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Role Of Tumescent Solution In Modification Of The Orthognathic Surgery: A Pilot Study.

Virendra Singh¹, Vyomesh Bhatt¹, Ankita Dahiya²

¹Department of Oral and Maxillofacial Surgery, Post Graduate Institute of Dental Sciences, Rohtak, Haryana 124001 India.

Journal of Maxillofacial and Oral Surgery

|June 2, 2025

Summary

This pilot study shows that using a tumescent solution in orthognathic surgery, specifically LeFort 1 osteotomies, significantly reduces blood loss and hospital stay. This technique improves patient outcomes and recovery.

Keywords:

Intraoperative blood loss Orthognathic surgery Tumescent anesthesia Tumescent solution

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Area of Science:

Oral and Maxillofacial Surgery
Surgical Innovation
Patient Outcomes

Background:

Orthognathic surgery corrects dentofacial deformities but traditionally involves long operative times, significant blood loss, and extended hospital stays.
Recent advancements have shifted towards outpatient settings for orthognathic procedures through improved surgical techniques.

Purpose of the Study:

To evaluate the efficacy of a tumescent solution in reducing intraoperative blood loss and postoperative stay for patients undergoing LeFort 1 osteotomies.
To assess the feasibility of outpatient settings for orthognathic surgery using this novel approach.

Main Methods:

A pilot study involving five patients undergoing LeFort 1 osteotomies.
Tumescent solution was administered 10 minutes prior to surgical incision.
Intraoperative blood loss, postoperative stay, and pain were quantitatively assessed and compared to retrospective data.

Main Results:

The study observed a significant reduction in key parameters compared to historical data.
Mean intraoperative blood loss was 264 ml, substantially lower than the reported 436.11 ml.
The average postoperative stay was 1.2 days, significantly shorter than the 1.2-8.5 days typically reported.

Conclusions:

The novel application of tumescent solution in orthognathic surgery demonstrates a positive impact on reducing intraoperative blood loss and postoperative morbidity.
This technique shows promise for enhancing the safety and efficiency of orthognathic procedures, potentially facilitating outpatient settings.