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Official Journal of the Italian Society of Maxillofacial Surgery
Frequency: 3 issues
Online ISSN 1827-1901
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
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.