Is Le Fort I Osteotomy Associated With Maxillary Sinusitis?

Nocini, Pier Francesco; D’Agostino, Antonio; Trevisiol, Lorenzo; Favero, Vittorio; Pessina, Mattia; Procacci, Pasquale

doi:10.1016/j.joms.2015.10.006

Cited by 42 publications

(50 citation statements)

References 28 publications

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“…The bones around the maxillary sinus become separated following a Le Fort I osteotomy, leading to blood accumulation and mucosal thickening in the maxillary sinus [8]. Blood accumulation in this region prolongs mucosal thickening and can cause maxillary sinusitis as a complication of this procedure [9,10]. The incidence of complications associated with maxillary sinusitis after a maxillary osteotomy is reported to be 1.1% [3], with a prevalence of 4.76% [11].…”

Section: Discussionmentioning

confidence: 99%

“…One group reported that reduced operative time and antibiotics could help reduce mucosal thickening after a maxillary osteotomy [8]. Others have used the Lund-Mackay score to measure inflammation in the maxillary sinus [9,13]. Here, we used quantitative methods to evaluate postoperative maxillary sinus and haziness volumes using 3D reconstructions of 1 mm CT slices.…”

Section: Discussionmentioning

confidence: 99%

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Maxillary sinus haziness and facial swelling following suction drainage in the maxilla after orthognathic surgery

Lee

Kim

Kang

2020

Maxillofac Plast Reconstr Surg

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Background We investigated the efficacy of a maxillary Jackson-Pratt (J-P) suction drain for preventing maxillary sinus hematoma and facial swelling after maxillary Le Fort I osteotomy (LF1). Methods We retrospectively evaluated 66 patients who underwent LF1 at a single institution. Of these, 41 had a J-P suction tube inserted in the mandible and maxilla (maxillary insertion), and 25 had a J-P drain inserted in the mandible only (no maxillary insertion). Facial CT was obtained before and 4 days after surgery. We compared mean midfacial swelling and maxillary sinus haziness by t test and examined correlations between bleeding amount and body mass index (BMI). Results For the maxillary-insertion group, the ratio of total maxillary sinus volume to haziness (57.5 ± 24.2%) was significantly lower than in the group without maxillary drain insertion (65.5% ± 20.3; P = .043). This latter group, however, did not have a significantly greater midfacial soft tissue volume (7575 mm3) than the maxillary-insertion group (7250 mm3; P = .728). BMI did not correlate significantly with bleeding amount or facial swelling. Conclusions Suction drainage in the maxilla reduced maxillary sinus haziness after orthognathic surgery but did not significantly reduce midfacial swelling.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Maxillary sinus haziness and facial swelling following suction drainage in the maxilla after orthognathic surgery

Lee

Kim

Kang

2020

Maxillofac Plast Reconstr Surg

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“…3 It might seem logical that maxillary surgery affects the morphology of structures such as the maxillary sinuses (MSs), 4 which are important for breathing and speech resonance. 5 Surgical movements of the maxilla (impaction or advancement) have been shown to affect their morphology 2,6 as well as trigger inflammatory changes leading to mucosal thickening of the MS. 7 Likewise, the pharyngeal airway space (PAS) also has particular anatomical traits that may undergo changes after orthognathic surgery due to its strong and muscular envelope and its relationship to surrounding structures (tongue, soft palate, and pharynx). [7][8][9] Whereas single-jaw surgery is a valid option for treating dentofacial deformities, some authors regard bimaxillary orthognathic surgery as an adequate alternative in Class II patients, since maxillomandibular advancement produces a gain in the PAS.…”

Section: Introductionmentioning

confidence: 99%

How does bimaxillary orthognathic surgery change dimensions of maxillary sinuses and pharyngeal airway space?

Bin¹,

Filho²,

Yamashita³

et al. 2020

The Angle Orthodontist

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Objectives To assess changes in the maxillary sinus (MS) and pharyngeal airway space (PAS) after bimaxillary orthognathic surgery using cone-beam computed tomography (CBCT). Materials and Methods The CBCT scans of 48 patients were divided into two groups: group 1: maxillary advancement and mandibular setback (n = 24); group 2: maxillomandibular advancement (n = 24). The CBCTs were acquired 1 to 2 months preoperatively and 6 to 8 months postoperatively. A kappa test was used to determine intra- and interexaminer agreement. Area, volume, and linear measurements of MSs and PASs obtained before and after surgery were compared using a mixed model (P < .05). Results All variables of the MS showed significant postsurgical reductions in both groups, except the MS length, which showed a significant increase in group 2. Volume and minimum axial area of PAS showed statistically significant postsurgical increases in both groups (P < .05). Conclusions Despite the reduction in the MS and the increase in the PAS, results indicated that the airway was not negatively affected after maxillomandibular advancement and maxillary advancement with mandibular setback.

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“…The postoperative radiologic views of the maxillary sinus showed inflammation and rhinosinusitis symptoms after LeFort osteotomies. Larger long-term studies are warranted to clarify the postoperative outcomes and complications (Figure 4) [21].…”

Section: Maxillary Sinusitismentioning

confidence: 99%

“…Radiologic findings: postoperative computed tomography scan displaying interruption of the medial walls[21].…”

mentioning

confidence: 99%

Complications of Orthognathic Surgery

Sadeghi¹

2016

A Textbook of Advanced Oral and Maxillofacial Surgery Volume 3

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Orthognathic surgery is a common approach for treatment of maxillofacial deformities. Sagittal split ramus osteotomy (SSRO) is one of the most common techniques used to treat various mandibular deformities. A LeFort I osteotomy is suggested in deformities of the maxilla and can be used along with SSRO or intra-oral vertical ramus osteotomy (IVRO).The aim of orthognathic surgery is to improve function and facial appearance; this benefits the patient psychologically and socially. Common complications which may occur in orthognathic surgery include vascular disease, temporomandibular joints (TMJ) problems, nerve damage, infection, bone necrosis, periodontal disease, vision impairment, hearing problems, hair loss, and neuropsychiatric problems. Rarely complications could be fatal. Because of the wide range of complications the surgeon should keep prevention protocols in mind and be prepared to treat them should they occur. In this chapter, common complications of various osteotomies in the mandible and maxilla are discussed.

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Is Le Fort I Osteotomy Associated With Maxillary Sinusitis?

Cited by 42 publications

References 28 publications

Maxillary sinus haziness and facial swelling following suction drainage in the maxilla after orthognathic surgery

Maxillary sinus haziness and facial swelling following suction drainage in the maxilla after orthognathic surgery

How does bimaxillary orthognathic surgery change dimensions of maxillary sinuses and pharyngeal airway space?

Complications of Orthognathic Surgery

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