Intra- and early postoperative complications of the le fort I osteotomy

Otterloo, J.J. de Mol van; Tuinzing, D.B.; Greebe, R.B.; Kwast, W.A.M. van der

doi:10.1016/s1010-5182(05)80551-7

Cited by 81 publications

(40 citation statements)

References 29 publications

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“…Complication rates vary from 6.1% to 9.1% (De Mol van Otterloo et al, 1991;Tung et al, 1995). Manipulation of the bones at the base of the skull during surgery may inadvertently cause damage to the vessels and nerves in the region, resulting in life-threatening or vision-threatening complications, including intraoperative hemorrhage, infection, airway obstruction, hypomobility after intermaxillary fixation, and relapse.…”

mentioning

confidence: 99%

Determining the anatomy of the descending palatine artery and pterygoid plates with computed tomography in Class III patients

Ueki

Hashiba

Marukawa

et al. 2009

Journal of Cranio-Maxillofacial Surgery

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mentioning

confidence: 99%

Determining the anatomy of the descending palatine artery and pterygoid plates with computed tomography in Class III patients

Ueki

Hashiba

Marukawa

et al. 2009

Journal of Cranio-Maxillofacial Surgery

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“…Allgemeine Komplikationen der LeFort-I-Osteotomie können intraoperative Blutungen und Sensibilitätsstörungen sein, deren Häufigkeit mit 6-9% angegeben wird [4]. Seltener werden Schäden motorischer Nerven,Zahnschäden,Wundinfektionen, oronasale Fisteln und aseptische Knochennekrosen beschrieben [1,4,17].…”

Section: Transvestibulärer Verschluss Eines Nasenseptumdefekts Durch unclassified

“…Seltener werden Schäden motorischer Nerven,Zahnschäden,Wundinfektionen, oronasale Fisteln und aseptische Knochennekrosen beschrieben [1,4,17]. Darüber hinaus können eine AV-Fistel im Bereich der A. maxillaris [10] oder auch, wie von uns im Folgenden beschrieben wird, ein basaler Septumdefekt auftreten.…”

Section: Transvestibulärer Verschluss Eines Nasenseptumdefekts Durch unclassified

Transvestibulärer Verschluss eines Nasenseptumdefekts durch freies Knochentransplantat nach Le-Fort-I-Osteotomie

Schipper

Boedeker

Ridder

et al. 2003

HNO

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Defects of the nasal septum are a common complication after nasal surgery. Affected patients frequently suffer from bleeding, crusting and impaired nasal air flow. The surgical closure of septal defects remains a distinctive challenge. Though many different techniques have been described, the failure rate of this procedure remains high. In the case presented here, a large basal septum defect occurred after a prosthetic Le Fort-I osteotomy. The attempt to cover the distance between the bony nasal floor and the nasal septum with pedicled mucosal flaps failed due to extensive scar formation of the nasal mucosa. Therefore a nasal floor elevation by insertion of an autologous bone graft from the iliac crest was conducted. The bone graft was connected with the hard palate via two titanium screws. Other than with an autologous cartilage graft, no major resorption of the bone graft is to be expected. This indirect method for the closure of a basal nasal septum defect is new.

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“…For mandibular orthognathic surgery, a sagittal split ramus osteotomy (SSRO) is a popular procedure that can be performed on an intraoral basis (1), while a Le Fort I osteotomy is widely applied for removal and accurate repositioning of the maxilla (2). However, despite advances in surgical techniques used for orthognathic surgery, various complications that occur following surgery, including hypoesthesia, bleeding, respiratory difficulty, temporomandibular joint dysfunction and infection, have been documented (3,4).…”

Section: Introductionmentioning

confidence: 99%

Professional oral health care reduces the duration of hospital stay in patients undergoing orthognathic surgery

et al. 2015

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Abstract. The present study reviewed the records of 58 patients who underwent orthognathic surgery [sagittal split ramus osteotomy (SSRO), Le Fort I osteotomy, genioplasty, anterior maxillary alveolar osteotomy] between 2010 and 2015. To investigate the influence of preoperative oral health care on postoperative inflammation, infection and length of hospital stay in those patients, white blood cell (WBC) count and C-reactive protein (CRP) levels were compared between patients who received and did not receive preoperative oral care. The mean CRP level throughout the postoperative term was lower in the oral care group as compared to the non-oral care group. By contrast, the oral care group had a lower occurrence of postoperative infectious complications (surgical site infection, anastomotic leak) (13.6 vs. 20.8%) and a shorter average length of hospital stay (16.2±3.8 vs. 21.2±7.4 days). These results suggest that preoperative professional oral health care decreases the duration of hospital stay following orthognathic surgery by inhibiting inflammation and infectious complications during the postoperative stage.

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Intra- and early postoperative complications of the le fort I osteotomy

Cited by 81 publications

References 29 publications

Determining the anatomy of the descending palatine artery and pterygoid plates with computed tomography in Class III patients

Determining the anatomy of the descending palatine artery and pterygoid plates with computed tomography in Class III patients

Transvestibulärer Verschluss eines Nasenseptumdefekts durch freies Knochentransplantat nach Le-Fort-I-Osteotomie

Professional oral health care reduces the duration of hospital stay in patients undergoing orthognathic surgery

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