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Rivista Italiana di Chirurgia Maxillo-Facciale 2002 August;13(2):75-9

language: English

Long-term psychopathologic evidences in patients submitted to orthognathic surgery

Benech A. 1, De Gioanni P. P. 1, Poglio G. 1, Cascio B. 2, Fera T. 2, Iacono F. 2, Angelini G. 2

1 Unit of Maxillofacial Surgery University of Novara, Novara
2 Psychiatric Section, Neuroscience Department University of Turin, Turin


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The eval­u­a­tion of clin­i­cal effec­tive­ness in orthog­nath­ic sur­gery inter­ven­tions can­not ­exclude esthet­ic and psy­cho­so­cial esti­ma­tions ­and, in gen­er­al, ­patient’s com­pli­ance. To under­stand ­how ­much ­the ­patient’s sat­is­fac­tion ­depends on ­the inter­ven­tion out­come ­and/or exter­nal fac­tors, a psy­cho­log­ic sur­vey is need­ed. In coop­er­a­tion ­with ­the Neuroscience Department, 29 ­patients sub­mit­ted to cor­rec­tive sur­gery of max­il­lary ­ratios ­since at ­least 7 ­years ­were eval­u­at­ed: dou­ble ­jaw sur­gery (21 cas­es), man­dib­u­lar ­set ­back (4 cas­es) ­and max­il­lary advance­ment (4 cas­es). For ­this pur­pose ­patients, ­recalled to ­our Division, ­were giv­en a ­test ­series to ­assess ­trait ­and ­state anx­ie­ty, phys­i­cal invest­ment ­and per­son­al­ity char­ac­ter­is­tics. The sta­tis­ti­cal anal­y­sis, per­formed to ­point ­out ­the cor­re­la­tions ­between var­i­ables, ­was pro­cessed ­through ­the ­SAS (Statistical Analysis System) pro­gram. These ­patients ­had ­not ­been sub­mit­ted to ­this ­kind of sur­vey in ­the pre­op­er­a­tive ­phase. From ­both ­the lit­er­a­ture ­and ­our ­work, we ­deduce ­that orthog­nath­ic ­patients ­are ­almost ­always in a nor­mal ­range as ­regards ­self-­esteem, ­body ­image, neu­ro­sis ­and emo­tion­al ­states. As a ­group ­they ­are, in gen­er­al, emo­tion­al­ly ­more ­stable ­and ­have a high­er ­self-­esteem lev­el ­than ­patients ­who under­go plas­tic sur­gery. Patients under­go­ing orthog­nath­ic sur­gery ­have a sat­is­fac­to­ry eval­u­a­tion of ­their ­body in gen­er­al, focus­ing ­their crit­i­cal or acrit­i­cal atten­tion on ­their ­face ­aspect.

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