Weight loss in orthognathic surgery: a clinical study

Hammond, Douglas; Williams, Rhodri; Juj, Kiranjit; O’Çonnell, Susan; Isherwood, Grant; Hammond, Nichola

doi:10.1179/1465313314y.0000000130

Cited by 18 publications

(10 citation statements)

References 14 publications

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“…In contrast, Hammond et al (2015) showed an average weight loss of 4.96 kg, a reduction in body fat by 3.07%, and a decrease in Body Mass Index by 1.63 in the 4-week post-operative period. There was no statistically significant difference in weight loss or body fat composition change between single or two-jaw surgery and between male and female patients.…”

Section: Related Workmentioning

confidence: 84%

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The use of orthognathic surgery as a start for a very effective weigh loss program: a case study

Silvares¹,

Borges²,

Ribeiro³

2023

CLCS

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This article discusses the challenges of achieving and maintaining weight loss for individuals living with obesity. It highlights that obesity is a significant health concern worldwide, and effective and sustainable weight loss interventions are necessary. It also explores the potential of nutritional orientation during the postoperative period of orthognathic surgery, which is known to improve patients' quality of life and self-esteem, to enhance weight loss for patients who seek corrective jaw surgery and express a desire to lose weight. The article presents a case study of a patient who underwent corrective jaw surgery and started an effective weight loss program during the immediate postoperative period. The research objectives of the article are to verify similar cases where weight loss resulted in a significant improvement in self-esteem and to analyze related works that discuss orthognathic surgery's impact on aesthetics and function. The article emphasizes the importance of preoperative nutritional evaluation and patient education on alternative methods of nourishing and hydrating patients during the postoperative period to address nutritional deficiencies that may arise.

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Section: Related Workmentioning

confidence: 84%

“…Providing more customized Oral Nutritional Supplementation to all orthognathic surgery patients could potentially minimize the significant weight loss (HAMMOND et al, 2015).…”

Section: The Weight Loss Experienced By Patients Undergoing Orthognat...mentioning

confidence: 99%

The use of orthognathic surgery as a start for a very effective weigh loss program: a case study

Silvares¹,

Borges²,

Ribeiro³

2023

CLCS

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“…However, these patients experience prompt weight loss during 4 weeks postoperative period because of the inability of mastication and intermaxillary fixation (IMF) [ 15 ]. It has been suggested weight loss in early adulthood can be a risk factor for lower bone mineral density (BMD) and an increase in osteoporosis in later life [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Bone mineral density and muscle mass in adults with developmental skeletal discrepancies

Sharifi

Kordi

Noravesh

et al. 2022

BMC Musculoskelet Disord

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Background It was aimed to investigate the musculoskeletal status in individuals diagnosed with skeletal discrepancies. Methods This case–control study was performed on 35 patients with developmental skeletal discrepancies listed for orthognathic surgery as a case group and 33 patients who were nominated for wisdom tooth removal as a control group. All participants were aged 18–40 years and the research was carried out in the period between May 2018 and May 2019. Dual X-ray absorptiometry (DEXA) was used to assess bone mass density at three bone sites: total hip, femoral neck, and the spinal lumbar vertebrae (L1-L4). The appendicular muscle mass index (ASMI) was measured based on the four limbs from the DEXA scan. Results Our data showed that 45.7% (16) of the case group were osteopenic or osteoporotic while in the control group only 21.2% (7) were osteopenic in at least one region (total hip, femoral neck, or lumbar) (p-value = 0.03). Regarding muscle mass, there was significantly lower SMI in subjects with skeletal discrepancies (case group) compared with the control group (median (IQR) 5.9 (2.5) vs. 6.8 (2.9) (kg/m2), respectively, p = 0.04). Conclusions There is an essential need for more studies to understand the exact interrelationship between musculoskeletal status and skeletal jaw discrepancies.

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“…Weight loss during postoperative period had also been observed in another studies. [17,18] Patients undergoing orthognathic surgery experience some degree of weight loss, which can not to be related to age, type and duration of surgery, length of hospital stay, and use of intermaxillary fixation. [19] In retrospective study with 4,487 patients a significant dif-ference in weight loss experience was seen between genders, reported nutritional imbalance plus weight and fat losses should be expected in female patients.…”

Section: Discussionmentioning

confidence: 99%

Perioperative booklet for orthognathic patients: A randomized controlled clinical trial

Sousa

Poveda

Turrini

2018

JNEP

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Objective: This study compared the effectiveness of an informational booklet on postoperative self-care, knowledge, anxiety and symptoms related to orthognathic surgery.Methods: This study is a randomized, single-blind, controlled clinical trial. This study was carried out from August 2013 to August 2015 and included 40 participants (20/group). The intervention group had routine postoperative surgeon guidance, and received a self-care booklet. Booklet information was explained by a nurse. The control group received only routine surgeon guidance. Knowledge and anxiety were compared pre- and postoperatively. Postoperative outcomes included self-care (oral hygiene, mobility and sensitivity, hydration of the lips, edema, and sleeping and breathing conditions), nutrition (eating ability and change in bodyweight), and pain (treatment required and a visual analog scale). Data were analyzed by general linear mixed models and mixed-effects models.Results: Knowledge was higher in intervention group compared to control group (p < .001). Anxiety assessment displayed no difference between groups. The intervention group had more halitosis (p = .003) and greater bodyweight loss (p = .002).Conclusions: The booklet increased knowledge of postoperative self-care, but did not lower anxiety. Halitosis and weight loss were higher in the intervention group, however, most outcomes were similar between groups.

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Weight loss in orthognathic surgery: a clinical study

Cited by 18 publications

References 14 publications

The use of orthognathic surgery as a start for a very effective weigh loss program: a case study

The use of orthognathic surgery as a start for a very effective weigh loss program: a case study

Bone mineral density and muscle mass in adults with developmental skeletal discrepancies

Perioperative booklet for orthognathic patients: A randomized controlled clinical trial

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