Nasolacrimal Duct Obstruction After Maxillary Orthognathic Surgery

Jang, Sun Young; Kim, Min Kyung; Choi, Seok Min; Jang, Jae Woo

doi:10.1016/j.joms.2012.11.018

Cited by 20 publications

(12 citation statements)

References 21 publications

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“…Nasolacrimal duct obstruction after maxillary orthognathic surgery has previously been reported by Jang et al [6] On the basis of the clinical and radiologic findings, the authors have concluded that nasolacrimal duct obstruction after orthognathic surgery may develop because of a postsurgical inflammatory response to indirect damage of the nasolacrimal duct at the time of surgery.…”

Section: Discussionmentioning

confidence: 96%

Loss of reflex tearing after maxillary orthognathic surgery: a report of two cases

et al. 2014

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BackgroundFew reports have described the ophthalmic complications that occur after maxillary orthognathic surgery. Since cases of decreased reflex tearing after maxillary orthognathic surgery are extremely rare, we describe 2 cases of loss of reflex tearing after maxillary orthognathic surgery.Case presentationTwo Asian women, an 18-year-old and a 32-year-old, suffered from unilateral dryness and irritation caused by maxillary orthognathic surgery. In both patients, Schirmer test (II) showed reduced reflex tearing in 1 eye. Computed tomography showed that the pterygoid plate had been fractured in both patients.ConclusionsThe pterygopalatine ganglion and its associated fibers in the pterygopalatine fossa may be injured during Le Fort osteotomy.

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Section: Discussionmentioning

confidence: 96%

Loss of reflex tearing after maxillary orthognathic surgery: a report of two cases

et al. 2014

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“…The LeFort I osteotomy has inherent risks and a variety of complications have been reported (►Table 1). [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] In a study of 1000 patients between 1983 and 2002, Kramer et al found that complications occurred in 6.4% of patients. 18 Patients with major anatomical irregularities, such as cleft lip and palate, were more likely to experience complications.…”

Section: Complicationsmentioning

confidence: 99%

“…Nasal septum deviation 18 Non-union of osteotomy gap 18 Malposition of maxilla 18 Nasolacrimal duct obstruction 19 Haemolacria from nasolacrimal duct perforation 20…”

Section: Anatomicalmentioning

confidence: 99%

LeFort I Osteotomy

Buchanan

Hyman

2013

Seminars in Plastic Surgery

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The LeFort I osteotomy is one of the most commonly used procedures to correct midface deformities. It allows for correction in three dimensions including advancement, retrusion, elongation, and shortening. It is indicated, often in conjunction with mandibular surgery, for class II and III malocclusion, facial asymmetry, obstructive sleep apnea, and maxillary atrophy. Before surgery, proper orthodontics and surgical planning should be undertaken to ensure adequate outcomes. Overall, the surgery is widely used due to its low complication profile and reliable long-term results.

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“…Secondary inflammatory changes associated with an indirect injury of the NLD lead to obstruction. So surgeons should be aware of the risk of NLDO after orthognathic surgery ( Figures 9-11); this can be managed by dacryocystorhinostomy with high success rate [35]. …”

Section: Nasolacrimal Duct Obstructionmentioning

confidence: 99%

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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Nasolacrimal Duct Obstruction After Maxillary Orthognathic Surgery

Cited by 20 publications

References 21 publications

Loss of reflex tearing after maxillary orthognathic surgery: a report of two cases

Loss of reflex tearing after maxillary orthognathic surgery: a report of two cases

LeFort I Osteotomy

Complications in Orthognathic Surgery

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