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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Understanding Re-operation in orthognathic surgery: A 17-year retrospective study analyzing causes and rates
Emrah Soylu1, Musab Süleyman Kılavuz2, Cemil Eren2
1Erciyes University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Dentbiochem Co., Erciyes Teknopark, Kayseri, Türkiye.
Summary
Re-operations after orthognathic surgery occur in 8.33% of cases, primarily due to plate issues and aesthetic concerns. Understanding these causes can help minimize future surgical interventions.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Orthodontics
Background:
- Orthognathic surgery corrects dentofacial deformities, but complications necessitating re-operation can arise.
- Patient satisfaction and surgical outcomes are paramount in corrective procedures.
Purpose of the Study:
- To retrospectively analyze the reasons for re-operation in patients who underwent orthognathic surgery.
- To evaluate secondary and tertiary surgical procedures and identify common complications.
Main Methods:
- Retrospective analysis of patients undergoing orthognathic surgery between June 2006 and September 2023.
- Categorization of re-operation reasons including plate removal, malocclusion, aesthetic dissatisfaction, and others.
- Analysis of reasons for plate removal and location of removed plates.
Main Results:
- The re-operation rate was 8.33%.
- Plate problems (43.53%) and aesthetic dissatisfaction (16.47%) were the most frequent reasons for re-operation.
- Infection was the primary cause for plate removal (78.68%).
Conclusions:
- Plate-related complications and aesthetic dissatisfaction are significant factors contributing to re-operations after orthognathic surgery.
- Identifying and addressing these causes is crucial for improving patient outcomes and reducing the need for further surgical intervention.
