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Facial Nerve Surgery in the Rat Model to Study Axonal Inhibition and Regeneration
Published on: May 5, 2020
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[Secondary surgeries for facial osteotomies: 10 cases]
14, rue Claude-Bador, 69500 Bron, France.
Annales De Chirurgie Plastique Et Esthetique
|August 29, 2019
Summary
Reoperations in orthognathic surgery are common, especially in patients with sleep apnea, lingual dysfunction, or oral ventilation issues. These factors increase the risk for patients undergoing corrective jaw surgery.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Orthodontics
Background:
- Orthognathic surgery is a predictable treatment for dento-maxillo-facial deformities.
- Increasing indications and patient pursuit of perfection lead to more complex cases and reoperations.
- The goals of orthognathic surgery are functional, occlusal, and aesthetic.
Purpose of the Study:
- To analyze factors influencing reoperations in orthognathic surgery.
- To identify patient-specific risk factors for secondary osteotomies.
- To evaluate outcomes of revision orthognathic procedures.
Main Methods:
- Retrospective study of 10 patients undergoing revision orthognathic surgery.
- Analysis included initial indications, surgical types, orofacial functions, reoperation timing, and techniques.
- Evaluation of pre-existing conditions such as obstructive sleep apnea (OSAS), lingual dysfunction, and oral ventilation.
Main Results:
- Patients requiring reoperation often presented with at least one negative factor: OSAS, lingual dysfunction, or oral ventilation.
- These factors were identified as potential predictors for secondary surgeries.
- The study noted a lack of extensive literature on the frequency of revision orthognathic surgeries.
Conclusions:
- Specific patient factors like OSAS, lingual dysfunction, and oral ventilation are associated with increased reoperation rates in orthognathic surgery.
- Identifying these risk factors is crucial for managing patient expectations and surgical planning.
- Further research is needed to establish the precise frequency and outcomes of revision orthognathic procedures.
Keywords:
Apnée du sommeilChirurgie orthognathiqueOrthognathic surgeryReoperationReopérationSleep apnoeMore Related Videos
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