下がく前突症手術患者における心身医学的検討　　Ｃｏｒｎｅｌｌ　Ｍｅｄｉｃａｌ　Ｉｎｄｅｘによる

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  • A study on the cornell medical index to the patients with surgical correction of prognathism.
  • Cornell Medical Indexによる

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Sixty patients operated upon for surgical correction of prognathism between 1975 and 1982 were requested to complete the Cornell Medical Index-Health Questionnaire (abbrev. to CMI) and a questionnaire to evaluate their psychology.<BR>CMI is d questionnaire that examines physical and mental symptoms of a patient and the patient's neurotic tendencies. Physical symptoms are classified into 12 and mental ones into 6 sections. According to this questionnaire, patient's neurotic tendencies were classified into 4 areas: Area I (diagnosed to be normal, 26 patients), Area II (provisionally diagnosed to be normal, 23 patients), Area III (provisionally diagnosed to be neurotic, 8 patients), and Area IV (diagnosed to be neurotic, 3 patients).<BR>The results obtained are summarized as follows:<BR>1. Changes in the physical and mental symptoms of the patient before and after operation.<BR>With regard to the digestive tract, the respiratory system and the nervous system, the number of physical symptoms was found to be significantly decreased and the number of mental symptoms regarding inadequacy, depression, anxiety and anger was significantly found to be decreased after operation.<BR>2. Relation between the patient's neurotic tendencies before the operation and the response to the questionnaire after the operation.<BR>Although the patients of Areas I to III had tendencies to respond favorably to the questionnaire, the patients of Area IV did not.<BR>Therefore those of the Area IV are considered patients who are maladjustive to plastic surgery.

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