The effect of orthognathic surgery on the temporomandibular joint and oral function: a systematic review

Veldhuis, E.C. te; Veldhuis, A.H. te; Bramer, Wichor M.; Wolvius, Eppo B.

doi:10.1016/j.ijom.2017.01.004

Cited by 43 publications

(57 citation statements)

References 71 publications

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“…The present patient population is a typical Finnish orthognathic-surgical patient pool in terms of gender distribution: 61% female [15][16][17][18] The present sample differs, however, from a typical sample in terms of age distribution: mean age (32.1 years) at the initiation of treatment was greater than in most other reports [19], and the oldest patient was 70 years of age. Interestingly, patients with LeFort I maxillary advancement were younger on average than patients with other types of surgery.…”

Section: Discussionmentioning

confidence: 98%

Duration of orthognathic-surgical treatment

Paunonen

Helminen

Peltomäki

2017

Acta Odontologica Scandinavica

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Section: Discussionmentioning

confidence: 98%

Duration of orthognathic-surgical treatment

Paunonen

Helminen

Peltomäki

2017

Acta Odontologica Scandinavica

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“…Regarding any affection of the temporomandibular joint and its adjacent musculature (TMD) as late findings, this study revealed several restrictions (n arthropathy = 14; n myopathy = 15) following orthognathic surgery. In general, this is supported by literature, reporting pain on palpation upon TMJ and the masticatory musculature as a common diagnosis [29][30][31][32]. However, due to different surgical methods and follow-up periods, results are not directly comparable.…”

Section: Discussionmentioning

confidence: 88%

Complications or rather side effects? Quantification of patient satisfaction and complications after orthognathic surgery—a retrospective, cross-sectional long-term analysis

Thiem

Schneider

Hammel³

et al. 2020

Clin Oral Invest

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Objectives The aim of this clinical analysis was to evaluate intraoperative and early postoperative complications as well as late findings and the overall patient satisfaction following orthognathic surgery. Materials and Methods In a retrospective, cross-sectional study, 119 patients after orthognathic surgery were included. Surgical approaches were single bilateral sagittal split osteotomy (BSSO (n = 52)), single LeFort-I osteotomy (n = 5) and bimaxillary osteotomy (LeFort-I + BSSO (n = 62)). Intraoperative and early (0–4 weeks postoperative) complications were investigated retrospectively (n = 119), whereas late findings and quality of life were assessed via clinical follow-up and survey (mean: 59 months postoperative) on 48 patients. Results Bad split (n = 4/114) was the most common intraoperative complication followed by one case of severe bleeding. Regarding early postoperative complications, temporary damage of the inferior alveolar nerve after BSSO was most common (n = 33/114), followed by facial nerve dysfunction (n = 3), failed osteosynthesis (n = 2) and one case of postoperative dyspnoea. Permanent hypaesthesia of the lower lip was the most prevalent (n = 28/45(BSSO and LeFort-I + BSSO)) late finding with varying extent, followed by temporomandibular dysfunction (TMD) (n = 25/48). Skeletal relapse mostly occurred after class II treatment, followed by class III, posterior crossbite and open bite. Overall, the surgery improved the patients’ self-perception (85.4%), with 60.4% of patients opting for surgery again. Conclusions Long-term complications after orthognathic surgery occurred more frequently than commonly described in the literature, and analyses of the quality of life show the need for more comprehensive preoperative patient education. Clinical relevance Hypaesthesia of the lower lip presented less as complication but rather as side effect following BSSO. As orthognathic surgery is mostly elective, preoperative patient education is of pivotal importance and should include proactive risk stratification.

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“…The Sagittal Split Osteotomy is a surgery used to correct facial deformations of the lower third of the face [18]. The main motives to undergo orthognathic surgery are the improvement of mandibular functions (including malocclusion, mastication, speech, respiratory function, sleep apnea) [19]. However, at each stage of dentofacial deformity treatment: 1) orthodontic surgery phase 2) surgical treatment phase 3) orthodontic correction phase, complications may occur [20].…”

Section: Introductionmentioning

confidence: 99%

Late postoperative complications and dysfunction of the stomatognathic system (SS) in patients after orthognathic surgery

Górska

Gębska

2020

J Educ Health Sport

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Introduction: Patients with maxillofacial and intraoral defects require orthognathic surgery to improve the appearance of the face and correct the occlusion. The number of orthognathic surgeries has been increasing in recent years. The motivation to undergo these surgeries is the possibility for patients to improve stomatognathic system functions i.e. chewing, swallowing and pronunciation, as well as aesthetic and psychosocial factors. Aim: The aim of the paper was to assess the occurrence of late postoperative complications and dysfunction of the stomatognathic system in patients after orthognathic surgeries such as Maxillary Lefort 1 Osteotomy and Bilateral Sagittal Split Osteotomy (BIMAX). Additionally, the paper emphasizes the necessity of quick activation of the stomatognathic system structures in patients after orthognathic surgeries in order to reduce the incidence of complications. Material and methods: The research was conducted with the help of the users of internet groups: "Progenia, mandibular prognathism, photos BEFORE and AFTER the operation :)" (in Polish: "Progenia, wysunięta szczęka, zdjęcia PRZED i PO operacji :)") and "Suffering from progenia" ("Progenicy") as well as users of the Jawsurgeryforums.com online forum who have given their informed consent to participate in the survey. The analysis was carried out on a group of 92 people who underwent orthognathic surgery of Maxillary Lefort 1 Osteotomy and Bilateral Sagittal Split Osteotomy (BIMAX) type in the years 2004-2019. To assess the opinions of patients, a diagnostic questionnaire method was used, based on a proprietary electronic questionnaire, which consisted of three parts. The first part is metric, i.e.: age, gender and questions concerning the number of orthognathic surgeries performed, time of wearing intermaxillary traction wiring or splints, postoperative rehabilitation. The second part of the questionnaire consisted of 15 close-ended questions assessing the occurrence of symptoms of SS system disorders and functioning. The third part of the questionnaire consists of 20 questions concerning postoperative complications after 3 and 6 months from surgery and functioning of the dental system after surgery. The fourth part of the questionnaire consists of 5 close-ended questions concerning the evaluation of the overall impression after surgery and the most important effects of it. The test results were statistically analyzed using the correlation coefficient and Pearson's chi-squared test (p ≤ 0.05). Results: 92 people, of which 86 women (93.5%) and 6 men (6.5%), participated in the study. The most common ailments before the surgeryaffecting more than half of the patientswere chewing impairment, speech defect, breathing problems and headaches. 3 months after the operation, facial neurosensory disturbances and facial swelling were the most frequent of the ailments reported by the patients (more than 70% of the respondents), limited jaw mobility, joint pains and chewing impairment were also frequent (more than 40%). 6 months after the s...

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The effect of orthognathic surgery on the temporomandibular joint and oral function: a systematic review

Cited by 43 publications

References 71 publications

Duration of orthognathic-surgical treatment

Duration of orthognathic-surgical treatment

Complications or rather side effects? Quantification of patient satisfaction and complications after orthognathic surgery—a retrospective, cross-sectional long-term analysis

Late postoperative complications and dysfunction of the stomatognathic system (SS) in patients after orthognathic surgery

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