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[Complications and failures in orthognathic surgery].
P Mahy1, S Siciliano, H Reychler
1Service de stomatologie et de chirurgie maxillo-faciale Cliniques Universitaires Saint-Luc Université catholique de Louvain Avenue Hippocrate, 15 B-1200 Bruxelles.
Revue Belge De Medecine Dentaire
|March 26, 2003
Summary
Orthognathic surgery is generally safe, but patients should know potential side effects. Careful surgical planning and postoperative care minimize risks like bleeding and nerve issues.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Surgical Complications
Context:
- Orthognathic surgery, a maxillofacial orthopaedic procedure, corrects jaw and facial irregularities.
- While effective, it carries potential complications that patients must understand.
- Literature review focusing on common issues in orthognathic procedures.
Purpose:
- To review the most relevant complications associated with daily orthognathic surgery.
- To inform patients and clinicians about potential side effects and risks.
- To highlight strategies for complication avoidance.
Summary:
- Immediate life-threatening complications are rare and preventable with proper techniques and care.
- Excessive blood loss is the primary perioperative concern in maxillary surgery.
- Subjective neurosensory disturbance is the most frequent complication in mandibular surgery.
Impact:
- Emphasizes the importance of patient awareness regarding orthognathic surgery side effects.
- Highlights the critical role of collaboration between orthodontists and surgeons.
- Aims to reduce immediate and late postoperative problems and improve surgical outcomes.