Redo orthognathic surgery: a report of 10 cases

Refining Orthognathic Surgery Results by Synchronous Cheek Fat Compartment Augmentation with Fat Grafting in Adult Females with Class III Skeletal Profiles

“…1 Following successful correction of maxillomandibular disharmony, patients may present with residual or new dissatisfactions from postoperative or preexisting facial contour irregularities that became more evident postoperatively. 2,3 To enhance outcomes and satisfaction rates, surgeons have proposed concomitant or staged procedures, including modifications in osteotomy lines and bone segment repositioning, rhinoplasty, facial implant placement, and facial soft-tissue contouring, such as malar and/or upper lip augmentation with pedicled buccal fat pad and region-specific fat grafting. 4–10…”

Complications of Orthognathic Surgery

“…[23] Under standard acquisition condition, the role of muscle pull and tone is not captured, and often, the lead surgeon does not consider the role of the muscle pull or the muscle anatomy and physiology associated with the surgical site while studying the radiographs and casts. [56] Clinically, all examinations are done without any muscle relaxants, capturing the muscle, occlusion, and jaw movement dynamics in real time.…”

“…This would potentially contribute to the derangement of occlusion, relapse rate, and possibly require “redo” surgery if the results are unfavorable. [6] There are very few reports dealing with the influence of muscle relaxants during orthognathic surgeries on the postoperative occlusion among orthognathic surgery patients, especially in the mandible. Intraoperative awakening has been suggested as a method to prevent these discrepancies.…”