Considerations for orthognathic surgery during growth, part 2: maxillary deformities

Area of Science:

• Orthognathic surgery
• Pediatric and adolescent dentistry
• Craniofacial surgery

Background:

• Growing patients may present with dentofacial deformities requiring surgical intervention.
• Limited research exists on orthognathic surgery's predictability and effects on facial growth in pediatric and adolescent populations.
• Adult orthognathic surgery literature is extensive, but pediatric data is scarce.

Purpose of the Study:

• To provide recommendations for surgical correction of maxillary deformities in growing patients.
• To address age considerations, surgical alternatives, and treatment sequencing.
• To synthesize available research and clinical experience for this patient group.

Main Methods:

• Review of existing literature on orthognathic surgery in growing patients.
• Analysis of clinical experience in managing maxillary deformities.
• Presentation of common deformities, age-specific considerations, and treatment strategies.

Main Results:

• Significant knowledge gaps exist regarding the long-term stability and growth effects of early orthognathic surgery.
• Secondary corrective procedures may be necessary following initial interventions.
• Recommendations are based on current evidence and clinical expertise.

Conclusions:

• Surgical correction of maxillary deformities in growing individuals requires careful consideration of growth.
• Further research is needed to understand the predictability and long-term outcomes of these procedures.
• This article provides a framework for clinical decision-making in managing these complex cases.