity of mandibular prognathism, gender, age, and psychological profile were studied. Over 1 year after treatment, the same stu* *d for 48 individuals in Patient group.RESULTS: 1. Before treatment. 1) Most of patients had severe facial dissatisfaction, especially about the lower face and * *he mean dissatisfaction score was 7.2 in Patient group, and 4.2 in Control group. 2) Z scores in Pd, Pt and Ma scales were sign* *nd those in Hs and Hy scales were significantly smaller in Patient group. 3) In the Patient group, dissatisfaction was larger I* *nd showed significant positive correlations with Z scores at D, Pd, and Pa scales, but showed no significant correlation with s* *ar prognathism.2. After treatment. 1) Facial dissatisfaction decreased to 3.2 in the Patient group. 2) Z scores at D and Pd scales were als* *ased in the Patient group. 3) Facial dissatisfaction after treatment showed significant positive correlations with dissatisfact * *nd Z scores at D and Pd scales.CONCLUSIONS: These results suggest that the facial dissatisfaction before treatment, depression and maladjustment to the s* * and after treatment had relevance to dissatisfaction after treatment.