瑞典患者正颌外科手术后的生活质量:基于登记的队列研究

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Eric Johansson, Bodil Lund, Martin Bengtsson, Mikael Magnusson, Lars Rasmusson, Magnus Ahl, Bo Sunzel, Mats Sjöström
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引用次数: 0

摘要

目的 本研究旨在评估正颌外科手术对瑞典患者生活质量的影响。 材料与方法 因颌面部畸形(DFD)而接受正颌外科手术,并在 2017 年至 2020 年期间在瑞典国家正颌外科登记处(NROK)登记的患者均符合纳入本研究的条件。瑞典验证的正颌外科生活质量问卷(S-OQLQ)用于评估患者手术前后的生活质量。S-OQLQ 测量了每位患者在社会方面的主观感受。 结果 84名参与者参与了这项队列研究,其中包括45名男性(平均年龄24.7岁)、48名女性(平均年龄23.4岁)和8名不分性别的患者。在 S-OQLQ 的几个方面,女性的评分普遍高于男性,包括面部美学(p = 0.029)、口腔功能(p < 0.001)和对面部畸形的认识(p = 0.0054)。术后 6-24 个月,调查问卷的所有方面(社交、面部美观、功能和认知)都有明显改善(p < 0.001)。女性对功能改善和对面部畸形认识的评分高于男性(分别为 p < 0.001 和 p = 0.039)。 结论 正颌外科手术的生活质量对治疗效果有很大影响。虽然功能障碍通常被认为是手术的主要适应症,但患者对 DFD 的社交和美学影响评价很高,而疼痛在治疗前后都不是问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Quality of Life After Orthognathic Surgery in Swedish Patients: A Register-Based Cohort

Quality of Life After Orthognathic Surgery in Swedish Patients: A Register-Based Cohort

Objective

This study aimed to evaluate the effect of orthognathic surgery on quality of life among Swedish patients.

Materials and Methods

Patients subjected to orthognathic surgery due to dentofacial deformity (DFD) and registered in the National Register of Orthognathic Surgery (NROK) in Sweden between 2017 and 2020 were eligible for inclusion in this study. The Swedish-validated Orthognathic Quality of Life Questionnaire (S-OQLQ) was used to evaluate patient quality of life before and after surgery. The S-OQLQ measured each patient's subjective experience regarding social aspects.

Results

Eighty-four participants were included in this cohort study, including 45 men (mean age 24.7 years), 48 women (mean age 23.4 years), and eight patients who stated no gender. Women generally graded several aspects of the S-OQLQ higher than men, including facial aesthetics p = 0.029), oral function (p < 0.001), and awareness of facial deformity (p = 0.0054). For all domains of the questionnaire (social, facial aesthetics, function, and awareness), a significant improvement was seen 6–24 months after surgery (p < 0.001). Women rated improvement of function and awareness of facial deformity higher than men (p < 0.001 and p = 0.039, respectively).

Conclusion

Quality of life aspects of orthognathic surgery have a strong impact on the treatment outcome. Although functional impairment is often considered a major indication for surgery, the social and aesthetic influence of DFD is highly rated by patients, whereas pain is not an issue before or after treatment.

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来源期刊
Clinical and Experimental Dental Research
Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.30
自引率
5.60%
发文量
165
审稿时长
26 weeks
期刊介绍: Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.
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