Impact of Altered Sensation in Lip and Chin Area after Orthognathic Surgery to Oral Health Related Quality of Life
Main Article Content
Abstract
Lip and chin numbness is a common nerve complication after orthognathic surgery and may impact to the patient’s quality of life. This study aimed to evaluate the impact of long term altered sensation in the lip and chin on a patient’s quality of life after orthognathic surgery. The study design was a cross-sectional survey on the patient aged between 18 and 70 years old who had altered sensations in the lip and chin area at least 6 months after orthognathic surgery. The demographic and operation data were collected. The impact of oral health-related quality of life was assessed by the Oral Impacts on Daily Performances Index (OIDP) related to numbness of the lip and chin area. The result showed a 34.5% incidence of lip and chin numbness after orthognathic surgery for at least 6 months. Forty-five patients were included in the study. The mean follow-up time was 34.24±17.86 months, and the mean age was 33.64±9.26 years (range 21-67). The study found that lip and chin numbness impacted to oral health related to the quality of life for 31% with mild severity. The mean overall OIDP score was 3.73±13.94. The emotional status was the most impacted by the lips and chin numbness (26.7%). The level of numbness had a significant positive correlation with the overall OIDP score (p<0.05). The study summarized that long term altered sensations in the lip and chin area after orthognathic surgery had a mild degree of impact on oral health-related quality of life and had the greatest impact on the emotional and psychological status. Therefore, long term follows up is necessary for orthognathic surgical patients.
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
Ong MA. Spectrum of dentofacial deformities: a retrospective survey. Ann Acad Med Singap 2004;3(2):239-42.
Sousa CS, Turrini RNT. Complications in orthognathic surgery: A comprehensive review. J Oral Maxillofac Surg Med Pathol 2012;24(2):67-74.
Friscia M, Sbordone C, Petrocelli M, Vaira LA, Attanasi F, Cassandro FM, et al. Complications after orthognathic surgery: our experience on 423 cases. Oral Maxillofac Surg 2017;21(2):171-7.
Jędrzejewski M, Smektała T, Sporniak-Tutak K, Olszewski R. Preoperative, intraoperative, and postoperative complications in orthognathic surgery: a systematic review. Clin Oral Investig 2015;19(5):969-77.
Zaroni FM, Cavalcante RC, João da Costa D, Kluppel LE, Scariot R, Rebellato NLB. Complications associated with orthognathic surgery: A retrospective study of 485 cases. J Craniomaxillofac Surg 2019;47(12):1855-60.
Robl MT, Farrell BB, Tucker MR. Complications in orthognathic surgery: a report of 1,000 cases. Oral Maxillofac Surg Clin North Am 2014;26(4):599-609.
Kim YK, Kim SG, Kim JH. Altered sensation after orthognathic surgery. J Oral Maxillofac Surg 2011; 69(3):893-8.
Lee S, McGrath C, Samman N. Impact of orthognathic surgery on quality of life. J Oral Maxillofac Surg 2008; 66(6):1194-9.
Palomares NB, Celeste RK, Miguel JA. Impact of orthosurgical treatment phases on oral health-related quality of life. Am J Orthod Dentofacial Orthop 2016; 149(2):171-81.
Eslamipour F, Najimi A, Tadayonfard A, Azamian Z. Impact of orthognathic surgery on quality of life in patients with dentofacial deformities. Int J Dent 2017; 2017(1):1-6.
Suksang S, Pimkhaokham A, Subbhalekha K, Krisdapong S. The change of oral health related quality of life in patients undergoing orthognathic surgery. Proceedings of the fourteenth Graduate Research Conference:2013 Feb 22; Khon Kaen University, Khon Kaen;2013.883-90.
Paksinee K, Ruxwongkana T, Kraisittisirikul G, Trising W, Subbalekha K. Quality of life in patients prescribed vitamin B1-6-12 for treatment of sensory. CU Dent J 2018;41(2):63-70.
Bernabé E, de Oliveira CM, Sheiham A, Tsakos G. Comparison of the generic and condition-specific forms of the Oral Impacts on Daily Performances (OIDP) Index. J Public Health Dent 2009;69(3):176-81.
Sriboonruang N. The factors related to using dentures’ behaviors and quality of elderly people under dentures project, Muang, Lampang District [dissertation]. Bangkok: Thammasat Univ;2016.
Panula K, Finne K, Oikarinen K. Incidence of complications and problems related to orthognathic surgery: a review of 655 patients. J Oral Maxillofac Surg 2001;59(10):1128-36.
Lee EG, Ryan FS, Shute J, Cunningham SJ. The impact of altered sensation affecting the lower lip after orthognathic treatment. J Oral Maxillofac Surg 2011; 69(11):e431-45.
Alolayan AB, Leung YY. Risk factors of neurosensory disturbance following orthognathic surgery. PLoS One 2014;9(3):e91055.
Hvaring CL, Birkeland K. & Åstrøm AN. Discriminative ability of the generic and condition specific Oral Impact on Daily Performance (OIDP) among adolescents with and without hypodontia. BMC Oral Health 2014; 14(57):1-9.
Meger MN, Fatturi AL, Gerber JT, Weiss SG, Rocha JS, Scariot R et al. Impact of orthognathic surgery on quality of life of patients with dentofacial deformity: a systematic review and meta-analysis. Br J Oral Maxillofac Surg 2021;59(3):265-71.
Suksang S, Pimkhaokham A. Evaluation of oral health related quality of life in patients undergoing orthognathic surgery. J Oral Maxillofac Surg Med Pathol 2016;28(6):488-92.
McLeod NM, Bowe DC. Nerve injury associated with orthognathic surgery. Part 2: inferior alveolar nerve. Br J Oral Maxillofac Surg 2016;54(4):366-71.