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-第1報術前調査-

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We investigated the psychosocial aspects of 67 mandibular prognathism patients, 24 males and 43 females, by interview prior to surgical procedure based upon our protocol. The conclusions are as follows: 1) Many of the subjects, both male and female patients, desired the operation because they wished to improve their appearence. 2) On the average, they started to suffer from jaw deformity since adolescence. 3) 75% of the subjects showed chewing difficulty and 69% speaking difficulty. However, the difficulties were not so severe as to intefere with daily life. 59% of the subjects pointed out adverse effects of jaw deformity on their life and behavior, especially on their mind. 4) Through evaluation by means of sliding scales, it was revealed that the subjects inclined to regard their deformity as larger, to suffer from their deformity more severely, and to be more self-conscious than we suspected. It was also shown that the degree of the suffering and the self-consciousness did not bear a relation to the real degree of their deformity, but to the deformity imagined in their mind. 5) We did not find behavioral problems in their social relationships. 6) Half of the subjects forecasted the change in their face after surgial correction. The forecast was generally vague. Some of the subjects expected their personality to become more lively as a result of their operation.
社団法人日本口腔外科学会の論文