Spasmodic torticollis after orthognathic surgery.

Area of Science:

• Dental Medicine
• Orthodontics
• Neurosurgery
• Physical Therapy

Background:

• Orthognathic surgery corrects malocclusions but carries known risks like infection and nerve injury.
• The connection between dental occlusion and postural disorders is increasingly recognized in recent literature.
• Postural disorders are not previously reported complications of orthognathic surgery.

Observation:

• A young, healthy patient developed persistent spasmodic torticollis after orthognathic surgery.
• The patient had no prior history of postural issues or neurological conditions.
• The torticollis manifested as sustained neck muscle spasms, leading to abnormal head posture.

Findings:

• This case presents the first reported instance of spasmodic torticollis following orthognathic surgery.
• The physiopathological mechanisms linking orthognathic surgery to this specific postural disorder are discussed.
• The findings suggest a potential, albeit rare, neurological or musculoskeletal complication of the surgical procedure.

Implications:

• Clinicians should consider the potential for rare postural complications, such as torticollis, after orthognathic surgery.
• Further research is warranted to understand the underlying mechanisms and establish diagnostic criteria for this complication.
• This case highlights the importance of a multidisciplinary approach involving orthodontists, surgeons, and physical therapists in managing patients.