Abstract
Is there a variation in facial ideals depending on ethnic background that affects
judgements of outcome in orthognathic surgery? How does the evaluation correlate with
patient-reported outcome measures? Two evaluation panels, Singaporean and Swedish,
judged photographs of patients undergoing orthognathic surgery taken before and after
operation. Improvement in facial aesthetics was calculated between the two ratings.
The result was compared between the panels and correlated with health-related quality
of life (QoL) measures. Thirty male and 27 female patients aged between 18 and 28
years (mean 21) were included, and 52 subjects were eligible for comparison of health-related
QoL. The photographic evaluation showed that both panels judged there to be significant
improvement in facial aesthetics after treatment (p < 0.001). The Singaporean panel rated the overall facial appearance higher than the
Swedish panel when evaluating photographs both before (p = 0.025) and after (p = 0.032) operation. Improvement of the overall facial appearance showed no significant
difference between the panels (p > 0.30). No correlation between health-related QoL and improvement of facial appearance
was found by either panel. Subjective evaluation of facial aesthetics in orthognathic
surgery is unaffected by the observer’s ethnic origin. Independently of their ethnicity,
the evaluation juries found that facial aesthetics improved after orthognathic surgery.
Improvement reported by the juries corresponded to that reported by patients.
Keywords
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References
- The accuracy of preoperative orthognathic predictions.Br J Oral Maxillofac Surg. 2004; 42: 96-104
- Virtual planning in orthognathic surgery.Int J Oral Maxillofac Surg. 2014; 43: 957-965
- Appearance is a function of the face.Plast Reconstr Surg. 2010; 125: 873-878
- Self-perception of dentofacial attractiveness among patients requiring orthognathic surgery.Angle Orthod. 2010; 80: 361-366
- Seeking beauty: understanding the psychology behind orthognathic surgery.Br J Oral Maxillofac Surg. 2015; 53: 953-956
- Impact of orthosurgical treatment phases on oral health-related quality of life.Am J Orthod Dentofacial Orthop. 2016; 149: 171-181
- Impact of orthognathic surgery on oral health-related quality of life in patients with jaw deformities.Int J Oral Maxillofac Surg. 2016; 45: 1513-1519
- Selected aspects of the art and science of facial esthetics.Semin Orthod. 1995; 1: 105-126
- Assessing the influence of chin prominence on perceived attractiveness in the orthognathic patient, clinician and layperson.Int J Oral Maxillofac Surg. 2012; 41: 839-846
- Evolution of a surgical philosophy in orthognathic surgery.Plast Reconstr Surg. 2017; 139: 978-990
- Inclinations of the facial profile: art versus reality.Plast Reconstr Surg. 1985; 75: 509-519
- Facial planning for orthodontists and oral surgeons.Am J Orthod Dentofacial Orthop. 2004; 126: 290-295
- What are normal esthetic values?.J Oral Maxillofac Surg. 1991; 49: 963-969
- Facial first impressions across culture: data-driven modeling of Chinese and British perceivers’ unconstrained facial impressions.Pers Soc Psychol Bull. 2018; 44: 521-537
- Acculturation levels and personalizing orthognathic surgery for the Asian American patient.Int J Oral Maxillofac Surg. 2016; 45: 1201-1208
- Orthognathic surgery for the Asian patient and the influence of the surgeon’s background on treatment.Int J Oral Maxillofac Surg. 2011; 40: 458-463
- Patient- and clinician-perceived need for orthognathic surgery.Am J Orthod Dentofacial Orthop. 2005; 128: 697-702
- A comparison of providers’ and consumers’ perceptions of facial-profile attractiveness.Am J Orthod Dentofacial Orthop. 2005; 128: 690-696
- Outcome of photographic evaluation of facial appearance in orthognathic surgery: how does it correlate with planning of treatment and patient-reported outcome?.Br J Oral Maxillofac Surg. 2019; 57: 345-351
- Facial attractiveness of patients with unilateral cleft lip and palate and of controls assessed by laypersons and professionals.Eur J Orthod. 2014; 36: 284-289
- Reliability and validity of a Swedish version of the Oral Health Impact Profile (OHIP-S).Acta Odontol Scand. 2004; 62: 147-152
- Treatment outcomes and patient-reported quality of life after orthognathic surgery with computer-assisted 2- or 3-dimensional planning: A randomized double-blind active-controlled clinical trial.Am J Orthod Dentofacial Orthop. 2018; 153: 786-796
- Accuracy of a computer-aided surgical simulation protocol for orthognathic surgery: a prospective multicenter study.J Oral Maxillofac Surg. 2013; 71: 128-142
- Comparison of actual surgical outcomes and 3-dimensional surgical simulations.J Oral Maxillofac Surg. 2010; 68: 2412-2421
- The use of anthropometric proportion indices in the measurement of facial attractiveness.Eur J Orthod. 2006; 28: 274-281
- Craniofacial morphometry by photographic evaluations.Am J Orthod Dentofacial Orthop. 1993; 103: 327-337
- The impact of idealised facial images on satisfaction with facial appearance: comparing’ ideal’ and’ average’ faces.J Dent. 2008; 36: 711-717
- How others perceive orthognathic patients: an eye-tracking study.World J Orthod. 2010; 11: 153-159
- Facial appearance in adults who had cleft lip and palate treated in childhood.Scand J Plast Reconstr Surg Hand Surg. 2002; 36: 16-23
Article info
Publication history
Published online: May 11, 2020
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© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
