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Assessing Quality of Life After Orthognathic Surgery in Disabled Patients

Promerat, Alexandra MD*; Touzet-Roumazeille, Sandrine MD, MSc*; Schlund, Matthias MD, MSc; Ferri, Joel MD, PhD

doi: 10.1097/SCS.0000000000005698
Clinical Studies
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Introduction: Orthognathic surgery is a common procedure in facial deformities treatment but requires a high level of compliance from the patient. Performing this treatment for mentally disabled patients is a subject of discussion. The aim of this study was to evaluate the quality of life (QOL) after orthognathic surgery in disabled patients.

Material and methods: Eight patients with mental disability who underwent orthognathic surgery between 2007 and 2017 participated in this study. Their family or guardian completed a questionnaire to assess modification in aesthetic, functional, and social abilities after orthognathic surgery. Complications, difficulties in maintaining postoperative cares were also recorded.

Results: All patients had improvement in global facial aesthetic. 62.5% of the patients had improvement in self-esteem and confidence in social events. Regarding functional aspect, the main improvement was found in chewing (75%) and ability to move the jaw (75%). Two patients (25%) found that jaw noises and pain were worse after surgery. No major complication occurred. Postoperative care was hard to follow but no patient had to stop maxillomandibular fixation.

Conclusion: On well selected cases, orthognathic surgery is a safe procedure which provides improvement in QOL in disabled patients.

*University Lille, Oral and Maxillofacial Surgery Department, CHU Lille

University Lille, Oral and Maxillofacial Surgery Department, CHU Lille; INSERM U 1008, Controlled Drug Delivery Systems and Biomaterials, Lille, France.

Address correspondence and reprint requests to Alexandra Promerat, MD, Service de Chirurgie Maxillo-Faciale et Stomatologie, Hôpital Roger Salengro, Rue Emile Laine, 59037-Lille-Cedex, France; E-mail: alexandra.promerat@gmail.com

Received 17 March, 2019

Accepted 19 April, 2019

The authors report no conflicts of interest.

Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com).

© 2019 by Mutaz B. Habal, MD.