Liddle, M.J., Baker, S.R., Smith, K.G. et al. (1 more author) (2015) Psychosocial Outcomes in Orthognathic Surgery: A Review of the Literature. Cleft Palate-Craniofacial Journal, 52 (4). 458 - 470. ISSN 1055-6656
Abstract
Objective: To identify and critically appraise the literature on the psychosocial outcomes of orthognathic surgery, reflect on the clinical and theoretical implications, and suggest avenues for future research.
Design: A search of the literature was completed using the databases Web of Science, MEDLINE, and PsycINFO to identify English-language articles published since January 2001 that have reported a measure of psychosocial functioning posttreatment.
Results: A total of 38 articles were eligible for inclusion in the review. The studies reported improvements in areas such as satisfaction with facial appearance, self-confidence, self-esteem, anxiety, and social functioning. Small percentages of patients were left dissatisfied or had difficulty adjusting to appearance change despite the absence of treatment complications. Gains in psychosocial functioning were maintained over several years, and satisfaction increased over time.
Conclusions: There are consistent positive outcomes reported as a result of orthognathic surgery, but conclusions are limited by methodological issues in study design such as small sample sizes, limited use of control groups, and measures that fail to tap into relevant areas of psychosocial functioning. In addition, further exploration is required of processes such as adjustment to facial change and the role of psychological support during treatment.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2015 The American Cleft Palate-Craniofacial Association. |
Keywords: | appearance concern; disfigurement; orthognathic surgery; review; visible difference |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Clinical Dentistry (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 10 Dec 2015 16:38 |
Last Modified: | 10 Dec 2015 17:13 |
Published Version: | http://www.cpcjournal.org/doi/10.1597/14-021 |
Status: | Published |
Publisher: | The American Cleft Palate-Craniofacial Association |
Refereed: | Yes |
Identification Number: | 10.1597/14-021 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:89847 |