İskeletsel sınıf III maloklüzyonlu ortognatik cerrahi hastalarında sefalometrik değişimlerin yaşam kalitesinin ve postoperatif memnuniyetin değerlendirilmesi
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Dosyalar
Tarih
2018-05-17
Yazarlar
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Selçuk Üniversitesi Diş Hekimliği Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Çalışmamızın amacı; sınıf III maloklüzyona sahip ortognatik cerrahi hastalarında sefalometrik filmler üzerinde sert ve yumuşak doku değişimlerinin incelenmesi, ortognatik cerrahi sonrası yaşam kalitesinin ve cerrahi sonrası hasta memnuniyetinin değerlendirilmesidir. İskeletsel sınıf III maloklüzyona sahip ortognatik cerrahi prosedür geçirmiş 48 birey geçirdikleri cerrahi operasyona göre 2 gruba ayrılmıştır. Tek çene cerrahi operasyonu geçiren 14 birey (ortalama yaş 23,90) bilateral sagital split ramus osteotomisi operasyonu geçirmiştir. Çift çene cerrahi operasyonu geçiren 34 birey alt çene için bilateral sagital split ramus osteotomisi operasyonu üst çene için Le Fort I osteotomisi operasyonu geçirmiştir. Hastaların başlangıç ve bitim lateral sefalometrik röntgenleri dijital ortamda çizilmiştir. Postoperatif hasta memnuniyeti anketi (PSPSQ) ve oral sağlık etki profili (OHIP-14) anketleri ortalama 23,54 ay sonra (min 7ay, max 24 ay) hastalara uygulanmıştır. Sefalometrik ölçümlerin ve hasta memnuniyeti anketlerinin korelasyonu değerlendirilmiştir. Sınıf III maloklüzyona sahip ortognatik cerrahi hastalarında her iki ankette ve her iki grupta yüksek memnuniyet skorları görülmektedir. Tek ve çift çene cerrahisi grubu hastalarında psikolojik rahatsızlıklar ile ilgili sorular haricinde farklılık bulunmamaktadır. Çalışmamız sonucunda hastaların büyük çoğunluğunun ortognatik cerrahi sonrasında yaşam kalitelerinden ve cerrahinin estetik fonksiyonel ve psikolojik sonuçlarından memnun kaldıkları görülmüştür.
The purposes of our study were to examine the hard and soft tissue changes on cephalometric films in orthognathic surgery patients with Class III malocclusion, to evaluate the quality of life after orthognathic surgery and patient satisfaction after surgery. Forty-eight individuals who underwent orthognathic surgical procedures with skeletal Class III malocclusion were divided into two groups according to the surgical operation they were undergoing. Fourteen individuals (mean age 23,90 years) undergoing a single jaw surgery underwent bilateral sagittal split ramus osteotomy. Thirty-four individuals who underwent double-jaw surgery underwent bilateral sagittal split ramus osteotomy operation for the lower jaw and Le Fort I osteotomy operation for the upper jaw. The lateral cephalometric x-rays of the beginning and end of the treatment were drawn in the digitally. The postoperative patient satisfaction questionnaire (PSPSQ) and oral health impact profile (OHIP-14) questionnaires were administered to the patients after an average of 23.54 months (min 7 months, max 24 months). The correlation of cephalometric measurements and patients' satisfaction surveys were evaluated. In orthognathic surgery patients with Class III malocclusion, high satisfaction scores were seen in both surveys and in both groups. There was no difference in patients with single or double jaw surgery except for questions about psychological disorders. As a result of our study, it was seen that the vast majority of patients were satisfied with the quality of life and the aesthetic functional and psychological results of the surgeon after orthognathic surgery.
The purposes of our study were to examine the hard and soft tissue changes on cephalometric films in orthognathic surgery patients with Class III malocclusion, to evaluate the quality of life after orthognathic surgery and patient satisfaction after surgery. Forty-eight individuals who underwent orthognathic surgical procedures with skeletal Class III malocclusion were divided into two groups according to the surgical operation they were undergoing. Fourteen individuals (mean age 23,90 years) undergoing a single jaw surgery underwent bilateral sagittal split ramus osteotomy. Thirty-four individuals who underwent double-jaw surgery underwent bilateral sagittal split ramus osteotomy operation for the lower jaw and Le Fort I osteotomy operation for the upper jaw. The lateral cephalometric x-rays of the beginning and end of the treatment were drawn in the digitally. The postoperative patient satisfaction questionnaire (PSPSQ) and oral health impact profile (OHIP-14) questionnaires were administered to the patients after an average of 23.54 months (min 7 months, max 24 months). The correlation of cephalometric measurements and patients' satisfaction surveys were evaluated. In orthognathic surgery patients with Class III malocclusion, high satisfaction scores were seen in both surveys and in both groups. There was no difference in patients with single or double jaw surgery except for questions about psychological disorders. As a result of our study, it was seen that the vast majority of patients were satisfied with the quality of life and the aesthetic functional and psychological results of the surgeon after orthognathic surgery.
Açıklama
Anahtar Kelimeler
Ortognatik cerrahi, Hasta memnuniyeti, Sınıf III maloklüzyon, Orthognathic surgery, Patient satisfaction, Class III malocclusion
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Künye
Vural, A. (2018). İskeletsel sınıf III maloklüzyonlu ortognatik cerrahi hastalarında sefalometrik değişimlerin yaşam kalitesinin ve postoperatif memnuniyetin değerlendirilmesi. Selçuk Üniversitesi, Yayımlanmış uzmanlık tezi, Konya.
