Srpski arhiv za celokupno lekarstvo 2024 Volume 152, Issue 1-2, Pages: 27-32
https://doi.org/10.2298/SARH230823113H
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Quality of life in correlation with presurgical psychological assessment of surgically treated patients with class III skeletal deformities
Hatab Nur 
(Ras Al-Khaimah Medical and Health Sciences University, RAK College of Dental Sciences, Ras Al-Khaimah, United Arab Emirates)
Jezdić Zoran (University of Belgrade, School of Dental Medicine, Belgrade, Serbia)
Ivanjac Filip (University of Belgrade, School of Dental Medicine, Belgrade, Serbia), filipivanjac@yahoo.com
Konstantinović Vitomir S. (University of Belgrade, School of Dental Medicine, Belgrade, Serbia)
Introduction/Objective Quality of life before and after mono and bimaxillary
surgery may vary from patient to patient depending on psychological
assessment score. The aim of this study was to compare the quality of life
before and six months after orthognathic surgery in correlation with a
presurgical psychological assessment of patients with class III skeletal
deformity. Assuming that patients with low psychological assessment results
might have a lower quality of life after surgery despite successful
treatment results. Methods For this prospective study 30 patients (19
female,11 male) were included. Psychological assessment was obtained before,
and quality of life before and after surgery in skeletal deformity class III
patients. Statistical analysis was done with a statistical package for
social science - SPSS. Results Overall quality of life after surgery
significantly improved in all patients. Surgical correction of class III
deformities provided a significant improvement independent of the type of
surgery and the severity of the deformity, as well as gender and age. There
were significant differences in post-surgical quality of life scores between
patients with good and poor psychological assessment scores, related to
social disability (p < 0.05). Conclusion Patients with lower preoperative
psychological scores experienced a lesser improvement in quality of life,
particularly in the domain of social disability. This suggests that
additional psychological treatment of these patients could further improve
the beneficial effects of orthognathic surgery on postoperative quality of
life.
Keywords: quality of life, mono-bimaxillar surgery, skeletal deformities
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