Influences on Oromaxillofacial Surgery Decisions: A Cross-sectional Study of Patient Factors and Financial Considerations in Saudi Arabia
Authors: Alsaqami Shahad Ali , Alnashar Nisreen Ibrahim , Almoshigah Anas , Alharbi Abdulrahman , Alhumaid Muath Khalid , Alharbi Sara , Alshafai Narjes Wasfai , Almutairi Rakan , Alharbi Lamia , Alhirabi Mohammed , Aleid Abbas Fadeil , Albinsaad Loai Saleh 
Published: December 2024

Abstract

Introduction:
In the evolving field of oromaxillofacial surgery, marked by advancements in surgical techniques and a deeper understanding of facial anatomy, this medical speciality is essential in treating various deformities and conditions affecting the face and jaw, significantly impacting patients’ quality of life. While recent studies have primarily focussed on the clinical aspects of oromaxillofacial surgery, there remains a significant gap in understanding the factors influencing patients’ decision-making processes. This research aims to fill this gap by investigating the key factors that influence patients’ decisions to undergo oromaxillofacial surgery in Saudi Arabia, including the severity of deformity, surgeon reputation and financial considerations, with the goal of providing insights to guide clinical practices and healthcare policymaking.

Methods:
Employing a cross-sectional study design, this research involved a diverse cohort of 1000 patients across Saudi Arabia. Using structured questionnaires, the study assessed various factors influencing the decision-making process for oromaxillofacial surgery, such as the severity of facial deformity, surgeon reputation, financial considerations and awareness of surgical options. The research approach was comprehensive, focussing on both qualitative and quantitative aspects of the decision-making process, with the sample size and sampling technique chosen to provide a representative overview of the population, taking into account the prevalence of maxillofacial surgery in Saudi Arabia.

Results:
The study’s major findings revealed that a majority of participants (67%) were aware of the potential benefits of oromaxillofacial surgery, yet financial constraints significantly influenced their decision-making, with nearly half stating that the cost of surgery would affect their decision. In addition, the severity of facial deformity was a critical factor influencing patients’ willingness to undergo surgery. These results highlight the crucial role of financial considerations and the perceived severity of deformity in the decision-making process for oromaxillofacial surgery, also indicating a noticeable gap in patient awareness regarding surgical and financial options.

Conclusion:
This study provides vital insights into the factors influencing decisions for oromaxillofacial surgery among patients in Saudi Arabia, emphasising the interplay of medical, financial and personal considerations. The findings underscore the necessity for enhanced patient education and communication, particularly about the financial aspects of surgery. Moreover, there is a clear need for policy interventions to make oromaxillofacial surgery more accessible and affordable. These insights are pivotal for guiding future research, clinical practice and healthcare policy, aiming to improve patient outcomes in the field of oromaxillofacial surgery.