İskeletsel sınıf III maloklüzyonlu ortognatik cerrahi hastalarında sefalometrik değişimlerin yaşam kalitesinin ve postoperatif memnuniyetin değerlendirilmesi

Amaç: 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. Gereç ve Yöntemler: 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. Bulgular: 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. Sonuç: Çalışmamız sonucunda hastaların büyük çoğunluğunun ortognatik cerrahi sonrasında yaşam kalitelerinden ve cerrahinin estetik fonksiyonel ve psikolojik sonuçlarından memnun kaldıkları görülmüştür.

Anahtar Kelimeler:

Ortognatik Cerrahi, Hasta Memnuniyeti, Sınıf III Malokluzyon

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