Treatment adherence in patients after orthognathic surgery

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

The main aim of orthognathic operations is to restore dental occlusion, oral functions and facial proportions, and from the point of view of long-term prognosis – to improve life quality of patients.

The aim: to compare life quality of patients underwent orthognathic surgery, taking into account their drug therapy adherence.

Material and methods. 29 patients (14 men and 15 women) aged 26 to 32 years after bilateral sagittal plane osteotomy were involved in the study. Experimental psychological study included the use of SF-36 (36-item short-form health survey) and OHIP-14 (Oral Health Impact Profile-14) questionnaires. All participants were prescribed meldonium 500 mg 3 times a day in the postoperative period (day 15). The course of treatment was 45 days. In the process of studying treatment efficacy, two groups were formed: group 1 – 16 patients with high adherence to treatment, group 2 – 13 patients with low adherence to treatment. The control points for estimation were 14th, 30th and 60th days after orthognathic correction.

Results. Experience in assessing adherence to therapy in patients who underwent orthognathic surgery showed that the use of meldonium in this case is quite effective method. On the 60th day of the postoperative period, the study participants showed positive dynamics in life quality status according to SF-36 scale, expressed in a significant improvement in physical and emotional condition, daily functioning, general health, and vitality. The total score on the OHIP-14 scale was 7.1 points and corresponded to a slight decrease in dental health (within 7–15 points).

Conclusion. Meldonium can be used in the complex treatment of patients after orthognathic surgery. High adherence to meldonium treatment is associated with positive dynamics of quality of life and dental health of patients who have undergone bilateral sagittal split osteotomy.

全文:

受限制的访问

作者简介

Marine Tanashyan

Scientific Center of Neurology; Russian University of Medicine of the Ministry of Healthcare of Russia

编辑信件的主要联系方式.
Email: m_tanashyan2004@mail.ru
ORCID iD: 0000-0002-5883-8119
SPIN 代码: 7191-1163

MD, Dr. Sci. (Medicine), professor, corresponding member of RAS, deputy director for research work, head of the 1st Neurological Department, professor of the Department of neurology of N.A. Semashko Scientific and Educational Institute of Clinical Medicine

俄罗斯联邦, Moscow; Moscow

Marina Maksimova

Scientific Center of Neurology; Russian University of Medicine of the Ministry of Healthcare of Russia

Email: ncnmaximova@mail.ru
ORCID iD: 0000-0002-7682-6672
SPIN 代码: 5389-7907

MD, Dr. Sci. (Medicine), professor, head of the 2nd Neurological Department, professor of the Department of neurology of N.A. Semashko Scientific and Educational Institute of Clinical Medicine

俄罗斯联邦, Moscow; Moscow

Olga Lagoda

Scientific Center of Neurology

Email: olga.lagoda@gmail.com
ORCID iD: 0000-0001-7562-4991
SPIN 代码: 1789-4735

MD, PhD (Mesicine), senior researcher at the 1st Neurological Department

俄罗斯联邦, Moscow

参考

  1. Baherimoghaddam T., Tabrizi R., Naseri N. et al. Assessment of the changes in quality of life of patients with class II and III deformities during and after orthodontic-surgical treatment. Int J Oral Maxillofac Surg. 2016; 45(4): 476–85. https://doi.org/10.1016/j.ijom.2015.10.019. PMID: 26603194.
  2. Miloro M., Han M.D., Kwon T.-G. et al. Predicting the future focus of orthognathic surgery: Outcome-driven planning and treatment with function, esthetics, and occlusion as key indicators. J Oral Maxillofac Surg. 2024: S0278-2391(24)00576-7. https://doi.org/10.1016/j.joms.2024.06.168. PMID: 38981579.
  3. Soh C.L., Narayanan V. Quality of life assessment in patients with dentofacial deformity undergoing orthognathic surgery – a systematic review. Int J Oral Maxillofac Surg. 2013; 42(8): 974–80. https://doi.org/10.1016/j.ijom.2013.03.023. PMID: 23702370.
  4. Zamboni R., de Moura F.R.R., Brew M.C. et al. Impacts of orthognathic surgery on patient satisfaction, overall quality of life, and oral health-related quality of life: A systematic literature review. Int J Dent. 2019; 2019: 2864216. https://doi.org/10.1155/2019/2864216. PMID: 31316563. PMCID: PMC6604419.
  5. Bamashmous M., Zahran M., Bushnag A. et al. Social anxiety and orthognathic surgery effect on oral health-related quality of life. Cureus. 2023; 15(9): e45434. https://doi.org/10.7759/cureus.45434. PMID: 37859885. PMCID: PMC10582647.
  6. Митрошенков П.П., Дробышев А.Ю., Митрошенков П.Н., Михайлюков В.М. Виртуальное планирование и интраоперационный контроль с использованием систем компьютерной навигации в ортогнатической хирургии. Стоматология. 2020; 99(5): 38–45. [Mitroshenkov P.P., Drobyshev A.Yu., Mitroshenkov P.N., Mikhaylyukov V.M. Virtual planning and intraoperative control using computer navigation systems in orthognatic surgery. Stomatologiya =Dentistry. 2020; 99(5): 38–45 (In Russ.)]. https://doi.org/10.17116/stomat20209905138. PMID: 33034175. EDN: OMBISF.
  7. Hrusak D., Hauer L., Gencur J. et al. 3D maxillofacial surgery planning – one decade development of technology. Acta Chir Plast. 2023; 65(3–4): 128–39. https://doi.org/10.48095/ccachp2023128. PMID: 38538300.
  8. Locker D. Measuring oral health: A conceptual framework. Community Dent Health. 1988; 5(1): 3–18. PMID: 3285972.
  9. Oland J., Jensen J., Elklit A., Melsen B. Motives for surgical-orthodontic treatment and effect of treatment on psychosocial well-being and satisfaction: A prospective study of 118 patients. J Oral Maxillofac Surg. 2011; 69(1): 104–13. https://doi.org/10.1016/j.joms.2010.06.203. PMID: 21050649.
  10. Rusanen J., Silvola A.-S., Tolvanen M. et al. Pathways between temporomandibular disorders, occlusal characteristics, facial pain, and oral health-related quality of life among patients with severe malocclusion. Eur J Orthod. 2012; 34(4): 512–17. https://doi.org/10.1093/ejo/cjr071. PMID: 21795754.
  11. Miguel J.A.M., Palomares N.B., Feu D. Life-quality of orthognathic surgery patients: The search for an integral diagnosis. Dental Press J Orthod. 2014; 19(1): 123–37. https://doi.org/10.1590/2176-9451.19.1.123-137.sar. PMID: 24713569. PMCID: PMC4299425.
  12. Meger M.N., Fatturi A.L., Gerber J.T. 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. https://doi.org/10.1016/j.bjoms.2020.08.014. PMID: 33546846.
  13. Sugahara K., Koyachi M., Odaka K. et al. A safe, stable, and convenient three-dimensional device for high Le Fort I osteotomy. Maxillofac Plast Reconstr Surg. 2020; 42(1): 32. https://doi.org/10.1186/s40902-020-00276-1. PMID: 32963987. PMCID: PMC7486356.
  14. Rajandram R.K., Ponnuthurai L., Mugunam K., Chan Y.S. Management of bimaxillary protrusion. Oral Maxillofac Surg Clin North Am. 2023; 35(1): 23–35. https://doi.org/10.1016/j.coms.2022.06.006. PMID: 36336600.
  15. Swennen G.R.J., de O. Andriola F., Weinberg Y. Minimally invasive (MI) sagittal split osteotomy. 2023. In: Swennen G.R.J., editor. Minimally invasive (MI) Orthognathic surgery: A systematic step-by-step approach [Internet]. Cham: Springer. 2023. Chapter 5. https://doi.org/10.1007/978-3-031-38012-9_5. PMID: 38349981.
  16. Swennen G.R.J., de O. Andriola F., Weinberg Y. Minimally invasive (MI) chin osteotomy. 2023. In: Swennen G.R.J., editor. Minimally invasive (MI) orthognathic surgery: A systematic step-by-step approach [Internet]. Cham: Springer. 2023. Chapter 3. https://doi.org/10.1007/978-3-031-38012-9_3. PMID: 38349993.
  17. Goga D., Battini J., Belhaouari L. et al. Improving the esthetic results and patient satisfaction in orthognatic surgery. Rev Stomatol Chir Maxillofac Chir Orale. 2014; 115(4): 229–38. https://doi.org/10.1016/j.revsto.2014.06.005. PMID: 25049000.
  18. Suen K.S., Lai Y., Ho S.M.Y. et al. A longitudinal evaluation of psychosocial changes throughout orthognathic surgery. PLoS One. 2018; 13(9): e0203883. https://doi.org/10.1371/journal.pone.0203883. PMID: 30208105. PMCID: PMC6135509.
  19. Gobic M.B., Kralj M., Harmicar D. et al. Dentofacial deformity and orthognatic surgery: Influence on self-esteem and aspects of quality of life. J Craniomaxillofac Surg. 2021; 49(4): 277–81. https://doi.org/10.1016/j.jcms.2021.01.024. PMID: 33579617.
  20. Phillips C., Blakey G. 3rd, Jaskolka M. Recovery after orthognathic surgery: Short-term health-related quality of life outcomes. J Oral Maxillofac Surg. 2008; 66(10): 2110–15. https://doi.org/10.1016/j.joms.2008.06.080. PMID: 18848110. PMCID: PMC2585944.
  21. D’Agostino A., Trevisiol L., Gugole F. et al. Complications of orthognathic surgery: The inferior alveolar nerve. J Craniofac Surg. 2010; 21(4): 1189–95. https://doi.org/10.1097/SCS.0b013e3181e1b5ff. PMID: 20613608.
  22. Dinu C., Manea A., Tomoiagă D. et al. Recovery following orthognathic surgery procedures – A pilot study. Int J Environ Res Public Health. 2022; 19(23): 16028. https://doi.org/10.3390/ijerph192316028. PMID: 36498101. PMCID: PMC9737144.
  23. Танашян М.М., Максимова М.Ю., Федин П.А., Носкова Т.Ю. Отдаленные результаты лечения нейропатии нижних луночковых нервов после ортогнатической коррекции аномалий и деформаций нижней челюсти. Анналы клинической и экспериментальной неврологии. 2023; 17(4): 35–39. [Tanashyan M.M., Maksimova M.Yu., Fedin P.A., Noskova T.Yu. Long-term outcomes of management of inferior alveolar neuropathy following orthognatic surgeries in patients with mandibular anomalies and deformities. Annaly klinicheskoy i eksperimental’noy nevrologii = Annals of Clinical and Experimental Neurology. 2023; 17(4): 35–39 (In Russ.)]. https://doi.org/10.54101/ACEN.2023.4.4]. EDN: YVVASY.
  24. Kleinsinger F. The unmet challenge of medication nonadherence. Perm J. 2018; 22: 18–33. https://doi.org/10.7812/tpp/18-033. PMID: 30005722. PMCID: PMC6045499.
  25. Leslie K.H., McCowan C., Pell J.P. Adherence to cardiovascular medication: A review of systematic reviews. J Public Health (Oxf). 2019; 41(1): e84–e94. https://doi.org/10.1093/pubmed/fdy088. PMID: 29850883. PMCID: PMC6459362.
  26. Николаев Н.А., Скирденко Ю.П., Балабанова А.А. с соавт. Шкала количественной оценки приверженности лечению «КОП- 25»: актуализация формулировок, конструктная и факторная валидность и мера согласия. Рациональная фармакотерапия в кардиологии. 2021; 17(6): 845–852. [Nikolaev N.A., Skirdenko Yu.P., Balabanova A.A. et al. The scale of Quantitative assessment adherence to treatment “QAA-25”: Updating of formulations, constructive and factor validity and a measure of consent. Racional’naja farmakoterapija v kardiologii = Rational Pharmacotherapy in Cardiology. 2021; 17(6): 845–852 (In Russ.)]. https://doi.org/10.20996/1819-6446-2021-12-12. EDN: AGVVLP.
  27. Танашян М.М., Антонова К.В., Лагода О.В. с соавт. Приверженность лечению у пациентов с цереброваскулярными заболеваниями как мультифакториальная проблема. Неврология, нейропсихиатрия, психосоматика. 2023; 15(1): 18–27. [Tanashyan M.M., Antonova K.V., Lagoda O.V. et al. Adherence to treatment in patients with cerebrovascular disease as a multifactorial problem. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2023; 15(1): 18–27 (In Russ.)]. https://doi.org/10.14412/2074-2711-2023-1-18-27. EDN: RYHAHF.
  28. Фофанова Т.В., Агеев Ф.Т., Смирнова М.Д. с соавт. Отечественный опросник приверженности терапии: апробация и применение в амбулаторной практике. Системные гипертензии. 2014; 11(2): 13–16. [Fofanova T.V., Ageev F.T., Smirnova M.D. et al. National questionnaire of treatment compliance: Testing and application in outpatient practice. Sistemnye gipertenzii = Systemic Hypertension. 2014; 11(2): 13–16 (In Russ.)]. EDN: SHAYXR.
  29. Aitken R.C. Measurement of feelings using visual analogue scales. Proc R Soc Med. 1969; 62(10): 989–93. PMID: 4899510. PMCID: PMC1810824.
  30. Ware J.E. Jr., Sherbourne C.D. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30(6): 473–83. PMID: 1593914.
  31. Slade G.D., Spencer A.J. Development and evaluation of the Oral Health Impact Profile. Community Dent Health. 1994; 11(1): 3–11. PMID: 8193981.
  32. Weinberg Y., de O. Andriola F., Swennen G.R.J. Conditions toward minimally invasive (MI) orthognathic surgery. 2023. In: Swennen G.R.J, editor. Minimally invasive (MI) orthognathic surgery: A systematic step-by-step approach [Internet]. Cham: Springer. 2023. Chapter 8. https://doi.org/10.1007/978-3-031-38012-9_8. PMID: 38349986.
  33. Lee Y.-C., Kim S.-G. Redefining precision and efficiency in orthognathic surgery through virtual surgical planning and 3D printing: A narrative review. Maxillofac Plast Reconstr Surg. 2023; 45(1): 42. https://doi.org/10.1186/s40902-023-00409-2. PMID: 38108939. PMCID: PMC10728393.
  34. Millesi G.A., Zimmermann M., Eltz M. Surgery first and surgery early treatment approach in orthognathic surgery. Oral Maxillofac Surg Clin North Am. 2023; 35(1): 71–82. https://doi.org/10.1016/j.coms.2022.06.010. PMID: 36336597.
  35. Silvola A.-S., Varimo M., Tolvanen M. et al. Dental esthetics and quality of life in adults with severe malocclusion before and after treatment. Angle Orthod. 2014; 84(4): 594–99. https://doi.org/10.2319/060213-417.1. PMID: 24308529. PMCID: PMC8650440.
  36. Alanko O.M.E., Svedström-Oristo A.-L., Suominen A. et al. Does orthognathic treatment improve patients’ psychosocial well-being? Acta Odontol Scand. 2022; 80(3): 177–81. https://doi.org/10.1080/00016357.2021.1977384. PMID: 34550844.
  37. Schaefer G., Jacobs C., Sagheb K. et al. Changes in the quality of life in patients undergoing orthognathic therapy – A systematic review. J Craniomaxillofac Surg. 2024; 52(1): 71–76. https://doi.org/10.1016/j.jcms.2023.10.004. PMID: 38129187.
  38. Kurabe K., Kojima T., Kato Y. et al. Impact of orthognathic surgery on oral health-related quality of life in patients with jaw deformities. Int J Oral Maxillofac Surg. 2016; 45(12): 1513–19. https://doi.org/10.1016/j.ijom.2016.07.003. PMID: 27496223.
  39. Gavric A., Mirceta D., Jakobovic M. et al. Craniodentofacial characteristics, dental esthetics-related quality of life, and self-esteem. Am J Orthod Dentofacial Orthop. 2015; 147(6): 711–18. https://doi.org/10.1016/j.ajodo.2015.01.027. PMID: 26038075.
  40. Priyanka J.S.Y., Bhavya P., Srinivas B. et al. An assessment of the subjective psychological and social effects of malocclusion-related dental aesthetics and its influence on body self-image and oral health-related quality of life in young adults. Cureus. 2024; 16(5): e60120. https://doi.org/10.7759/cureus.60120. PMID: 38864051. PMCID: PMC11165245.
  41. Cunningham S.J., Sculpher M., Sassi F., Manca A. A cost-utility analysis of patients undergoing orthognathic treatment for the management of dentofacial disharmony. Br J Oral Maxillofac Surg. 2003; 41(1): 32–35. https://doi.org/10.1016/s0266-4356(02)00285-1. PMID: 12576038.
  42. Silva I., Cardemil C., Kashani H. et al. Quality of life in patients undergoing orthognathic surgery – A two-centered Swedish study. J Craniomaxillofac Surg. 2016; 44(8): 973–78. https://doi.org/10.1016/j.jcms.2016.04.005. PMID: 27240820.
  43. Ashton-James C.E., Chemke-Dreyfus A. Can orthognathic surgery be expected to improve patients’ psychological well-being? The challenge of hedonic adaptation. Eur J Oral Sci. 2019; 127(3): 189–95. https://doi.org/10.1111/eos.12612. PMID: 30869174.
  44. Saghafi H., Benington P., Ayoub A. Impact of orthognathic surgery on quality of life: A comparison between orthodontics-first and surgery-first approaches. Br J Oral Maxillofac Surg. 2020; 58(3): 341–47. https://doi.org/10.1016/j.bjoms.2020.01.005. PMID: 31992457.
  45. Firoozi P., Keyhan S.O., Kim S.-G., Fallahi H.R. Effectiveness of low-level laser therapy on recovery from neurosensory disturbance after sagittal split ramus osteotomy: A systematic review and meta-analysis. Maxillofac Plast Reconstr Surg. 2020; 42(1): 41. https://doi.org/10.1186/s40902-020-00285-0. PMID: 33331972. PMCID: PMC7746795.
  46. Yang H.J., Kwon I.J., Almansoori A.A. et al. Effects of chewing exerciser on the recovery of masticatory function recovery after orthognathic surgery: A single-center randomized clinical trial, a preliminary study. Medicina (Kaunas). 2020; 56(9): 483. https://doi.org/10.3390/medicina56090483. PMID: 32971764. PMCID: PMC7559154.
  47. de Oliveira Z.S.B., da Silveira M.L.M., Gomes P.P. et al. Early recovery after surgery protocol in orthognathic surgery: Randomized, blind clinical study. Braz Oral Res. 2021; 35: e87. https://doi.org/10.1590/1807-3107bor-2021.vol35.0087. PMID: 34378669.
  48. Barbosa L.M., de Luna Gomes J.M., Filho J.R.L. et al. Does the use of low-level light therapy postoperatively reduce pain, oedema, and neurosensory disorders following orthognathic surgery? A systematic review. Int J Oral Maxillofac Surg. 2022; 51(3): 355–65. https://doi.org/10.1016/j.ijom.2021.06.006. PMID: 34238645.
  49. Liu J., Hou W., Gu J. et al. Effects of short-term motor training on accuracy and precision of simple jaw and finger movements after orthodontic treatment and orthognathic surgery: A case-control study. J Oral Rehabil. 2023; 50(8): 635–43. https://doi.org/10.1111/joor.13459. PMID: 37022352.

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © Bionika Media, 2024