正颌手术对面部不对称患者口腔相关生活质量和心理变化的影响：口腔健康影响量表（OHIP-14）和状态-特质焦虑量表（STAI）的研究

IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-02-21 DOI:10.1016/j.ajoms.2025.02.013

Kenichiro Katsuno, Daigo Yoshiga, Yuki Mori, Hiroki Tsurushima, Osamu Sakaguchi, Taishi Ohtani, Izumi Yoshioka

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引用次数: 0

摘要

目的正颌手术引起功能和审美的改变，影响患者的生活质量并引起心理变化。本研究评估了正颌手术对面部不对称患者的生活质量、心理变化和术后满意度的影响。方法对面部不对称患者进行主客观不对称检查。使用口腔健康影响量表（OHIP）、状态-特质焦虑量表（STAI）和术后满意度问卷前瞻性地收集数据。结果共纳入受试者132人，其中男23人，女77人，畸形组32人，正常组32人。年龄17 ~ 48岁，平均25.4岁。观察期间，正颌手术改善了口腔相关生活质量和积极的心理变化，但对正常咬合水平无显著影响（P <； 0.01）。此外，面部不对称患者术后口腔相关生活质量改善程度较无面部不对称患者低，积极心理变化较少。术后功能受限（P <； 0.01）、心理不适（P <； 0.01）、心理残疾（P <； 0.01）明显低于非对称组。特别是，主观面部不对称的患者几乎没有改善的趋势。STAI结果显示，面部不对称患者的积极心理变化较少（P = 0.7363）。结论口腔相关生活质量、心理变化及术后满意度对面部不对称患者的影响，有助于口腔外科医生更详细地了解患者的手术期望，提高患者的满意度。

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Impact of orthognathic surgery on oral-related quality of life and psychological changes in patients with facial asymmetry: A study of the oral health impact profile (OHIP-14) and state-trait anxiety inventory (STAI)

Objective

Orthognathic surgery causes functional and esthetic changes that may affect patients’ quality of life (QOL) and cause psychological changes. This study evaluated the effects of orthognathic surgery on QOL, psychological changes, and postoperative satisfaction in patients with facial asymmetry based on assessments immediately before and after surgery.

Methods

Subjective and objective asymmetry in patients with facial asymmetry were examined. Data were prospectively collected using the Oral Health Impact Profile (OHIP), State-Trait Anxiety Inventory (STAI), and postoperative satisfaction questionnaire.

Results

A total of 132 participants were included in the study, with 100 (23 males and 77 females) and 32 participants in the jaw deformity and normal groups, respectively. Their ages ranged from 17 to 48 years (mean 25.4 years). Orthognathic surgery contributed to improved oral-related QOL and positive psychological changes but not to the level of normal occlusions during the observation period (P < 0.01). In addition, patients with facial asymmetry showed less improvement in oral-related QOL and fewer positive psychological changes in the postoperative period than those without facial asymmetry. Functional limitation (P < 0.01), psychological discomfort (P < 0.01), and psychological disability (P < 0.01) were significantly lower postoperatively in the asymmetry group. In particular, there was little tendency for improvement in patients with subjective facial asymmetry. STAI results showed that patients with facial asymmetry had less positive psychological changes (P = 0.7363).

Conclusions

Information on oral-related QOL, psychological changes, and postoperative satisfaction related to the impact on patients with facial asymmetry, can help oral surgeons gain a more detailed understanding of patients’ surgical expectations and contribute to patient satisfaction.

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