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Consent for orthognathic surgery: a UK perspective.

Niall M H McLeod1, Elizabeth A Gruber

  • 1Maxillofacial Unit, Queen Alexandra Hospital, Portsmouth PO6 3LY, United Kingdom. niall_mcleod@yahoo.co.uk

The British Journal of Oral & Maxillofacial Surgery
|July 26, 2011
PubMed
Summary

Obtaining informed consent for orthognathic surgery involves discussing benefits, risks, and alternatives. This study benchmarks current UK practices for consent in orthognathic surgery and reviews potential complications.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Medical Law and Ethics

Background:

  • Informed consent is a legal requirement for orthognathic surgery, encompassing discussions on benefits, risks, and alternatives.
  • Current disclosure practices regarding the extent of information in orthognathic surgery consent are not standardized.
  • Evolving case law provides guidance on consent, but consensus on disclosure levels remains elusive.

Purpose of the Study:

  • To assess current practices for obtaining informed consent for orthognathic surgery among UK oral and maxillofacial surgeons.
  • To establish a benchmark for consent procedures in orthognathic surgery.
  • To review common and serious complications relevant to orthognathic surgery consent discussions.

Main Methods:

  • A survey of oral and maxillofacial surgeons in the UK regarding their consent procedures for orthognathic surgery.
  • Review of relevant legal guidance and case law pertaining to medical consent.
  • Analysis of common and severe complications associated with orthognathic procedures.

Main Results:

  • Findings will provide insights into the variability and commonalities in current consent practices.
  • The study will highlight areas where disclosure may differ from legal expectations or best practices.
  • An overview of frequently discussed and serious complications will be presented.

Conclusions:

  • The study aims to inform discussions on improving informed consent processes in orthognathic surgery.
  • Establishing a benchmark can guide surgeons in meeting legal and ethical standards for patient consent.
  • Understanding complication disclosure is crucial for comprehensive patient counseling.