Patients' satisfaction after orthognathic surgery among the Saudi population in the Eastern Province: A cross-sectional study.

PURPOSE: This study evaluated changes in patient-reported functional, aesthetic, and psychosocial outcomes before and after orthognathic surgery and assessed overall satisfaction among patients treated in the Eastern Province of Saudi Arabia. METHODS: A retrospective cross-sectional study was conducted among 100 patients who underwent orthognathic surgery at Dammam Medical Complex, Saudi Arabia. Data were collected through structured telephone interviews using a questionnaire adapted from previously published instruments and translated into Arabic. Paired multi-category outcomes were analyzed using the Stuart-Maxwell test, paired binary outcomes using the McNemar test, and p ≤ 0.05 was considered statistically significant. RESULTS: The sample included 53 females and 47 males, with a mean age of 29.4 ± 5.9 years. Most participants (70%) expected improvement in both aesthetics and chewing function. Overall, 65% reported postoperative improvement in both domains. Significant favorable changes were observed in chewing ability, nasal breathing, facial profile, frontal facial appearance, and smile (all p < 0.001). Self-confidence increased from 50% to 87% (p < 0.001), and 95% said they would recommend surgery to others. CONCLUSION: Orthognathic surgery was associated with high patient-reported satisfaction and favorable functional, aesthetic, and psychosocial outcomes in this sample from the Eastern Province.