POST–OPERATIVE ASSESSMENT OF PATIENTS‘ UNDERGOING ORTHOGNATHIC SURGERY– A RETROSPECTIVE SURVEY OF 115 PATIENTS

Dr. Pranay Pradeep Pardeshi; Dr. Mukul Padhye; Dr. Ashok Dabir; Dr. Geetanjali Mandlik

Volume : VIII, Issue : V, May - 2019

POST–OPERATIVE ASSESSMENT OF PATIENTS‘ UNDERGOING ORTHOGNATHIC SURGERY– A RETROSPECTIVE SURVEY OF 115 PATIENTS

Dr. Pranay Pradeep Pardeshi, Dr. Mukul Padhye, Dr. Ashok Dabir, Dr. Geetanjali Mandlik

Abstract :

Aim– The study was to evaluate the number of patients undergoing orthognathic surgery in last five years (between 2009 and 2014) & to determine patients� motivations for undergoing orthognathic surgery and their experiences before & after surgery. Materials & Methods– 115 patients who underwent orthognathic surgery during the period 1st January 2009 to 30th july 2014 were included. The study excluded patients with cleft lip & palate, reconstructive LeFort with bone graft & syndromic deformity. A telephonic assessment was done based on a Questionanaire which included domains like pre surgical reasons & expectations, pain, swelling, Tmj symptoms in the recovery period, and esthetic & functional changes as a final result. The data was collected and tabulated. Results– The study showed that the most common reason to undergo orthognathic surgery was facial esthetics. Parasthesia of the lower lip was the commonest complication with patients undergoing saggital split osteotomy. Average score of 6 was rated on VAS scale for pain by patients in immediate post–operative period of surgery. Swelling resolved completely over a period of 1–2 months. Esthetic & functional changes were satisfactory. Conclusion–In recent times, there has been significant rise in patients undergoing orthognathic surgery. Most of the patients were satisfied with the facial and functional changes post surgery. However, pre–surgical planning of the case is essential for good post operative results. Clinical Significance– Orthognathic surgery is performed to correct dentofacial & craniofacial deformities and improve facial aesthetics, occlusal relations, and function. The overall post–operative improvement after surgery is highly significant and accepted by patient.