Treatment outcome and long-term stability of orthognathic surgery for facial asymmetry: A systematic review and meta-analysis

• 발행기관: 대한치과교정학회
• 저자명: Yoon-Ji Kim Moon-Young Kim Nayansi Jha Min-Ho Jung Yong-Dae Kwon Ho Gyun Shin Min Jung Ko Sang Ho Jun
• 간행물 정보: 『The Korean Journal of Orthodontics』제54권 제2호, 89~107쪽, 전체 19쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2024.03.31

국문 초록

Objective: This systematic review aimed to provide a comparative analysis of the treatment outcomes, including hard and soft tissues, postoperative stability, temporomandibular disorders (TMD), and quality of life (QoL), in patients with facial asymmetry who underwent orthognathic surgery. Methods: The primary objective was to address the question, “How do different factors related to surgery affect the outcomes and stability of orthognathic surgery in the correction of facial asymmetry?” A meta-analysis was conducted on the outcome parameters, such as skeletal, dental, and soft tissue symmetry, TMD, QoL, and relapse, using the Hartung–Knapp–Sidik–Jonkman method for random-effects models. Subgroup analyses were conducted considering surgery-related factors such as surgical techniques (one-jaw vs. two-jaw), use of the surgery-first approach, utilization of computer simulation, and analytical methods employed to evaluate asymmetry (2D vs. 3D). Results: Forty-nine articles met the inclusion criteria. The meta-analysis demonstrated a significant improvement in the symmetry of hard and soft tissues. The subgroup analysis indicated that the treatment outcomes showed significant improvement, regardless of the factors related to surgery. Changes in TMD signs and symptoms varied according to the surgical technique used. Quality of life improved in the facial, oral, and social domains. Skeletal relapse was observed during the follow-up. Conclusions: Our findings support the positive outcomes of orthognathic surgery in the treatment of facial asymmetry in terms of skeletal and soft tissue improvements, stability, relief of TMD symptoms, and enhancement of QoL. However, most of the included studies showed a low certainty of evidence and high heterogeneity.

목차

INTRODUCTION

MATERIALS AND METHODS

RESULTS

DISCUSSION

CONCLUSIONS

키워드

Facial asymmetry Orthognathic surgery Temporomandibular joint disorder Surgical stability