面接調査による下顎前突症手術希望患者の心理社会的検討 ＩＩ 術後調査

Abstract

We have investigated the psychosocial aspects of 55 mandibular prognathism patients, 20 males and 35 females, for a period of one year after their operations, by interview based upon our own questionnaire.1) For many patients, the intermaxillar fixation was considered to be the most uncomfortable procedure during the mandibular prognathism treatment.2) 80% of the males and 78% of the females showed improved mastication after the surgical procedure.3) Only 21% of the subjects had difficulty in pronunciation after the surgery. An improvement in pronunciation was achieved in 35% of the males and 48% of the females.4) The evaluation, by means of sliding scales, showed that the majority of the postoperation subjects inclined to regard their deformity as slight or none, and their facial appearance no longer suffered.5) The 38% of the male patients attached great importance to the improvement of mastication after surgery. And the improvement of feeling, appearence, pronunciation followed. For the female patients, 55% took the improvement of facial appearance as most important. And the imporovement of mastication, feeling, and pronunciation followed.6) 6% of the male and 30% of the females showed positive changes in their individual and social life-style after the operation. We did not find out behavioral problems among the patients.7) 65% of the males and 77%of the females had no or only slight self-consciousness after surgery.8) 80% of the males and 85% of the females showed a high degree of satisfaction with the results of the operation. Some patients showed a slight dissatisfaction with their facial appearence and complications after surgery.