Dysmorphies maxillo-mandibulaires : plaintes esthétiques, articulatoires et vocales, et retentissement sur la qualité de vie

Abstract : Purpose : The aim of our study was to determine aesthetic, articulation-related and voice-related complaints of patients with maxillomandibular dysmorphoses, before and after orthognatic surgery, and to assess the impact on quality of life.
Material and method : This is a descriptive and comparative study between two independant cohorts, the first one including 19 patients in preoperative phase with class II and class III, the second one including 17 patients in postoperative phase. They all answered an aesthetic, articulatory and vocal complaint scale and the self-assessment questionnaires VHI, SHI and PANAS.
Results : 57,8% of patients with maxillomandibular dysmorphose complain about their smile, 47,37% about their profile and 47,37% about their neutral face. Those complaints are significantly lower in postoperative phase. Smile complaint is correlated with the existence of a gingival smile and a negative affectivity score. 36,84% of préoperative phase patients complain about their articulation and 15,79% about their voice. Articulatory complaint is correlated with the existence of an anterior open bite. VHI and SHI questionnaires reveal that some patients feel an articulatory and vocal handicap. Those complaints are also correlated with a negative affectivity score. Articulatory and vocal complaints are not significantly different in postoperative phase.
Conclusion : This study confirms and specifies aesthetical complaints of patients with maxillomandibular dysmorphose and highlights articulatory and vocal complaints that deserve to be further explored with bigger cohorts of patients in a longitudinal follow-up.
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Rhnima Oulhadj. Dysmorphies maxillo-mandibulaires : plaintes esthétiques, articulatoires et vocales, et retentissement sur la qualité de vie. Sciences cognitives. 2018. ⟨dumas-02084317⟩

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