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Peripheral facial palsy after bilateral sagittal split ramus osteotomy: case report
Y Shimada1, Y Kawasaki2, Y Maruoka3
1Department of Oral and Maxillofacial Surgery, National Center for Global Health and Medicine, Tokyo, Japan.
The British Journal of Oral & Maxillofacial Surgery
|March 27, 2019
Summary
Facial palsy is a rare complication following bilateral sagittal split ramus osteotomy (BSSRO). This case study highlights a patient
Area of Science:
- Oral and Maxillofacial Surgery
- Neurosurgery
- Orthognathic Surgery
Background:
- Bilateral sagittal split ramus osteotomy (BSSRO) is a common orthognathic surgical procedure.
- Neurological complications, such as altered sensation from the inferior alveolar nerve, are known sequelae of mandibular osteotomies.
- Peripheral facial palsy is an uncommon postoperative complication of BSSRO.
Observation:
- A 42-year-old male developed peripheral facial palsy one day after undergoing BSSRO for mandibular protrusion.
- The patient was treated with oral prednisolone, gradually tapered over time.
Findings:
- Complete recovery of right facial muscle movement was observed within one month.
- Full recovery without residual asymmetry was achieved after two months.
- Potential causes include retractor-induced facial nerve compression and postoperative edema.
Implications:
- Peripheral facial palsy is a rare but possible complication of BSSRO.
- This potential complication should be included in the informed consent process for patients undergoing BSSRO.
- Awareness of this complication is crucial for timely diagnosis and management.
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