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Unfavourable outcomes in orthognathic surgery.

Krishnamurthy Bonanthaya1, P Anantanarayanan2

  • 1Bhagwan Mahaveer Jain Hospital, Bangalore, Karnataka, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|February 7, 2014
PubMed
Summary

Unfavorable outcomes in orthognathic surgery can stem from pre-treatment factors like patient motivation and treatment planning, as well as during-treatment execution errors. Careful attention to detail in both planning and execution can minimize these adverse results.

Keywords:
Orthognathic surgeryoutcomeunfavourable

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics

Background:

  • Unfavorable outcomes are common in surgical procedures, including orthognathic surgery.
  • These outcomes are defined as results not desired by the patient or clinician.

Purpose of the Study:

  • To review and detail the various causes of unfavorable outcomes in orthognathic surgery.
  • To classify these causes based on treatment phases: pre-treatment and during treatment.

Main Methods:

  • Review of literature and clinical experience regarding orthognathic surgery outcomes.
  • Classification of unfavorable outcome causes into pre-treatment and during-treatment categories.

Main Results:

  • Pre-treatment factors influencing outcomes include patient motivation, diagnostic accuracy, and treatment planning/sequencing involving surgical and orthodontic teams.
  • During-treatment factors include errors in pre-surgical orthodontics, intra-operative execution, and post-operative care.

Conclusions:

  • Unfavorable outcomes in orthognathic surgery can be predetermined by pre-treatment factors.
  • Many unfavorable outcomes are preventable by meticulous attention to detail during treatment planning and execution.