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Complications after orthognathic surgery: our experience on 423 cases
Marco Friscia1, Carolina Sbordone1, Marzia Petrocelli1
1Department of Maxillo-Facial Surgery, School of Medicine, University of Naples "Federico II", Via S. Pansini 5, 80100, Naples, Italy.
Oral and Maxillofacial Surgery
|March 3, 2017
Summary
Orthognathic surgery is generally safe, with serious complications being rare. Most issues, like nerve injury or TMJ disorders, are manageable and often linked to surgeon experience rather than inherent risks.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Complications Analysis
- Patient Safety in Orthognathic Procedures
Background:
- Orthognathic surgery corrects dentofacial discrepancies but carries potential risks.
- A 10-year review was conducted to assess complications.
- The study focused on intraoperative and postoperative issues.
Purpose of the Study:
- To comprehensively review complications associated with orthognathic surgery.
- To identify the incidence and types of complications over a decade.
- To analyze the influence of surgical procedures on complication rates.
Main Methods:
- Retrospective analysis of 423 patient records from Federico II University of Naples.
- Data collected over a 10-year period.
- Statistical analysis to correlate procedure type with complication frequency.
Main Results:
- 185 complications occurred in 143 patients (33.8%).
- Common complications included nerve injury (11.9%), TMJ disorders (8.5%), and fixation issues (7.1%).
- Less frequent issues involved infections (2.4%), bad split osteotomy (1.9%), and condylar resorption (0.5%).
Conclusions:
- Serious complications in orthognathic surgery are infrequent.
- Complication rates may be influenced by surgeon experience.
- Understanding potential risks is crucial for patient counseling and safe surgical practice.
Keywords:
Inferior alveolar nerve injuriesLe Fort 1 osteotomy complicationsOrthognathic surgeryOrthognathic surgery complicationsSagittal split ramus osteotomy complicationsMore Related Videos
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