Impacts of Orthognathic Surgery on Patient Satisfaction, Overall Quality of Life, and Oral Health-Related Quality of Life: A Systematic Literature Review

Abstract

Several treatments have been suggested to correct dentofacial abnormalities, including orthognathic surgery. The aim of the present systematic review was to assess the impact of orthognathic surgery on patient satisfaction, overall quality of life, quality of life related to oral health—and to orthognathic surgery in particular—among adult patients. Two investigators independently reviewed the available literature in the databases PubMed/MEDLINE, LILACS, SciELO, EMBASE, Trip, and Google Scholar (gray literature) based on the keywords “orthognathic surgery” and “quality of life.” An analysis of bias was performed based on the MINORS (methodological index for nonrandomized studies). A total of 245 relevant studies were retrieved from the databases, and 6 additional studies were located after a manual search of the references. Following selection based on titles, abstracts, and full-text analysis, 30 studies were included in the present systematic review. To evaluate quality of life before and after orthognathic surgery, 12 studies applied the surgery-related Orthognathic Quality of Life Questionnaire (OQLQ), 12 used the Oral Health Impact Profile (OHIP-14), and 4 used the Short Form Health Survey (SF-36). Orthognathic surgery results in improvements in quality of life both physically and psychosocially after surgery and is associated with high rates of patient satisfaction.

Impact of orthognathic surgery on quality of life in patients with different dentofacial deformities: longitudinal study of the Oral Health Impact Profile (OHIP-14) with at least 1 year of follow-up

“…Some studies have found that oral function, including bite, pain, smile, and speech, is a primary motivation [12][13][14]. A recent systematic review showed physiological and psychological improvement in QoL following orthognathic surgery [15]. A study with a 5-year follow-up found significant improvement and stabilization after 2-5 years in regard to the general health-related QoL, OHRQoL, and psychosocial function after BSSO [16].…”

Quality of Life After Orthognathic Surgery in Patients with Cleft: An Overview of Available Patient-Reported Outcome Measures

“…Most of those questionnaires were not properly validated, and only the orthognathic QOL questionnaire (OQLQ) met the inclusion criteria of the present study. PROMs such as the oral health impact profile 14 (OHIP-14), short-form health survey-36 (SF-36), World Health Organization QOL-BREF (WHOQOL-BREF), sence of coherence questionnaire-29, VAS, and patient atisfaction questionnaire have been used in single or multiple studies investigating the impact of orthognathic surgery on QOL (Zamboni et al, 2019). These PROMs have not been validated for measuring orthognathic QOL in patients with a cleft.…”

Resultados posoperatorios y satisfacción en pacientes operados de cirugía ortognática durante los años 2011-2018 en Hospital San José, Chile

“…14 y Zamboni y cols. 15 indicaron que la presencia de problemas de sensibilidad no generó problemas de satisfacción en los pacientes, manteniéndose alta como en nuestro estudio. Sin embargo, otros estudios 3,12,16 reportaron que pacientes con tendencia a experimentar insatisfacción con la cirugía, se relacionaba con pérdida de sensibilidad de alguna región anatómica, junto con dificultad para masticar e inflamación.…”