AI Article Synopsis
- This study explores why some OSAS patients avoid orthognathic surgery and compares postoperative discomfort between soft tissue (phase I) and orthognathic (phase II) surgeries.
- A total of 46 patients were surveyed, dividing them into those who underwent surgery and those who refused, revealing that fear of increased discomfort was a key reason for avoidance.
- Results indicated that phase I surgeries resulted in more postoperative discomfort than phase II, suggesting that orthognathic surgery should be prioritized for patients with OSAS and dental issues.
Article Abstract
Introduction: This study aims to investigate the reasons that discourage the patients affected by OSAS to undergo orthognathic surgery and compares the postoperative discomfort of phase I (soft tissue surgery) and phase II (orthognathic surgery) procedures for treatment of OSAS.
Material And Methods: A pool of 46 patients affected by OSAS was divided into two groups: "surgery patients" who accepted surgical treatments of their condition and "no surgery patients" who refused surgical procedures. The "surgery patients" group was further subdivided into two arms: patients who accepted phase I procedures (IP) and those who accepted phase II (IIP). To better understand the motivations behind the refusal of II phase procedures, we asked the patients belonging to both the IP group and "no surgery" group to indicate the main reason that influenced their decision to avoid II phase procedures. We also monitored and compared five parameters of postoperative discomfort: pain, painkiller assumption, length of hospitalization, foreign body sensation, and diet assumption following IP and IIP procedures.
Results: The main reason to avoid IIP procedures was the concern of a more severe postoperative discomfort. Comparison of the postoperative discomfort following IP versus IIP procedures showed that the former scored worse in 4 out of 5 parameters analyzed.
Conclusion: IIP procedures produce less postoperative discomfort. IIP procedures, namely, orthognathic surgery, should be the first choice intervention in patients affected by OSAS and dentoskeletal malformation.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4324478 | PMC |
| http://dx.doi.org/10.1155/2015/439847 | DOI Listing |
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