Is auditory function affected after Le Fort I osteotomy?

Bayram, Burak; Deniz, K.; Aydin, Enes; Uçkan, Sina

doi:10.1016/j.ijom.2012.01.011

Cited by 12 publications

(15 citation statements)

References 12 publications

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“…Minor alteration in hearing sensation is predictable, and patients require information before surgery and reassurance after the surgery. This is consistent with previous studies [1,4,6,9,11].…”

Section: Discussionsupporting

confidence: 94%

“…According to tympanometry, the A diagram was subdivided into Ad, An, and As for further evaluations. In our study, similar to Yaghmaei et al [4] and Bayram et al [1], all of the cases presented type A tympanometry before the surgery, but in 6 weeks of follow-up after the surgery, 13% of our cases presented type C tympanometry, while in this time period, Yaghmaei et al [4] and Bayram et al [1] presented 15% of type C tympanometry, similar to the results of the current study. In our study, after 6 months of follow-up, only 9.7% of the patients (in the left ear) still presented type C tympanometry, which is not statistically significant.…”

Section: Discussionsupporting

confidence: 91%

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The effects of orthognathic surgery on auditory function

Ghorbani

Danesteh

Khoramnia

et al. 2021

Maxillofac Plast Reconstr Surg

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Background Orthognathic surgery is widely used in treating functional and skeletal problems. Any surgical procedure could cause side effects. Objectives This study aimed to evaluate the potential changes in orthognathic surgery on the hearing function of patients. Materials and methods Thirty-one orthognathic surgery candidates were recruited in this study. Patients underwent either single or double jaw surgery. Pure tone audiometry (PTA), tympanometry, and Eustachian Tube Dysfunction Test (ETFT) were performed postoperatively at 24 h, 6 weeks, and 6 months after surgery. Patients were tabulated based on the type of maxilla and mandibular surgical movements (vertical and horizontal). Results PTA evaluation, based on horizontal or vertical movements, did not show significant differences, although vertical movements resulted in less change in hearing threshold. In other words, no significant changes occurred in patients’ hearing threshold after surgery. No significant difference was also observed between horizontal and vertical movements in the results of tympanometry. Negative changes were found in the results of ETFT in vertical movements, which returned to pre-surgery values in the final test. Conclusions The risk of minor changes in hearing function is probable during the first week after orthognathic surgery, but these negative changes will either totally fade or remain negligible. Patients gave informed consent preoperatively, and reassurance postoperatively is prudent.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 91%

The effects of orthognathic surgery on auditory function

Ghorbani

Danesteh

Khoramnia

et al. 2021

Maxillofac Plast Reconstr Surg

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“…Yaghmaei et al144 reported that auditory system dysfunction which occurs during maxillary or bimaxillary osteotomies are mostly mild and temporary, and does not require special treatment. Bayram et al145 also claimed that while Le Fort I osteotomy induces changes in hearing sensitivity and middle ear pressure, these changes are not drastic and do not pose any clinical problems.…”

Section: Postoperative Complicationsmentioning

confidence: 99%

Complications associated with orthognathic surgery

Kim

2017

J Korean Assoc Oral Maxillofac Surg

118

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While most patients undergo orthognathic surgery for aesthetic purposes, aesthetic improvements are most often followed by postoperative functional complications. Therefore, patients must carefully decide whether their purpose of undergoing orthognathic surgery lies on the aesthetic side or the functional side. There is a wide variety of complications associated with orthognathic surgery. There should be a clear distinction between malpractice and complications. Complications can be resolved without any serious problems if the cause is detected early and adequate treatment provided. Oral and maxillofacial surgeons must have a full understanding of the types, causes, and treatment of complications, and should deliver this information to patients who develop these complications.

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“…Controversy concerning the effects of Le Fort I osteotomy on ETF and ME status continues. A prospective study based on Le Fort I osteotomy showed no differences 74 …”

Section: Eustachian Tubementioning

confidence: 94%

“…A prospective study based on Le Fort I osteotomy showed no differences. 74 Brattmo et al showed no difference in the ETF of subjects with unilateral MD treated with TT insertion. 75 Kitajima et al suggested that ETD treatment may improve MD symptoms.…”

Section: Special Conditionsmentioning

confidence: 94%

Panel 2: Anatomy (Eustachian Tube, Middle Ear, and Mastoid—Anatomy, Physiology, Pathophysiology, and Pathogenesis)

Alper

Luntz

Takahashi

et al. 2017

Otolaryngol.--head neck surg.

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Objective. In this report, we review the recent literature (ie, past 4 years) to identify advances in our understanding of the middle ear-mastoid-eustachian tube system. We use this review to determine whether the short-term goals elaborated in the last report were achieved, and we propose updated goals to guide future otitis media research.Data Sources. PubMed, Web of Science, Medline.Review Methods. The panel topic was subdivided, and each contributor performed a literature search within the given time frame. The keywords searched included middle ear, eustachian tube, and mastoid for their intersection with anatomy, physiology, pathophysiology, and pathology. Preliminary reports from each panel member were consolidated and discussed when the panel met on June 11, 2015. At that meeting, the progress was evaluated and new short-term goals proposed.Conclusions. Progress was made on 13 of the 20 short-term goals proposed in 2011. Significant advances were made in the characterization of middle ear gas exchange pathways, modeling eustachian tube function, and preliminary testing of treatments for eustachian tube dysfunction.Implications for Practice. In the future, imaging technologies should be developed to noninvasively assess middle ear/eustachian tube structure and physiology with respect to their role in otitis media pathogenesis. The new data derived from these structure/function experiments should be integrated into computational models that can then be used to develop specific hypotheses concerning otitis media pathogenesis and persistence. Finally, rigorous studies on medical or surgical treatments for eustachian tube dysfunction should be undertaken.

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Is auditory function affected after Le Fort I osteotomy?

Cited by 12 publications

References 12 publications

The effects of orthognathic surgery on auditory function

The effects of orthognathic surgery on auditory function

Complications associated with orthognathic surgery

Panel 2: Anatomy (Eustachian Tube, Middle Ear, and Mastoid—Anatomy, Physiology, Pathophysiology, and Pathogenesis)

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