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

Johansson, Eric ; Lund, Bodil ; Bengtsson, Martin LU orcid ; Magnusson, Mikael ; Rasmusson, Lars ; Ahl, Magnus ; Sunzel, Bo and Sjöström, Mats (2024) In Clinical and Experimental Dental Research 10(4). p.1-9
Abstract

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),... (More)

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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author
; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Humans, Quality of Life, Female, Male, Sweden, Orthognathic Surgical Procedures/psychology, Adult, Young Adult, Registries/statistics & numerical data, Surveys and Questionnaires, Dentofacial Deformities/surgery, Cohort Studies, Adolescent, Esthetics, Dental/psychology
in
Clinical and Experimental Dental Research
volume
10
issue
4
article number
e942
pages
1 - 9
publisher
John Wiley & Sons Inc.
external identifiers
  • scopus:85202707667
  • pmid:39205465
ISSN
2057-4347
DOI
10.1002/cre2.942
language
English
LU publication?
no
additional info
© 2024 The Author(s). Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.
id
ec5b015b-c294-492f-933b-4c204ad009a2
date added to LUP
2024-09-07 11:01:12
date last changed
2024-09-10 02:57:46
@article{ec5b015b-c294-492f-933b-4c204ad009a2,
  abstract     = {{<p>OBJECTIVE: This study aimed to evaluate the effect of orthognathic surgery on quality of life among Swedish patients.</p><p>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.</p><p>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 &lt; 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 &lt; 0.001). Women rated improvement of function and awareness of facial deformity higher than men (p &lt; 0.001 and p = 0.039, respectively).</p><p>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.</p>}},
  author       = {{Johansson, Eric and Lund, Bodil and Bengtsson, Martin and Magnusson, Mikael and Rasmusson, Lars and Ahl, Magnus and Sunzel, Bo and Sjöström, Mats}},
  issn         = {{2057-4347}},
  keywords     = {{Humans; Quality of Life; Female; Male; Sweden; Orthognathic Surgical Procedures/psychology; Adult; Young Adult; Registries/statistics & numerical data; Surveys and Questionnaires; Dentofacial Deformities/surgery; Cohort Studies; Adolescent; Esthetics, Dental/psychology}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{1--9}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Clinical and Experimental Dental Research}},
  title        = {{Quality of Life After Orthognathic Surgery in Swedish Patients : A Register-Based Cohort}},
  url          = {{http://dx.doi.org/10.1002/cre2.942}},
  doi          = {{10.1002/cre2.942}},
  volume       = {{10}},
  year         = {{2024}},
}