Impacts of Orthognathic Surgery on Patient Satisfaction, Overall Quality of Life, and Oral Health-Related Quality of Life: A Systematic Literature Review

Table 2

Results on patient satisfaction after surgery ().

Study design	Follow-up duration	Main results	References
(1) Retrospective (postoperative analysis); Prospective (preoperative analysis)	At least 9 months after surgery	Of the participants, 95% were satisfied with the results of treatment (very satisfied: 66.7%; moderately satisfied: 28.4%); 7.5% were dissatisfied with the results; and 76.5% stated that they would undergo the surgery again.	Cunningham et al. [16]
(2) Prospective	T0: 1 month before surgery; T1: 1 year after surgery	The mean VAS score for patient satisfaction was 8.8 (88%); 86% of participants would undergo surgery again. All investigated life aspects improved after surgery: work, livelihood, interpersonal relationships, leisure, mental health, health and perspective on life.	Forssell et al. [17]
(3) Prospective	T0: 1 week before surgery; T1: 2 to 8 months after surgery	69.2% of participants were satisfied with surgery, and 23.1% were very satisfied; none of the participants reported dissatisfaction.	Bertolini et al. [18]
(4) Retrospective	Evaluation at 1, 2 and more than 2 years	Of the patients, 92% were satisfied, and 89% were aware of what to expect after discharge. Negative surgery-related outcomes tended to decrease along the follow-up.	Busby et al. [19]
(5) Prospective	Before surgery; 6 months after surgery	Significant difference in satisfaction before (79.22 ± 18.42) and after (87.56 ± 15.50) () surgery.	Murphy et al. [4]
(6) Retrospective	2.54 years after surgery	Participants reported satisfaction with the appearance of their face after treatment; smile, self-confidence (85.3%), social life (46%), eating (60.6%), and speech (39.3%).	Khattak et al. [24]
(7) Retrospective	T0: baseline; T1: before orthodontic treatment; T2: 8 weeks after surgery; T3: 1 year after surgery; T4: 10–14 years after surgery	Of the participants, 36% reported that they were very satisfied, 53% were moderately satisfied, and 8% were dissatisfied.	Trovik et al. [26]
(8) Prospective	T0: before surgery; T1: after surgery	The scores on the FACE-Q used to assess satisfaction showed a significant increase of patient satisfaction after orthognathic surgery for the domains facial appearance overall (T0: 48.2 ± 3.2; T1: 72.9 ± 3.3), lower face and jawline (T0: 42.6 ± 6.3; T1: 83.3 ± 5.9) and all four chin items ().	Schwitzer et al. [29]
(9) Retrospective	At least 6 months after surgery	The mean SAT score was 23.9 ± 3.83; 95% of participants would undergo surgery again. The mean SAT score was higher for the participants subjected to sagittal osteotomy compared to that for the patients undergoing bimaxillary osteotomy ().	Bogusiak et al. [37]
(10) Prospective	T1: before treatment; T2: 1 month after surgery; T3: 6 months after treatment; T4: 12 months after treatment; T5: 18 after treatment; T6: after the end of orthodontic-surgical treatment	Satisfaction was substantially lower for the group subjected to the surgery-first approach, but the difference was statistically nonsignificant compared to that of the conventional treatment group.	Huang et al. [38]