Cephalometric and Anthropometric Changes and Their Relation to Patients' Satisfaction After Orthognathic Surgery Publisher Pubmed



Geramy A¹ ; Sheikhzade S² ; Nazarifar AM³
Source: Journal of Craniofacial Surgery Published:2020

Abstract

Objective:The aim of this prospective study was to evaluate the correlation between cephalometric and anthropometric facial changes and satisfaction level of class III patients after bimaxillary orthognathic surgery.Methods and materials:Totally, 29 class III patients (mean age = 24.23 ± 4.2) undergoing one-piece Lefort 1 osteotomy and mandibular setback were included. Pre- and postoperative lateral cephalograms were taken. Thirteen cephalometric and 17 anthropometric facial measurements were evaluated. A 6-item questionnaire of Rustemeyer's study was used to assess patient's satisfaction after surgery. The Wilcoxon signed-rank test, paired sample t test and Spearman's correlation analysis were used as statistical analysis.Results:Facial aesthetic and masticatory improvement was highly significant (P < 0.001), while opinion differences between patients and relatives/friends were not significant (P = 0.334). Increased upper lip length (P = 0.037) and decreased nasal tip protrusion-nose height index (P = 0.017) correlated positively with aesthetic improvements after surgery.Conclusion:Although the association between parameters and satisfaction questionnaire was found, other influential factors should be considered before surgery as well. © 2020 Lippincott Williams and Wilkins. All rights reserved.