Comparison of Orthognathic Surgery Outcomes Between Patients With and Without Underlying High-Risk Conditions: A Multidisciplinary Team-Based Approach and Practical Guidelines
Abstract
:1. Introduction
2. Methods
2.1. Multidisciplinary Approach
2.2. Practical Guidelines for Perioperative Care
2.3. Outcome Assessment
2.4. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Acknowledgments
Conflicts of Interest
References
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Parameters | Orthognathic Surgery-Treated Patients | p | |
---|---|---|---|
High Risk Group (n = 30) | Regular Risk Group (n = 30) | ||
Gender n (%) | |||
Male/Female | 10 (33.3)/20 (66.7) | 12 (40)/18 (60) | >0.05 |
Age (years, m ± sd) | 25.7 ± 7.4 | 26.3 ± 4.2 | >0.05 |
Type of underlying disease n (%) | |||
Genetic | 8 (26.6) | ||
Autoimmune | 8 (26.6) | ||
Endocrine | 5 (16.7) | ||
Neuro-cutaneous | 3 (10) | ||
Infection | 2 (6.7) | ||
Congenital cardiac | 2 (6.7) | ||
Psychiatric | 2 (6.7) | ||
ASA n (%) | |||
I/II/III | 3 (10)/23 (76.7)/4 (13.3) | 30 (100)/0 (0)/0 (0) | <0.001 |
Charlson comorbidity score m ± sd | 1.5 ± 1.5 (1–6) | 0 ± 0 | |
Number of Charlson comorbidities n (%) | 11 (36.6) | 0 (0) | |
Charlson score = 1 n (%) | 9 (30) | ||
Charlson score = 2 n (%) | 1 (3.3) | ||
Charlson score = 6 n (%) | 1 (3.3) | ||
Elixhauser comorbidity score m ± sd | 2.9 ± 4.7 (−3–11) | 0 ± 0 | |
Number of Elixhauser comorbidities n (%) | 20 (66.7) | 0 (0) | |
Elixhauser score = −1 to −7 n (%) | 4 (13.3) | ||
Elixhauser score = 0 n (%) | 5 (16.8) | ||
Elixhauser score = 1 to 5 n (%) | 7 (23.3) | ||
Elixhauser score = 6+ (%) | 4 (13.3) | ||
Surgical anesthetic outcomes (m ± sd) | |||
Blood loss (mL, m ± sd) | 974.3 ± 592.7 | 657.6 ± 355.0 | <0.001 |
Operation time (min, m ± sd) | 344.5 ± 106.2 | 347 ± 83.9 | >0.05 |
Hospital length of stay (days, m ± sd) | 4.0 ± 0.8 | 3.7 ± 0.8 | >0.05 |
Facial aesthetic outcomes (m ± sd) | |||
Aesthetic (pre/post) | 2.2 ± 1.1/5.1 ± 1.5 | 2.5 ± 1.0/5.3 ± 1.5 | >0.05 |
Attractive (pre/post) | 2.2 ± 0.9/4.6 ± 1.2 | 2.4 ± 0.9/4.9 ± 1.3 | >0.05 |
Pleasant (pre/post) | 2.0 ± 1.0/4.5 ± 1.6 | 2.2 ± 1.1/4.8 ± 1.5 | >0.05 |
Post-OGS FACE-Q outcomes (m ± sd) | |||
Social function | 71.5 ± 16.6 | 69.8 ± 22.1 | >0.05 |
Psychological well being | 72.3 ± 23.2 | 70.47 ± 22.3 | >0.05 |
Satisfaction with decision | 77.3 ± 14.6 | 74.7 ± 23.4 | >0.05 |
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Chou, P.-Y.; Denadai, R.; Chen, C.; Pai, B.C.-J.; Hsu, K.-H.; Chang, C.-T.; Pascasio, D.; Lin, J.A.-J.; Chen, Y.-R.; Lo, L.-J. Comparison of Orthognathic Surgery Outcomes Between Patients With and Without Underlying High-Risk Conditions: A Multidisciplinary Team-Based Approach and Practical Guidelines. J. Clin. Med. 2019, 8, 1760. https://doi.org/10.3390/jcm8111760
Chou P-Y, Denadai R, Chen C, Pai BC-J, Hsu K-H, Chang C-T, Pascasio D, Lin JA-J, Chen Y-R, Lo L-J. Comparison of Orthognathic Surgery Outcomes Between Patients With and Without Underlying High-Risk Conditions: A Multidisciplinary Team-Based Approach and Practical Guidelines. Journal of Clinical Medicine. 2019; 8(11):1760. https://doi.org/10.3390/jcm8111760
Chicago/Turabian StyleChou, Pang-Yun, Rafael Denadai, Chit Chen, Betty Chien-Jung Pai, Kai-Hsiang Hsu, Che-Tzu Chang, Dax Pascasio, Jennifer Ann-Jou Lin, Yu-Ray Chen, and Lun-Jou Lo. 2019. "Comparison of Orthognathic Surgery Outcomes Between Patients With and Without Underlying High-Risk Conditions: A Multidisciplinary Team-Based Approach and Practical Guidelines" Journal of Clinical Medicine 8, no. 11: 1760. https://doi.org/10.3390/jcm8111760
APA StyleChou, P.-Y., Denadai, R., Chen, C., Pai, B. C.-J., Hsu, K.-H., Chang, C.-T., Pascasio, D., Lin, J. A.-J., Chen, Y.-R., & Lo, L.-J. (2019). Comparison of Orthognathic Surgery Outcomes Between Patients With and Without Underlying High-Risk Conditions: A Multidisciplinary Team-Based Approach and Practical Guidelines. Journal of Clinical Medicine, 8(11), 1760. https://doi.org/10.3390/jcm8111760