Psychological considerations in corrective maxillary and midfacial surgery.

Abstract

For the majority of patients with dentofacial deformities, surgical correction results in improved reactions to one's environment. In a few instances, this emotional improvement is lacking or is minimal and may result in a patient's dissatisfaction. The results of evaluation of several specific factors may be used to classify patients into three groups according to probable risk of dissatisfaction. Some negative reactors will respond to supportive measures specifically designed to aid in achieving a smooth postoperative course. In others, surgery should be undertaken only with the close cooperation of a psychiatrist, although occasionally surgery should be deferred indefinitely. By making a planned attempt to evaluate the patient's psychological status and dealing appropriately with that evaluation, the surgeon may increase the number of patients who respond favorably to his treatment and therefore increase his own satisfaction as well.