Cross-match requirements in orthognathic surgery: an audit

Transfusion Need in Orthognathic Surgery - A Review

“…The paper by Flood et al (1990) 11 mentions a drop in hemoglobin level from 14.0 (mean) to 12.2 (mean) in this group; the authors state that some patients had higher postoperative hemoglobin after transfusion than preoperative. Again, none of these patients would qualify for transfusion nowadays.…”

“…Both retrospective and prospective studies were accepted, no matter if the procedures were done in normotension, mild hypotension, controlled hypotension, or any other tension reported 3.1.1. Mandibular surgery and transfusion need Among the papers that included a subgroup of lower jaw surgery, all but Garg et al (2010) 6 mentioned the transfusion need ( 4,[6][7][8][11][12][13][14][15][16][17][18][19][20][21][22][23][24] These papers were published between1985-2011 and present a total of 9 homologous transfusions and 14 autologous blood transfusions in 1705 BSSO procedures (advancement and set-back). The four papers indicating a transfusion have their data extracted from the period [1981][1982][1983][1984][1985][1986][1987][1988][1989][1990][1991][1992][1993][1994][1995][1996].…”

“…Overall total 11 as an outlier, 1264 patients remain in the group without predonation. (Table 8) The overall total consisted of 1264 + 969=2233 patients.…”

“…3.1.5. Bimaxillary surgery with additional complex procedures Because Flood et al (1990) 11 seems to be an outlier concerning their transfusion policy, these data were not retained. The papers by Kasahara et al 42 were not retained because they did not give a transfusion rate.…”

“…Of interest, the recent literature does not provide many papers describing performance of Le Fort I single-jaw surgery: Schaberg et al, 1976; 34 Ash 14 The figures in parentheses give the number of patients concerned. In the paper by Flood et al (1990), 11 38 Le Fort I procedures were completed with an additional genioplasty. Preoperative hemoglobin level dropped from 14.2 g/dL to 12.4 g/dL.…”