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Facial Nerve Palsy Associated With Orthognathic Surgery
Natália Valduga Bisatto1, Fernando de Oliveira Andriola1, Bernardo Ottoni Braga Barreiro1
1Department of Oral and Maxillofacial Surgery, Dental School, Pontificial Catholic University of Rio Grande do Sul (PUCRS), Partenon.
The Journal of Craniofacial Surgery
|May 7, 2020
Summary
Facial palsy is a rare but serious complication following bimaxillary orthognathic surgery. While typically resolving spontaneously, it significantly impacts patient quality of life and social interaction.
Area of Science:
- Oral and Maxillofacial Surgery
- Neurosurgery
- Plastic Surgery
Background:
- Bimaxillary orthognathic surgery corrects dentofacial deformities, improving function and aesthetics.
- Potential complications include bleeding, nerve damage, and infection, though facial nerve injury is rare.
Observation:
- A 25-year-old female developed facial palsy post-bimaxillary orthognathic surgery for retrognathism.
- Facial nerve palsy, though uncommon and usually transient, is a significant complication.
Findings:
- Facial nerve palsy is an uncommon complication of bimaxillary orthognathic surgery.
- Despite its rarity, facial nerve palsy can severely affect a patient's quality of life.
Implications:
- Highlights the importance of recognizing and managing rare neurological complications in orthognathic surgery.
- Emphasizes the need for patient counseling regarding potential risks, including facial nerve injury.
- Suggests further research into preventative measures and treatment strategies for facial nerve palsy post-orthognathic procedures.
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