{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:11:08Z","timestamp":1791547868783,"version":"4.3.4"},"reference-count":34,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate correlations between presurgical and postsurgical changes in quality of life (QoL) and cephalometric hard and soft tissue changes in patients undergoing orthognathic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The study sample consisted of 30 patients (mean age 24.3 \u00b1 4.5\u00a0years) with Class III malocclusion undergoing orthognathic surgery for mandibular setback with a median follow-up of 8.3 \u00b1 1.2\u00a0months. Presurgical and postsurgical cephalograms were traced and Oral Health Impact Profile (OHIP) questionnaires were completed. Each questionnaire consisted of 14 items designed to evaluate functional, physical, psychological, and social impacts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Significant correlations between significant presurgical-to-postsurgical changes in individual items and OHIP parameters were found between labiomental angle (LA) and question 5 (\u201cfeeling self-conscious\u201d; correlation coefficient [r] \u200a=\u200a 0.530), between LA and question 6 (\u201cfeeling tense\u201d; r \u200a=\u200a 0.598), between nasion-pogonion and question 5 (r \u200a=\u200a 0.523), and between facial convexity and question 5 (r \u200a=\u200a \u22120.540). Hence, reduction of both LA and nasion-pogonion led to a significant decrease in the impact scores of items covering psychological discomfort, while reduced facial convexity led to increased impact scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Although the associations were moderate, changes in QoL following cephalometric modifications should be considered as a major concern when planning orthognathic surgery. Postsurgical changes to a more convex profile after mandibular setback should be emphasized before surgery to help patients become accustomed to their new appearance more easily without negatively affecting QoL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/042211-285.1","type":"journal-article","created":{"date-parts":[[2011,8,29]],"date-time":"2011-08-29T10:07:40Z","timestamp":1314612460000},"page":"235-241","source":"Crossref","is-referenced-by-count":32,"title":["Changes in quality of life and their relation to cephalometric changes in orthognathic surgery patients"],"prefix":"10.2319","volume":"82","author":[{"given":"Jan","family":"Rustemeyer","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of Oral and Maxillofacial Surgery, Klinikum Bremen-Mitte, School of Medicine of the University of G\u00f6ttingen, Bremen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Martin","sequence":"additional","affiliation":[{"name":"Research Assistant, Department of Oral and Maxillofacial Surgery, Klinikum Bremen-Mitte, School of Medicine of the University of G\u00f6ttingen, Bremen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanne","family":"Gregersen","sequence":"additional","affiliation":[{"name":"Research Assistant, Department of Oral and Maxillofacial Surgery, Klinikum Bremen-Mitte, School of Medicine of the University of G\u00f6ttingen, Bremen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-82-2-235-b01","series-title":"Qual Life Res","first-page":"153","article-title":"Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL).","volume":"2","year":"1993","unstructured":"Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL).\n          Qual Life Res\n          1993. 2:153\u2013159."},{"key":"i0003-3219-82-2-235-b02","series-title":"Med Care","first-page":"473","article-title":"The MOS 36-Item Short-Form Health Survey (SF-36). I. Conceptual framework and item selection.","volume":"30","author":"Ware, J. E.","year":"1992","unstructured":"Ware, J. E. and C. D.Sherbourne. The MOS 36-Item Short-Form Health Survey (SF-36). I. Conceptual framework and item selection.Med Care1992. 30:473\u2013483."},{"key":"i0003-3219-82-2-235-b03","series-title":"Health Policy","first-page":"199","article-title":"EuroQol\u2014a new facility for the measurement of health-related quality of life.","volume":"16","year":"1990","unstructured":"EuroQol Group\n          \n          EuroQol\u2014a new facility for the measurement of health-related quality of life.\n          Health Policy\n          1990. 16:199\u2013208."},{"key":"i0003-3219-82-2-235-b04","series-title":"Measuring Disease. A Review of Disease-Specific Quality of Life Measurement Scales. 2nd ed","author":"Bowling, A.","year":"1997","unstructured":"Bowling, A.\n          \n          Measuring Disease. A Review of Disease-Specific Quality of Life Measurement Scales. 2nd ed. Buckingham, UKOpen University Press. 1997."},{"key":"i0003-3219-82-2-235-b05","series-title":"Community Dent Health","first-page":"3","article-title":"Development and evaluation of the Oral Health Impact Profile.","volume":"11","author":"Slade, G. D.","year":"1994","unstructured":"Slade, G. D. and A. J.Spencer. Development and evaluation of the Oral Health Impact Profile.Community Dent Health1994. 11:3\u201311."},{"key":"i0003-3219-82-2-235-b06","series-title":"Community Dent Oral Epidemiol","first-page":"284","article-title":"Derivation and validation of a short-form Oral Health Impact Profile.","volume":"25","author":"Slade, G. D.","year":"1997","unstructured":"Slade, G. D.\n          \n          Derivation and validation of a short-form Oral Health Impact Profile.\n          Community Dent Oral Epidemiol\n          1997. 25:284\u2013290."},{"key":"i0003-3219-82-2-235-b07","series-title":"J Oral Surg","first-page":"447","article-title":"The psychosocial dimensions of oral and maxillofacial surgery: a critical review of the literature.","volume":"36","author":"Jensen, S. H.","year":"1978","unstructured":"Jensen, S. H.\n          \n          The psychosocial dimensions of oral and maxillofacial surgery: a critical review of the literature.\n          J Oral Surg\n          1978. 36:447\u2013453."},{"key":"i0003-3219-82-2-235-b08","series-title":"Am J Orthod","first-page":"224","article-title":"Emotional impact of orthognathic surgery and conventional orthodontics.","volume":"88","author":"Kiyak, H. A.","year":"1985","unstructured":"Kiyak, H. A., R. W.NcNeill, and R. A.West. Emotional impact of orthognathic surgery and conventional orthodontics.Am J Orthod1985. 88:224\u2013234."},{"key":"i0003-3219-82-2-235-b09","series-title":"Int J Oral Maxillofac Surg","first-page":"236","article-title":"Changes in soft tissue profile after mandibular setback surgery in Class III subjects.","volume":"38","author":"Mar\u015fan, G.","year":"2009","unstructured":"Mar\u015fan, G., E.Ozta\u015f, S. V.Kuvat, N.Cura, and U.Emekli. Changes in soft tissue profile after mandibular setback surgery in Class III subjects.Int J Oral Maxillofac Surg2009. 38:236\u2013240."},{"key":"i0003-3219-82-2-235-b10","series-title":"J Oral Surg","first-page":"744","article-title":"Soft tissue cephalometric analysis for orthognathic surgery.","volume":"38","author":"Legan, H. L.","year":"1980","unstructured":"Legan, H. L. and C. J.Burstone. Soft tissue cephalometric analysis for orthognathic surgery.J Oral Surg1980. 38:744\u2013751."},{"key":"i0003-3219-82-2-235-b11","series-title":"Int J Adult Orthodon Orthognath Surg","first-page":"189","article-title":"Evaluation of soft tissue profile following intraoral ramus osteotomy in Chinese adults with mandibular prognathism.","volume":"5","author":"Lew, K. K.","year":"1990","unstructured":"Lew, K. K., F. C.Low, J. F.Yeo, and H. S.Loh. Evaluation of soft tissue profile following intraoral ramus osteotomy in Chinese adults with mandibular prognathism.Int J Adult Orthodon Orthognath Surg1990. 5:189\u2013197."},{"key":"i0003-3219-82-2-235-b12","series-title":"Aesthetic Plast Surg","first-page":"249","article-title":"Facial disfigurement: problems and management of social interaction and implications for mental health.","volume":"14","author":"Macgregor, F. C.","year":"1990","unstructured":"Macgregor, F. C.\n          \n          Facial disfigurement: problems and management of social interaction and implications for mental health.\n          Aesthetic Plast Surg\n          1990. 14:249\u2013257."},{"key":"i0003-3219-82-2-235-b13","series-title":"Community Dent Oral Epidemiol","first-page":"195","article-title":"Development of a condition-specific quality of life measure for patients with dentofacial deformity: I. Reliability of the instrument.","volume":"28","author":"Cunningham, S. J.","year":"2000","unstructured":"Cunningham, S. J., A. M.Garratt, and N. P.Hunt. Development of a condition-specific quality of life measure for patients with dentofacial deformity: I. Reliability of the instrument.Community Dent Oral Epidemiol2000. 28:195\u2013201."},{"key":"i0003-3219-82-2-235-b14","series-title":"Health Qual Life Outcomes","first-page":"35","article-title":"Dimensions of oral health\u2013related quality of life measured by EQ-5D+ and OHIP-14.","volume":"2","author":"Brennan, D. 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Patients' motivations for treatment and their experiences of orthodontic preparation for orthognathic surgery.J Orthod2005. 32:191\u2013202."},{"key":"i0003-3219-82-2-235-b16","series-title":"Int J Oral Maxillofac Surg","first-page":"710","article-title":"Perceptions of preoperative expectations and postoperative outcomes from orthognathic surgery: part I: Turkish female patients.","volume":"37","author":"T\u00fcrker, N.","year":"2008","unstructured":"T\u00fcrker, N., A.Varol, K.Ogel, and S.Basa. Perceptions of preoperative expectations and postoperative outcomes from orthognathic surgery: part I: Turkish female patients.Int J Oral Maxillofac Surg2008. 37:710\u2013715."},{"key":"i0003-3219-82-2-235-b17","series-title":"J Craniomaxillofac Surg","first-page":"8","article-title":"Soft and hard tissue changes after bimaxillary surgery in Turkish female Class III patients.","volume":"37","author":"Mar\u015fan, G.","year":"2009","unstructured":"Mar\u015fan, G., N.Cura, and U.Emekli. Soft and hard tissue changes after bimaxillary surgery in Turkish female Class III patients.J Craniomaxillofac Surg2009. 37:8\u201317."},{"key":"i0003-3219-82-2-235-b01","series-title":"Qual Life Res","first-page":"153","article-title":"Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL).","volume":"2","year":"1993","unstructured":"Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL).\n          Qual Life Res\n          1993. 2:153\u2013159."},{"key":"i0003-3219-82-2-235-b02","series-title":"Med Care","first-page":"473","article-title":"The MOS 36-Item Short-Form Health Survey (SF-36). I. Conceptual framework and item selection.","volume":"30","author":"Ware, J. E.","year":"1992","unstructured":"Ware, J. E. and C. D.Sherbourne. The MOS 36-Item Short-Form Health Survey (SF-36). I. 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D.\n          \n          Derivation and validation of a short-form Oral Health Impact Profile.\n          Community Dent Oral Epidemiol\n          1997. 25:284\u2013290."},{"key":"i0003-3219-82-2-235-b07","series-title":"J Oral Surg","first-page":"447","article-title":"The psychosocial dimensions of oral and maxillofacial surgery: a critical review of the literature.","volume":"36","author":"Jensen, S. H.","year":"1978","unstructured":"Jensen, S. H.\n          \n          The psychosocial dimensions of oral and maxillofacial surgery: a critical review of the literature.\n          J Oral Surg\n          1978. 36:447\u2013453."},{"key":"i0003-3219-82-2-235-b08","series-title":"Am J Orthod","first-page":"224","article-title":"Emotional impact of orthognathic surgery and conventional orthodontics.","volume":"88","author":"Kiyak, H. A.","year":"1985","unstructured":"Kiyak, H. A., R. W.NcNeill, and R. A.West. Emotional impact of orthognathic surgery and conventional orthodontics.Am J Orthod1985. 88:224\u2013234."},{"key":"i0003-3219-82-2-235-b09","series-title":"Int J Oral Maxillofac Surg","first-page":"236","article-title":"Changes in soft tissue profile after mandibular setback surgery in Class III subjects.","volume":"38","author":"Mar\u015fan, G.","year":"2009","unstructured":"Mar\u015fan, G., E.Ozta\u015f, S. V.Kuvat, N.Cura, and U.Emekli. Changes in soft tissue profile after mandibular setback surgery in Class III subjects.Int J Oral Maxillofac Surg2009. 38:236\u2013240."},{"key":"i0003-3219-82-2-235-b10","series-title":"J Oral Surg","first-page":"744","article-title":"Soft tissue cephalometric analysis for orthognathic surgery.","volume":"38","author":"Legan, H. L.","year":"1980","unstructured":"Legan, H. L. and C. J.Burstone. Soft tissue cephalometric analysis for orthognathic surgery.J Oral Surg1980. 38:744\u2013751."},{"key":"i0003-3219-82-2-235-b11","series-title":"Int J Adult Orthodon Orthognath Surg","first-page":"189","article-title":"Evaluation of soft tissue profile following intraoral ramus osteotomy in Chinese adults with mandibular prognathism.","volume":"5","author":"Lew, K. K.","year":"1990","unstructured":"Lew, K. K., F. C.Low, J. F.Yeo, and H. S.Loh. Evaluation of soft tissue profile following intraoral ramus osteotomy in Chinese adults with mandibular prognathism.Int J Adult Orthodon Orthognath Surg1990. 5:189\u2013197."},{"key":"i0003-3219-82-2-235-b12","series-title":"Aesthetic Plast Surg","first-page":"249","article-title":"Facial disfigurement: problems and management of social interaction and implications for mental health.","volume":"14","author":"Macgregor, F. C.","year":"1990","unstructured":"Macgregor, F. C.\n          \n          Facial disfigurement: problems and management of social interaction and implications for mental health.\n          Aesthetic Plast Surg\n          1990. 14:249\u2013257."},{"key":"i0003-3219-82-2-235-b13","series-title":"Community Dent Oral Epidemiol","first-page":"195","article-title":"Development of a condition-specific quality of life measure for patients with dentofacial deformity: I. Reliability of the instrument.","volume":"28","author":"Cunningham, S. J.","year":"2000","unstructured":"Cunningham, S. J., A. M.Garratt, and N. P.Hunt. Development of a condition-specific quality of life measure for patients with dentofacial deformity: I. Reliability of the instrument.Community Dent Oral Epidemiol2000. 28:195\u2013201."},{"key":"i0003-3219-82-2-235-b14","series-title":"Health Qual Life Outcomes","first-page":"35","article-title":"Dimensions of oral health\u2013related quality of life measured by EQ-5D+ and OHIP-14.","volume":"2","author":"Brennan, D. S.","year":"2004","unstructured":"Brennan, D. S. and A. J.Spencer. Dimensions of oral health\u2013related quality of life measured by EQ-5D+ and OHIP-14.Health Qual Life Outcomes2004. 2:35."},{"key":"i0003-3219-82-2-235-b15","series-title":"J Orthod","first-page":"191","article-title":"Patients' motivations for treatment and their experiences of orthodontic preparation for orthognathic surgery.","volume":"32","author":"Williams, A. C.","year":"2005","unstructured":"Williams, A. C., H.Shah, J. R.Sandy, and H. C.Travess. 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Soft and hard tissue changes after bimaxillary surgery in Turkish female Class III patients.J Craniomaxillofac Surg2009. 37:8\u201317."}],"container-title":["The Angle Orthodontist"],"original-title":[],"link":[{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/82\/2\/article-p235.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/downloadpdf\/journals\/angl\/82\/2\/article-p235.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/downloadpdf\/journals\/angl\/82\/2\/article-p235.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:53:47Z","timestamp":1780070027000},"score":1,"resource":{"primary":{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/82\/2\/article-p235.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3]]},"references-count":34,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.2319\/042211-285.1","relation":{},"ISSN":["0003-3219","1945-7103"],"issn-type":[{"value":"0003-3219","type":"print"},{"value":"1945-7103","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3]]}}}