Outcome of photographic evaluation of facial appearance in orthognathic surgery: how does it correlate with planning of treatment and patient-reported outcome?
| Autor: | Gert Wall, Amjad Al-Ateyah, M. Bengtsson, Jonas P. Becktor, Lars Rasmusson |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Adolescent Cephalometry medicine.medical_treatment Orthognathic surgery Esthetics Dental Surgical planning law.invention Young Adult 03 medical and health sciences Imaging Three-Dimensional 0302 clinical medicine Randomized controlled trial Quality of life law Humans Medicine Patient Reported Outcome Measures Radiation treatment planning Orthodontics Orthognathic Surgical Procedures Class iii malocclusion business.industry Orthognathic Surgery 030206 dentistry Facial appearance Malocclusion Angle Class III Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Quality of Life Surgery Patient-reported outcome Oral Surgery business |
| Zdroj: | British Journal of Oral and Maxillofacial Surgery. 57:345-351 |
| ISSN: | 0266-4356 |
| Popis: | The outcome of treatment in orthognathic surgery is dependent on preoperative surgical planning. The main purpose of the present study was to evaluate from photographs the improvement in facial appearance after orthognathic surgery. In addition, the outcomes of two different planning techniques, 2-dimensional and 3-dimensional, were compared and the correlation between the outcome and health-related quality of life (HRQoL) assessed. The study was a randomised controlled trial with the intervention being either 2-dimensional or 3-dimensional treatment planning. An evaluation panel compared photographs taken before and after operation on patients with severe class III malocclusion. The change in facial appearance was rated, the two planning techniques compared, and the result correlated with previously published findings on cephalometric accuracy and HRQoL in the same group. Completed 12-month follow-up resulted in the inclusion of 57 subjects aged between 18 and 28 years at the time of operation (mean 21 years). We found significant differences between the two evaluations (p = 4.4E-9) but no significant difference in facial improvement between the planning techniques (p = 0.54). However, there was a correlation between cephalometric measurement of accuracy in the anterior maxilla and evaluation of improvement of facial appearance (p = 0.024, r = 0.30), but we found no correlation +between HRQoL and the evaluation of facial appearance (p = 0.31, r = -0.14). We conclude that there was an improvement in facial aesthetics after orthognathic surgery that was independent of the planning technique used. |
| Databáze: | OpenAIRE |
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