Complications in orthognathic surgery: A retrospective study of 5025 cases

Ferri, Joël; Druelle, Charles; Schlund, Matthias; Bricout, Nicolas; Nicot, Romain

doi:10.1016/j.ortho.2019.08.016

Cited by 50 publications

(50 citation statements)

References 53 publications

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“…Also, ophthalmic complications (blindness, ocular palsy, and diplopia), haemorrhage, fractures, loss of teeth vitality, sinusitis, necrosis, and infection have been reported following LeFort I osteotomy [7,9]. Pulmonary complications, such as PTE in this clinical setting is very rare [4,5]. Therefore, the present case illustrates an infrequent but potentially life-threatening, complication.…”

Section: Discussionmentioning

confidence: 70%

“…J Craniomax Res 2020; 7(1) : 40-44 P ulmonary thromboembolism (PTE) is the obstruction of a pulmonary vessel or vessels by a thrombus. The term pulmonary thromboembolism encompasses both local thrombus formation (primary pulmonary thrombosis), and translocation of a thrombus formed elsewhere in the vascular system (pulmonary embolism) [1].This phenomenon is commonly reported in orthopedic operations, but reports of thromboembolic complications after elective orthognathic surgeries are limited [2,3].Recently, in their retrospective study of 5025 cases, Ferri et al showed that no case of pulmonary complication was encountered among patients having orthognathic surgery [4]. Generally, LeFort I osteotomy is considered to be safe, producing predictable and stable results, with a relatively small number of life-threatening complications [5,6].…”

Section: Introductionmentioning

confidence: 99%

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An Unusual and Rare Complication of LeFort I Osteotomy: a case report

Bemanali¹,

Azizi²,

Mousavi³

et al. 2020

JCR

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The LeFort I osteotomy is a versatile and simple procedure used by oral and maxillofacial surgeons for correction of congenital, developmental, or acquired dentofacial deformities. This technique is widely used due to its low complication rate such as rare, life-threatening events, reliable long-term results, and a high level of patient satisfaction. This report presents a case of LeFort I osteotomy resulting in an unusual complication of pulmonary thromboembolism.

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Section: Discussionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 99%

An Unusual and Rare Complication of LeFort I Osteotomy: a case report

Bemanali¹,

Azizi²,

Mousavi³

et al. 2020

JCR

View full text Add to dashboard Cite

show abstract

“…Although in most cases the ION is entirely contained within the infraorbital canal, it can descend into the maxillary sinus suspending from the roof the sinus in around 10.8% to 12.5% of patients. 2,3 This type of variation would compromise identification of the nerve during the surgery as the exit location of the nerve would be far inferiorly located. The surgical approach should be considered to be modified in cases of such variations.…”

Section: Implications Of An Anatomical Variation Of the Infraorbital ...mentioning

confidence: 99%

Bilateral Mandibular Pseudoarthrosis: A Rare Complication after Orthognathic Surgery

Sol

Rodrigues

Meneses-Santos

et al. 2022

Journal of Craniofacial Surgery

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: Orthognathic surgery to treat dentofacial discrepancies has become an increasingly common elective procedure in sur-gical practices. Despite its numerous advantages such as improved aesthetics and masticatory and respiratory function, some complications and unfavorable results can be observed. Pseudoarthrosis after orthognathic surgery is a rare complication and is little reported in the literature. Pseudoarthrosis is characterized by an increasing occlusal worsening associated with bone mobility and pain. Due to the low incidence of pseudoarthrosis, it is necessary to study its involvement to elucidate its etiology and treatment. The aim of this work was to report a clinical case of bilateral mandibular pseudoarthrosis after orthognathic surgery, where multiple interventions and prolonged treatment time were necessary until the case was concluded. The precise diagnosis associated with the choice of the most effective treatment based on the literature proved to be essential for the management of this complication.

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“…These procedures involve addressing complicated craniomaxillofacial anatomy with considerable risks and varied outcomes. 2,3 Factors such as complex terminology and niche hardware may deter patients from seeking orthognathic surgery for dentofacial deformities, which unfortunately affects as many as 5% of people in the US. 4 Unfortunately, there is a paucity of literature investigating educational materials that can be found online for orthognathic surgery guidance, and these limited data are inconsistent in content, poor in quality, and limited to website/text-based information.…”

Section: Introductionmentioning

confidence: 99%

Evaluating YouTube Video Quality in Orthognathic Surgery Patient Education

Puthumana

Lopez

Girard

et al. 2022

FACE

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Background: Patients are increasingly accessing consumer-style health information from a variety of web-based platforms. This study aims to assess a popular audio-visual platform for its quality of information in orthognathic procedures. Methods: We queried YouTube on August 12th, 2021 for 20 videos, by both relevance and view count, under each of 3 search terms: (1) “orthognathic surgery,” (2) “LeFort I osteotomy,” and (3) “sagittal split osteotomy.” Each video was characterized by date of upload, time since upload, video duration, video type, and video author. Videos were further characterized by type of video (1) creator and (2) category. The provider-validated instrument DISCERN was applied to each video to assess content quality and bias. Results: Of 60 videos marked for review, 46 were included for analysis. The most common category of video was operative ( n = 18, 36.1%), while the most common creator type was non-physician medical professional ( n = 14, 30.4%). Hospital or physician advertisement videos had the greatest video power index (26 297 ± 44 556), while medical education videos had the least (13 ± 9). Significant differences were found across both video type and video creator in viewership ( P = .008 and .003, respectively) and video power index ( P = .010 and .007), but not duration ( P = .796 and .059). DISCERN scores ranged from 16 to 80 and were subdivided into 5 categories: very poor (16-28), poor (29-41), fair (42-54), good (55-67), and excellent (68-80). Average DISCERN scores for all 46 videos were 17.9 ± 4.9 for reliability, 14.2 ± 4.0 for quality, and 34.3 ± 9.0 for overall. Conclusions: YouTube videos on orthognathic surgery were of overall poor quality. These videos were rated best in relevance to the search parameter and description of treatment but were least helpful in describing alternatives to the treatment and uncertainties about the procedure. Videos created by patients and about patient experiences were rated best for content that was reliable, high quality, and low bias.

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Complications in orthognathic surgery: A retrospective study of 5025 cases

Cited by 50 publications

References 53 publications

An Unusual and Rare Complication of LeFort I Osteotomy: a case report

An Unusual and Rare Complication of LeFort I Osteotomy: a case report

Bilateral Mandibular Pseudoarthrosis: A Rare Complication after Orthognathic Surgery

Evaluating YouTube Video Quality in Orthognathic Surgery Patient Education

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