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BACKGROUND:The aim of our study is to examine the possible complications, risk factors, and solutions encountered in orthognathic surgery in the light of the cases; we performed in our clinic. METHODS:This study includes a retrospective analysis of the records of 85 patients who underwent orthognathic surgery between 2015 and 2020 in Istanbul Pendik District Hospital Oral and Maxillofacial Surgery Service. The types of complications encountered during the operations were recorded in the study. Independent variables such as gender, age, number of operations, surgical site, and type of osteotomy were evaluated. Complications were evaluated according to the Clavien-Dindo classification. The data were presented for statistical analysis with a significance level of 0.05. RESULTS:Of the 85 patients included in the study, 40 were male and 45 were female. Of these patients, 65 had double chin operation and 20 had single chin operation. A total of 150 jaw osteotomies were performed, 78 of them in the maxilla and 72 in the mandible. While the maxilla was operated in 13 of the cases, in which single jaw operation was performed, only the mandible was treated in 7 of them. Complications were observed in 24 (10.57%) of a total of 227 osteotomies. Among the complications encountered, bleeding (8), nerve damage (7), malocclusion (3), infection (2), TMJ problems (2), bad split (1), and deviation at the tip of the nose (1) stand out, while complications were observed equally in men and women, complications were observed more frequently in cases with longer operative time (p<0.05). Complications were observed more frequently in bilateral sagittal split osteotomies (p<0.001) compared to Le Fort 1 osteotomies. Clavien-Dindo grade I complications were most common (72.04%) depending on the treatment. According to the Clavien-Dindo classification, there was no relationship between gender, age, duration of surgery, length of hospital stay, or surgical site, and the degree of complications (p≥0.05). CONCLUSION:Post-operative malocclusion, bleeding, inferior alveolar nerve injury, infection, poor division, and infection are the most common complications in orthognathic surgery. It can be associated with factors such as the duration of the operation, the number of operations, the site of the operation, and the type of osteotomy which performed. It is thought that positive contributions can be made to the success of the surgery by considering these factors in the treatment planning, during the operation and in the post-operative follow-up part.

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Purpose: The purpose of this study is to evaluate the degree of nasal airway function after simultaneous intranasal corrective surgery and bimaxillary surgery in patients with excessive superior maxillary repositioning. Materials and Methods: A retrospective cohort study was conducted on consecutive LeFort I superior repositioning patients who also underwent simultaneous intranasal surgery to prevent airway obstruction between 2015 and 2019. The Nasal Obstruction Symptom Evaluation (NOSE) scale was administered to all participants before the operation and after 1 year. Results: Fifteen patients (n=12 females; n=3 males) among 440 bimaxillary orthognathic surgery patients were enrolled with inclusion criteria of maxillary impaction between 8 and 12 mm. All subjects underwent at least LeFort I osteotomy, septoplasty, bilateral inferior turbinectomy, and bilateral sagittal split osteotomy. Two patients received custom-made total joint prosthesis. The primary outcome variable investigated was nasal function. The mean preop Nasal Obstruction Symptom Evaluation score was 24.33 and the mean postop score was 5. Conclusions: Intranasal procedures performed simultaneously with 8 mm or more maxillary impaction improves postoperative functional outcome in terms of nasal airway patency and breathing. Partial inferior turbinectomies and septoplasty should be performed consistently to avoid nasal obstruction if the impaction of upper jaw exceeds 8 mm.

&lt;p&gt;In recent years a consensus has been reached regarding the direction of the energy cascade in the mesoscales in the Upper Tropospheric-Lower Stratospheric (UTLS) altitudes. Numerous measurements and model results confirm the existence of a predominantly forward spectral energy flux from low to high horizontal wavenumbers. However, the details to explain the observed -5/3 power law for Kinetic and Available Potential Energy (KE and APE) are still being debated.&lt;/p&gt;&lt;p&gt;In this study we performed simulations using the dry version of the K&amp;#252;hlungsborn Mechanistic general Circulation Model (KMCM) with high horizontal and vertical resolution for permanent January conditions. Horizontal diffusion schemes for horizontal momentum and sensible heat satisfy the Scale Invariance Criterion (SIC) using the Dynamic Smagorinsky Model (DSM). We investigated the simulated KE and APE spectra with regard to the scaling laws of Stratified Macro-Turbulence (SMT). Zonally and temporally averaged dissipation rates for KE &amp; APE and SMT statistics correlate highly in subtropical mid-latitudes and the UTLS levels. Particularly the characteristic dimensionless numbers of Buoyancy Reynolds Number and turbulent-Rossby Number are pronounced in the regions, where the maximum of the forward spectral fluxes of nonlinear interactions are also found. During this process the spectral contribution of the negative buoyancy production term plays an important role by converting KE to APE. These findings are entirely in line with the spectral and statistical predictions of idealized Stratified Turbulence (ST) and confirms that the energy cascades that give rise to the simulated mesoscale shallowing are strongly nonlinear.&lt;/p&gt;&lt;p&gt;Furthermore level by level analyses of the horizontally averaged spectral tendencies and fluxes of both KE and APE reservoirs in this specific region revealed that there is a non-negligible spectral contribution by the energy deposition term of upward propagating Gravity Waves (GW). Further investigation indicate the dynamics of these resolved GWs look like a superposition of westward Inertia GWs that are subject to a Lindzen-type saturation condition. Their vertical propagation in UTLS heights is non-conservative above their generation level. These results associate directly for the first time ST and GW dynamics, which were thought to be distinct in character. Finally we present simulations with different diffusion schemes and show that the previously mentioned energy deposition contribution was only identified if both horizontal momentum and sensible heat diffusion schemes fulfill the SIC.&lt;/p&gt;