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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

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:

Received 17 March, 2019

Accepted 19 April, 2019

The authors report no conflicts of interest.

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© 2019 by Mutaz B. Habal, MD.