Discharge Patterns of Orthognathic Surgeries in the United States

Venugoplan, Shankar R.; Nanda, Vikrum; Turkistani, Khadijah A.; Desai, Shamik; Allareddy, Veerasathpurush

doi:10.1016/j.joms.2011.09.030

Cited by 61 publications

(30 citation statements)

References 21 publications

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“…A national prevalence estimate comes from the 2008 nationwide inpatient sample. 8 This report was based on queries to representative hospitals throughout the United States regarding patient admissions and treatments rendered. Analysis of diagnostic codes for maxillofacial procedures showed that in 2008, 2.2% of all hospitalized patients were operated on with a diagnosis consistent with Class III malocclusion, whereas only 1.4% were Class II.…”

Section: Discussionmentioning

confidence: 99%

Changes in the pattern of patients receiving surgical-orthodontic treatment

Proffit¹,

Jackson²,

Turvey³

2013

American Journal of Orthodontics and Dentofacial Orthopedics

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Introduction The characteristics of patients who seek and accept orthognathic surgery appear to be changing over time but have not been well documented in the 21st century. Methods Records for patients who had orthognathic surgery at the University of North Carolina from 1996 to 2000 and from 2006 to 2010 were reviewed to collect data for changes in the prevalence of patients with mandibular deficiency (Class II), maxillary deficiency or mandibular prognathism (Class III), long face, and asymmetry problems. The changes were compared with those in previous time periods and at other locations. Results Between 1996 and 2000 and between 2006 and 2010, the percentage of Class III patients increased from 35% to 54%, and the percentage of Class II patients decreased from 59% to 41%, while the percentages for long face and asymmetry showed little change. The decrease in Class II patients was accentuation of a long-term trend; the increase in Class III patients occurred only after the turn of the century. Conclusions A similar but less-marked change has been noted at some but not all other locations in the United States. It appears to be related primarily to an increase in the numbers of African Americans, Native Americans, Hispanics, and Asians who now are seeking surgical treatment, but it also has been affected by changes in where orthognathic surgery is performed, decisions by third-party payers (insurance and Medicaid) about coverage for treatment, and the availability of nonsurgical orthodontic treatment options for Class II patients.

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Section: Discussionmentioning

confidence: 99%

Changes in the pattern of patients receiving surgical-orthodontic treatment

Proffit¹,

Jackson²,

Turvey³

2013

American Journal of Orthodontics and Dentofacial Orthopedics

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“…Kumar et al 30 compared the cost of orthodontics to orthognathic surgery and reported that the overall cost of orthodontics was relatively inexpensive and accounted for only 25% of overall treatment cost. Venugoplan et al 31 using the nationwide inpatient sample database for the year 2008 analyzed 10,345 orthognathic surgical procedures in the United States and reported that the mean charge per hospitalization was $47,348, and the total hospitalization charge for the entire United States was approximately $466.8 million. However, they did not have a breakdown on the type of surgery related to the cost associated.…”

Section: Long-term Surgical Vs Functional Class IImentioning

confidence: 99%

Long-term surgical versus functional Class II correction: A comparison of identical twins

Chhibber

Upadhyay

Uribe

et al. 2015

The Angle Orthodontist

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“…In 2007 it was reported that a total of 8755 OS procedures were performed in the United States of America (Sullivan 2011). The average age of patients undergoing orthognathic surgery in 2008 was 26.7 years, and the great majority of the patients were between 15 and 30 years of age (Venugoplan 2012). Female patients represented 56.2% of those having the procedure (Venugoplan 2012).…”

Section: Description Of the Conditionmentioning

confidence: 99%

“…The average age of patients undergoing orthognathic surgery in 2008 was 26.7 years, and the great majority of the patients were between 15 and 30 years of age (Venugoplan 2012). Female patients represented 56.2% of those having the procedure (Venugoplan 2012). Whites constituted 71.9%, blacks 4.9%, Hispanics 12.6%, Asian/Pacific Islanders 5.6%, Native Americans 0.4%, and other groups 4.6% of the surgeries, respectively (Venugoplan 2012).…”

Section: Description Of the Conditionmentioning

confidence: 99%

“…Female patients represented 56.2% of those having the procedure (Venugoplan 2012). Whites constituted 71.9%, blacks 4.9%, Hispanics 12.6%, Asian/Pacific Islanders 5.6%, Native Americans 0.4%, and other groups 4.6% of the surgeries, respectively (Venugoplan 2012). Specific postoperative complications related to orthognathic surgery include haemorrhage, temporary or permanent sensory and motor problems affecting the face and mouth (V2 and V3 nerve dysfunction), deviation of the nasal septum, bone infection (osteomyelitis), connection of the mouth to a sinus cavity (oroantral fistula), sinusitis, and loss or degradation of results obtained by surgery (postoperative relapse) (Chow 2007).…”

Section: Description Of the Conditionmentioning

confidence: 99%

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