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Recovery following Orthognathic Surgery Procedures-A Pilot Study.
Cristian Dinu1, Avram Manea1, Denisa Tomoiagă1
1Department of Maxillofacial Surgery and Implantology, University of Medicine and Pharmacy "Iuliu Hațieganu", 37 Cardinal Iuliu Hossu Street, 400029 Cluj-Napoca, Romania.
International Journal of Environmental Research and Public Health
|December 11, 2022
Summary
This study tracked recovery symptoms after bimaxillary orthognathic surgery. Edema, pain, and anesthesia/hypoesthesia were common, with anesthesia/hypoesthesia being the most persistent issue for patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Plastic Surgery
Background:
- Bimaxillary orthognathic surgery is a complex procedure requiring careful postoperative monitoring.
- Understanding patient recovery symptoms is crucial for managing expectations and optimizing outcomes.
Purpose of the Study:
- To evaluate and categorize objective and subjective postoperative recovery symptoms after bimaxillary orthognathic surgery.
- To correlate common symptoms with the patient healing process.
Main Methods:
- A prospective, observational study involving patients aged 18-35 with Class II and III malocclusion.
- Data collection included preoperative and postoperative assessments at 48 hours, 2 weeks, 1 month, and 3 months.
- A questionnaire assessed pain and anesthesia/hypoesthesia; objective measurements evaluated edema and mouth opening.
Main Results:
- Common symptoms included edema, hematoma, trismus, pain, and anesthesia/hypoesthesia.
- Edema peaked at 48-72 hours post-surgery.
- Mouth opening significantly decreased in the first two weeks but improved over three months.
- Anesthesia/hypoesthesia was the most persistent and severe symptom impacting patients.
Conclusions:
- Edema and decreased mouth opening are expected early postoperative symptoms after bimaxillary orthognathic surgery.
- Pain is typically of medium intensity and localized.
- Anesthesia/hypoesthesia represents a significant and persistent challenge in the postoperative recovery phase.
