Perceived Quality of Life after Orthognathic Surgery

Objectives: The aim of the present study was to elucidate the perceptions of patients undergoing orthognathic surgery, first and foremost postoperative quality of life, with regard to both aesthetic and functional aspects. Methods: Forty-two patients, who had undergone various orthognathic procedures, were studied by means of one questionnaire before surgery and two questionnaires after surgery, plus a telephone interview. Results: The patients mentioned functional problems (55%) as a reason for surgery, but the expected aesthetic improvement (30%) was also an important factor. The postoperative situation revealed that the patients were satisfied with the outcome of the surgical procedure. Postoperative improvement was seen in terms of chewing (81%), apperance (88%), headaches (66%) and bullying (56%). Patients (72%) felt more secure in company with other people postoperatively. The orthodontic treatment was regarded as just as much of a problem as the surgical treatment. Conclusion: Patients perceptions following orthognatic surgery are generally positive but there is a need of improved and continous information during the treatment.