Complications in orthognathic surgery: A comprehensive review

Sousa, Cristina Silva; Turrini, Ruth Natália Teresa

doi:10.1016/j.ajoms.2012.01.014

Cited by 59 publications

(44 citation statements)

References 36 publications

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“…The major postoperative complications following an orthognathic surgery, such as nerve lesion and infection (19) , were not reported by patients; the adversities were related both to the physiological reverberations of the surgical anesthetic trauma and the postoperative care.…”

Section: Discussionmentioning

confidence: 96%

Percepção dos pacientes submetidos à cirurgia ortognática sobre o cuidado pós-operatório

Santos¹,

Sousa²,

Turrini

2012

Rev. esc. enferm. USP

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RESUmoO A ansiedade e a preocupação dos pacientes decorrentes da obscuridade das informações relacionadas ao procedimento cirúrgico ortognático despertou o desenvolvimento deste estudo, que objetivou identificar as necessidades de informação do paciente sobre o cuidado pós-operató-rio da cirurgia ortognática. Trata-se de pesquisa exploratória qualitativa, que utilizou como método de coleta de dados o grupo focal com pacientes em pós-operatório de cirurgia ortognática de um ambulatório de cirurgia e traumatologia bucomaxilofacial. Os dados foram submetidos à análise de conteúdo para identificação das falas significativas para o alcance do objetivo. Entre os assuntos mais abordados, destacaram--se o longo tempo de recuperação e as dificuldades relacionadas à alimentação, higienização e redução dos sinais e sintomas pós-operatórios. Comentários relacionados à autoimagem e à satisfação com os resultados da cirurgia apontam para a necessidade de exploração em futuros estudos. dEScRitoRESCirurgia ortognática Período pós-operatório Informação de saúde ao consumidor Enfermagem perioperatória Perception of orthognathic surgery patients on postoperative careOriginal article AbStRActPatient's anxiety and worry due to a lack of knowledge about the orthognathic surgery motivated the development of this study.The objective was to identify information needs of postoperative patient undergoing orthognathic surgery. It's an exploratory and qualitative research that used the focus group to collect the dada. Postoperative patients of orthognathic surgery from an oral and maxillofacial surgery and trauma ambulatory were invited to participate in the group. Through content analysis it was possible to identify the following problems related to the postoperative procedure: long recovery time, nutrition, oral hygiene, relief of postoperative signs and symptoms. Themes involving selfimage and satisfaction levels related to the outcome of the surgery were also recognized pointing out the need of future studies to explore these issues. dEScRiPtoRSOrthognathic surgery Postoperative period Health information consumer Perioperative nursing RESUmEnLa ansiedad y la preocupación de los pacientes por la falta la información acerca de la cirugía ortognática provocaron el desarrollo de este estudio, que tuvo como objetivo identificar las necesidades de información del paciente sobre el cuidado postoperatorio. Es una investigación exploratoria cualitativa, que utilizó la técnica del grupo focal para recoger datos. Pacientes en el postoperatorio de cirugía ortognática de un ambulatorio de cirugía bucomaxilofacial y trauma fueron invitados a participar en el grupo. Los datos fueron sometidos a análisis de contenido y entre las cuestiones que se plantean más frecuentemente, se mencionó el largo tiempo de recuperación, las dificultades relacionadas con la alimentación, la higiene y la reducción de los signos y síntomas después de la operación. Comentarios relacionados con la imagen de sí mismo y la satisfacción con los resultados de la cirugía indican ...

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Section: Discussionmentioning

confidence: 96%

Percepção dos pacientes submetidos à cirurgia ortognática sobre o cuidado pós-operatório

Santos¹,

Sousa²,

Turrini

2012

Rev. esc. enferm. USP

Self Cite

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“…It is recommended that the patient be advised of possible neurosensory alterations in pre-operatory visits, thus reducing the patient's post-operatory anxiety [15]. Many studies confirm the return of neurosensory function up to 1 year after surgery [11].…”

Section: Neurosensory Deficitmentioning

confidence: 99%

“…As are the cases with bilateral sagittal ramus osteotomy, nerve sensitivity may return within 6-12 months [11].…”

Section: Neurosensory Deficitmentioning

confidence: 99%

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Complications in Orthognathic Surgery

Capone¹,

Sykes²

2012

Complications in Facial Plastic Surgery

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Orthognathic surgery is a common approach for treatment of maxillofacial deformities. Sagittal split ramus osteotomy (SSRO) is one of the most common techniques used to treat various mandibular deformities. A LeFort I osteotomy is suggested in deformities of the maxilla and can be used along with SSRO or intra-oral vertical ramus osteotomy (IVRO).The aim of orthognathic surgery is to improve function and facial appearance; this benefits the patient psychologically and socially. Common complications which may occur in orthognathic surgery include vascular disease, temporomandibular joints (TMJ) problems, nerve damage, infection, bone necrosis, periodontal disease, vision impairment, hearing problems, hair loss, and neuropsychiatric problems. Rarely complications could be fatal. Because of the wide range of complications the surgeon should keep prevention protocols in mind and be prepared to treat them should they occur. In this chapter, common complications of various osteotomies in the mandible and maxilla are discussed.

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“…Like every other surgery, OGS has its complications as well. The most commonly found complications are nerve damage (12.1%), infection (3.4%), problems with fixative materials (2.5%), TMD (2.1%), undue fracture (1.8%), scarring problems (1.7%), and hemorrhage (1.4%) (7).…”

Section: Introductionmentioning

confidence: 99%

The Association of Temporomandibular Disorders and Orthognathic Surgery

Kadir

Khor

Loh

2015

ADUM

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This retrospective study aimed to determine the prevalence of temporomandibular disorder (TMD) secondary to orthognathic surgery (OGS) in various types of dentofacial deformities, to access the relationship of new onset of TMD in different types of OGS to pain-related TMD and intraarticular TMD, and to evaluate the chronic facial pain, temporomandibular joint (TMJ) function, and masticatory efficiency after OGS.A total of 26 patients who were previously treated with OGS in University Malaya Medical Centre, Kuala Lumpur from January 2005 to June 2015 agreed to participate. The subjects had either undergone bilateral sagittal split ramus osteotomy (BSSRO) or bimaxillary osteotomy (BIMAX). All subjects were assessed using Diagnostic Criteria for Temporomandibular Disorder (DC/TMD). Data collected from patients' records showed absence of TMD at presurgical stage. The present study showed 42.3% of 26 patients experienced TMD after OGS in various types of dentofacial deformities, 19.2 % of them presented with post-operative facial pain, 30.8 % had limitation in mastication, 19.2 % experienced limitation in mobility of the jaw, and 11.5% of them experienced limitation in verbal and emotional commences. In conclusion, there was no association between prevalence of TMD secondary to OGS in either type of dentofacial deformities or type of surgery involved. We also noted that the minority of the patients suffered chronic facial pain and jaw function limitation after OGS.

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Complications in orthognathic surgery: A comprehensive review

Cited by 59 publications

References 36 publications

Percepção dos pacientes submetidos à cirurgia ortognática sobre o cuidado pós-operatório

Percepção dos pacientes submetidos à cirurgia ortognática sobre o cuidado pós-operatório

Complications in Orthognathic Surgery

The Association of Temporomandibular Disorders and Orthognathic Surgery

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