Orthognathic Surgery in a Patient With Myotonic Dystrophy: Review of Literature and Report of a Case

Influence of systemic comorbidities on the complications of orthognathic surgery: A scoping review

“…When compounded with the postsurgical edema, it can significantly delay the return to normal function. [36]Due to respiratory complications and delayed recovery, the mean length of hospital stay was seven days longer (mean: 10 days; range: 6 to 75 days) compared to that of a general population (mean: 3 days; range: 1.7 to 4.4 days). [24,[37][38][39][40] The main strength of the review was the inclusion of studies focusing on the postoperative complications following orthognathic surgery in patients with systemic comorbidities.…”

Temporomandibular Joint Magnetic Resonance Imaging Analysis in Adults with Steinert's Myotonic Dystrophy

“…The proper relationship at the maximum aperture without pain in patients analyzed implies that the disc is attached to the mandibular head by an anterior posting, which has been described by various authors as an activity of the superior head of the lateral pterygoid muscle (Ogutcen-Toller & Juniper, 1993;Zhang et al, 1998 andBakke et al, 2005). This also affects the muscle in the DM1; however, this does not seem to alter the anterior movements of the disc in harmonious relationship with the mandibular head in the mandibular movements, suggesting that conservation of the form is necessary to keep this relationship (Rao et al, 1990), and this should be taken into account during the surgical procedures that could alter this relationship (Manzon & Philbert, 2007).…”

Surgical Orthodontic Treatment of a Patient Affected by Type 1 Myotonic Dystrophy (Steinert Syndrome)

“…People with myotonic dystrophy type 1 frequently have a characteristic facial appearance, such as that observed in the patient described in this paper [12, 13, 24]. …”

“…With regard to the surgical therapy, as Manzon and Philbert [24] say, although the induction of general anesthesia is extremely safe in a healthy population, severe reaction to anesthetic and neuromuscular paralyzing agents in a myotonic patient can cause organ failure, myocardial infarction, and respiratory failure. Therefore, given the complexity of the case and the disease, a polispecialistic collaboration, comprising maxillofacial surgeons, anesthetists-resuscitators, neurologists, pulmonologists, and cardiologists, is required in the management of postoperative moment, in order to prevent pulmonary and cardiac complications.…”