Complications associated with orthognathic surgery

Kim, Young Kyun

doi:10.5125/jkaoms.2017.43.1.3

Cited by 113 publications

(115 citation statements)

References 136 publications

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“…Neurological injuries during orthognathic surgery due to an exposed nerve together with disruption of the bony environment of the nerve may result in orofacial and/or musculoskeletal pain [ 6 , 30 , 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…However, the extensive bone and muscle manipulation and various movements during surgery may result in postoperative pain, especially in the TMJ. Positional changes of the mandible, maxilla, or both jaws during orthognathic surgery can affect the TMJ, masticatory musculature, and surrounding soft tissue [ 5 , 6 ]. The position of the condyles in relation to the temporal bone can also be altered during surgery.…”

Section: Introductionmentioning

confidence: 99%

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Pain Complaints in Patients Undergoing Orthognathic Surgery

Agbaje

Luyten

Politis

2018

Pain Research and Management

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The aim of this retrospective study was to assess the frequency of orofacial (nonodontogenic, neuropathic, or atypical) and temporomandibular joint (TMJ) and/or masticatory muscle pain in orthognathic patients in a tertiary institution. A total of 286 consecutive patients undergoing sagittal split osteotomy from 2014 to 2016 were included. Thirty-nine (13.6%) patients presented with TMJ pain and 10 (3.5%) with orofacial nonodontogenic pain before orthognathic surgery; 79.6% (39/49) of these patients had no pain 1 year after surgery. Twenty-nine patients (12.2%) with no preoperative orofacial pain and 22 (9.3%) without preoperative TMJ pain presented with pain 1 year after surgery. Fifty-one (17.8%) of the 286 patients treated for orthognathic cases at our center over the 3-year period presented with pain 1 year after surgery. Most patients were managed conservatively with nonsurgical therapeutic modalities including counseling, physical therapy, warmth application, and bilateral chewing and splint therapy. In patients with TMJ pain refractory to conservative treatment, arthroscopic surgery was advised and successful in all patients for both pain reduction and improvement of the maximal interincisal opening. TMJ symptoms do develop after orthognathic surgery in patients with and without a previous history of TMJ complaints. Most patients can be managed with nonsurgical therapeutic modalities.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pain Complaints in Patients Undergoing Orthognathic Surgery

Agbaje

Luyten

Politis

2018

Pain Research and Management

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“…Some define it as the state in which the anterior teeth of the mandible are not covered by the anterior teeth of the maxilla in a vertical relationship [12]. Others define it as the state in which the cross-section of the occlusal surface is separate, and the occlusal surfaces of the maxilla and mandible do not overlap [13].…”

Section: Discussionmentioning

confidence: 99%

Orthognathic surgery for patients with idiopathic condylar resorption: Clinical research

Ku¹,

Lee²,

Kim³

2017

Res Rev Insights

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The objective of this study was to evaluate the rates of relapse, temporomandibular joint (TMJ) changes or disease, and recurrence of idiopathic condylar resorption (ICR) and open bite following orthognathic surgery in patients with ICR. Six Class II patients (aged 19~51) who suffered from ICR and received orthognathic surgery on maxilla and mandible were evaluated. All 6 patients received Le Fort I osteotomy on maxilla. 5 patients received BSSRO with advanced genioplasty and fixation with Miniplate and 1 patient received Obwegeser-Dal Pont's method and fixation with APIS plate on mandible. Lateral cephalograms were taken at presurgical (T0), immediately post-surgical (T1) and 3 months post-surgical (T2), and 6 months post-surgical (T3) stages, and skeletal changes were analyzed with V-Ceph (CyberMed, Seoul, Korea) software. Age and sex, surgery method, fixation material, and post-operative complications of each patient were examined. Only one patient showed TMJ muscle-related disorder symptoms. Open bite recurrence was not observed in any of the 6 patients. Orthognathic surgery on maxilla and mandible shows no relationship with a recurrence of ICR or open bite.

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“…The neural disorders that occur as a result of orthognathic surgery mainly affect the infraorbital, inferior alveolar (mandibular), and mental and incisive nerves. Reports on facial nerve paralysis vary in the range of 0.17-0.75% [81].…”

Section: Nerve Damagementioning

confidence: 99%

Orthognathic Surgery in Cleft Lip and Palate Patients

Yılmaz¹,

Demirkaya²

2020

Current Treatment of Cleft Lip and Palate

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Cleft lip and palate patients often exhibit severe dentofacial deformities that necessitate orthognathic surgery. Orthognathic surgery in these patients generally includes not only maxillary advancement, but also sagittal, horizontal, and vertical movement of both jaws. Surgical planning and execution presents many difficulties, caused by the presence of extensive scar tissues from previous surgeries, tissue deficiencies, the difficulty of aligning multiple segments of bone and soft tissues. Other challenges in cleft patients are complications related to post-surgical airway, speech, velopharyngeal insufficiency, nerve damage, and infections. This review is focused on orthognathic surgery in cleft lip and palate patients, management, techniques, success, and complications.

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Complications associated with orthognathic surgery

Cited by 113 publications

References 136 publications

Pain Complaints in Patients Undergoing Orthognathic Surgery

Pain Complaints in Patients Undergoing Orthognathic Surgery

Orthognathic surgery for patients with idiopathic condylar resorption: Clinical research

Orthognathic Surgery in Cleft Lip and Palate Patients

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