Patient Perceived Functional and Esthetic Outcomes Following Orthognathic Surgery in Patients with Anxiety, Depression, or Body Dysmorphic Disorder
Matthew Faigan1,2, Michelle Cwintal2, Jordan Gigliotti1,2
1 Faculty of Dental Medicine and Oral Health Sciences, 污污草莓视频 University, Montreal, QC, Canada, 2 Department of Oral and Maxillofacial Surgery, 污污草莓视频 University Health Centre, Montreal, QC, Canada
Orthognathic surgery represents a transformative intervention in the lives of individuals seeking the correction of skeletal deformities and malocclusions [1]. Surgical intervention is often indicated in patients requiring correction of skeletal malocclusions, enhancement of facial esthetics [2]. Previous studies have demonstrated that patients with jaw deformities often have significant dysfunction and negative impacts on their psychosocial function [3]. In recognizing the intricate connection between psychosocial well-being and surgical outcomes, this study aims to explore the relationship between anxiety, depression, body dysmorphic disorder, and post-surgical satisfaction. This is a prospective cohort study, including adult patients presenting for maxillary and mandibular osteotomies excluding isolated genioplasty at the Department of Oral and Maxillofacial Surgery at the Montreal General Hospital. All eligible participants will complete a pre-operative screening survey to assess for anxiety, depression, and body dysmorphic disorder using validated screening questionnaires at the time of the pre-surgical consultation. Following treatment, participants will complete post-operative surveys to assess perceived satisfaction, functional outcomes, and esthetic outcomes, at 2 weeks, 3-months, and 6-months post-operatively. Statistical analyses will be employed to identify associations and potential predictors of satisfaction. Specifically, Chi-square tests will be used to compare categorical data. Based on the normality of the collected data, either two-tailed t-tests or Mann-Whitney U tests will be used to compare continuous data. All statistical analyses will be completed using IBM SPSS Statistics. By elucidating the impact of psychiatric conditions on patient experiences, our study seeks to contribute insight into the interdisciplinary dialogue between oral and maxillofacial surgery and mental health, with the goal of refining treatment planning and surgical decision-making in a patient-centric manner.
References
[1] Weiss RO 2nd, Ong AA, Reddy LV, Bahmanyar S, Vincent AG, Ducic Y. Orthognathic Surgery-LeFort I Osteotomy. Facial Plast Surg. 2021;37(6):703-708. doi:10.1055/s-0041-1735308
[2] Zheng Y, Liao N, Mo S, Huang X, Zhou N. Effect of surgery-first approach on quality of life and mental health of orthognathic patients: A systematic review and meta-analysis. Heliyon. 2023 Dec 3;10(1):e23285. doi: 10.1016/j.heliyon.2023.e23285. PMID: 38163099; PMCID: PMC10757011.
[3] Yao S, Zhou J, Li Z. Psychologic health status of patients undergoing orthognathic surgery. J Craniofac Surg. 2014;25(6):e540-e543. doi:10.1097/SCS.0000000000001042