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Current Orthognathic Surgery Practice Patterns Among Academic OMS.

Graham Bourne1, Brian Kinard2

  • 1University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama, USA.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|January 24, 2023
PubMed
Summary
This summary is machine-generated.

Orthognathic surgery practices vary widely among US academic centers, with few standardized guidelines. This highlights a need for evidence-based protocols to improve patient care and outcomes.

Keywords:
bilateral sagittal ramus osteotomyle fort Iorthognathic surgeryosteotomy

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Surgical Practice Patterns
  • Academic Medicine

Background:

  • Perioperative care for orthognathic surgery patients currently lacks standardized clinical practice guidelines.
  • Significant variation exists in current orthognathic surgery practice patterns.
  • There is a need to describe current practice patterns in US academic Oral and Maxillofacial Surgery (OMFS) training centers.

Purpose of the Study:

  • To describe the current practice patterns in orthognathic surgery among US academic OMFS training centers.
  • To identify variations in perioperative care and identify areas for guideline development.

Main Methods:

  • A cross-sectional study design was employed.
  • Data was collected via a survey distributed to academic OMFS programs in the US.
  • Descriptive and bivariate statistics were used to analyze responses from 85 surgeons.

Main Results:

  • Respondents represented a range of experience levels, with 31% practicing for 30+ years.
  • Surgical volume varied, with 26% performing 20-40 orthognathic surgeries annually.
  • Intraoperative practices showed variation, with 48% targeting a mean arterial pressure of 60-64 mmHg and 25% using tranexamic acid (TXA).

Conclusions:

  • Significant variations in orthognathic surgery practice patterns exist across US academic centers.
  • Limited consensus was found, with only 13 of 32 survey questions receiving a simple majority response.
  • The study underscores the need for further research to develop evidence-based protocols and decision-making guidelines for orthognathic surgery.