Facial palsy after sagittal split osteotomies

Vries, K. de; Devriese, P. P.; Hovinga, J; Akker, Hans P. van den

doi:10.1016/s1010-5182(05)80147-7

Cited by 57 publications

(7 citation statements)

References 16 publications

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“…de Vries et al41 reported nine cases of facial nerve paralysis among 1,747 patients who underwent SSRO. The rate of facial nerve paralysis reported by other scholars varies from 0.17% to 0.75%.…”

Section: Postoperative Complicationsmentioning

confidence: 99%

Complications associated with orthognathic surgery

Kim

2017

J Korean Assoc Oral Maxillofac Surg

114

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While most patients undergo orthognathic surgery for aesthetic purposes, aesthetic improvements are most often followed by postoperative functional complications. Therefore, patients must carefully decide whether their purpose of undergoing orthognathic surgery lies on the aesthetic side or the functional side. There is a wide variety of complications associated with orthognathic surgery. There should be a clear distinction between malpractice and complications. Complications can be resolved without any serious problems if the cause is detected early and adequate treatment provided. Oral and maxillofacial surgeons must have a full understanding of the types, causes, and treatment of complications, and should deliver this information to patients who develop these complications.

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Section: Postoperative Complicationsmentioning

confidence: 99%

Complications associated with orthognathic surgery

Kim

2017

J Korean Assoc Oral Maxillofac Surg

114

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“…Nerve injury to the inferior alveolar nerve ranged between 1.3% and 9.9%, 13,14,18,[20][21][22] and nerve injury to the facial nerve ranged between 0.4% and 1.4% in adult investigations. 14,20,[22][23][24][25] Performing a sagittal split osteotomy in young patients may have important implications for development and nerve function, 26,27 and similarly, there is increased likelihood of damaging maxillary dentition with osteotomies of the maxilla at an early age. 28 Previous multicenter study of adult patients demonstrated that total operative time was a predictor of medical complications, 2 but this was not supported in our study of pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Orthognathic Surgery: National Analysis of Perioperative Complications

Kalmar

Carlson

Patel

et al. 2021

Journal of Craniofacial Surgery

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cantholysis can be performed to reduce intraorbital pressure and to minimize the risk of vision loss. It is then characterized as a medical emergency, because it can lead to blindness or other life-threatening complications if not treated promptly. [21][22][23] Therefore, the clinical presentation of our patient demanded an early surgical intervention.It is not clear whether SARS-CoV-2 itself is a contributing factor to the pathogenesis in these cases. However, the time of onset and the absence of previous symptoms of chronic sinus disease raises the possibility that congestion of the upper secondary airway by COVID-19 contributed to impaired mucociliary clearance, sinus obstruction, and secondary orbital bacterial infection. Health professionals involved in the care of COVID 19 cases should be aware of this unusual presentation.

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“…MSSRO is in wide use for mandibular prognathism, but FNP caused by this procedure is known to be rare. de Vries et al [ 2 ] reported 9 cases (0.52%) of FNP among 1,747 patients who underwent MSSRO, while Behrman [ 15 ] reported FNP in only 4 patients (0.67%) among 600.…”

Section: Discussionmentioning

confidence: 99%

“…However, various complications may occur following MSSRO, including inferior alveolar nerve damage, bleeding, condylar displacement, condylar dysfunction, unwanted secondary fractures, skeletal regression, and facial nerve palsy (FNP). FNP has been reported in 0.17% to 0.75% of cases; direct causes include intraoperative injury to the facial nerve, postoperative edema, and positional change in the styloid process; indirect injury can occur from retraction or excessive posterior tissue traction on the mandibular ramus [ 2 3 4 5 ]. The severity of FNP after facial nerve damage and the speed of recovery may vary according to the mechanism of injury, but most FNP cases due to indirect causes are considered [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

New Treatment in Facial Nerve Palsy Caused by Sagittal Split Ramus Osteotomy of Mandible

Lee

2017

Arch Craniofac Surg

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A 25-years-old woman with mandibular prognathism underwent a mandibular setback by way of mandibular sagittal split ramus osteotomy (MSSRO). After 2 days of operation, she developed difficulty of closing her right eye. The blink reflex test and motor nerve conduction study of the right orbicularis oris muscle were revealed right facial neuropathy of unknown origin and House-Brackmann facial nerve grading system (HBFNGS) grade V. For treatment, we initially prescribed oral prednisolone and nimodipine including physical therapy. The samples consisted of 11 facial nerve palsy patients caused by MSSRO and were analysed about onset of facial nerve palsy, postoperative HBFNGS, final HBFNGS, treatment method and recovery time. At 10 weeks of treatment of nimodipine, she had completely regained normal function (HBFNGS grade I) of the right facial nerve. The clinical results lead to assume a fast recovery of facial nerve function by the nimodipine medication, whereas average time of recovery is 16.32 weeks in references. Despite of the limited one patient treated, the result was very promising with respect to a faster recovery of the facial nerve function. Considering the use of nimodipine treatment for peripheral facial nerve palsy following a surgical approach with an anatomically preserved nerve can be recommended.

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Facial palsy after sagittal split osteotomies

Cited by 57 publications

References 16 publications

Complications associated with orthognathic surgery

Complications associated with orthognathic surgery

Pediatric Orthognathic Surgery: National Analysis of Perioperative Complications

New Treatment in Facial Nerve Palsy Caused by Sagittal Split Ramus Osteotomy of Mandible

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