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Orthognathic returns to theatre.

M Little1, R Langford1, G Holt1

  • 1James Cook University Hospital, Marton Road, Middlesbrough, TS3 4BW.

The British Journal of Oral & Maxillofacial Surgery
|April 17, 2021
PubMed
Summary
This summary is machine-generated.

Unexpected returns to the operating theatre after orthognathic surgery occurred in 3.6% of cases, most commonly due to malocclusion, particularly in male patients. Mandibular revisions were more frequent than maxillary ones.

Keywords:
orthognathicosteotomy

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthognathic Surgery Outcomes
  • Surgical Complications

Background:

  • Orthognathic surgery corrects dentofacial deformities.
  • Unexpected returns to theatre (reoperations) impact patient outcomes and healthcare costs.
  • Understanding reoperation rates and reasons is crucial for improving surgical protocols.

Purpose of the Study:

  • To determine the rate of unexpected returns to theatre following orthognathic surgery.
  • To identify and describe the primary reasons for these reoperations.
  • To analyze patient demographics and surgical factors associated with reoperation.

Main Methods:

  • Retrospective analysis of 357 consecutive orthognathic surgery cases over 13 years.
  • Exclusion of planned returns for hardware removal or staged procedures.
  • Detailed review of patient records to identify reoperations and their causes.

Main Results:

  • A 3.6% (13/357) unexpected return-to-theatre rate was observed.
  • Malocclusion was the most frequent reason for reoperation.
  • Reoperations predominantly occurred within four weeks post-surgery, with a higher incidence in male patients and involving the mandible.

Conclusions:

  • The unexpected reoperation rate for orthognathic surgery is relatively low but significant.
  • Addressing malocclusion promptly is key to reducing reoperation rates.
  • Further research into gender-specific and anatomical factors may refine surgical planning and patient selection.