Patients' Satisfaction after Orthognathic Surgery: A Systematic Review.

ABSTRACT

Objective: The aim of the present study is to review data regarding patients' satisfaction after orthognatic surgery in a systematic approach. Methods and Materials Electronic searching was done in Medline, EMBASE and CENTRAL databases. Inclusion criteria were 1) assessment of patients' satisfaction or quality of life, 2) onestage orthognathic surgery, 3) follow up period of 8 weeks or more, and English, German, Persian and Arabic articles. Exclusion criteria were 1) presence of craniofacial syndromes, cleft lip and palate or traumatic injuries, 2) previous facial surgery, 3) psychological problems before surgery. Data were extracted and analyzed in three groups function, appearance and overall satisfaction. Results: 18 studies met the inclusion criteria. Esthetic and function was improved in majority of patients, however, it was not possible to assess the issue statistically. Overall satisfaction analysis revealed that 88.6% of patients were satisfied, while 2.8% and 8.6% of patients were neutral and dissatisfied, respectively. Conclusion: Most of the patients were satisfied with the surgical outcome. Satisfaction was seemed to be multifactorial and it was not possible to predict satisfaction prior to the surgery.