TY - JOUR
T1 - Orthognathic surgery complications
T2 - The 10-year experience of a single center
AU - Peleg, Oren
AU - Mahmoud, Reema
AU - Shuster, Amir
AU - Arbel, Shimrit
AU - Manor, Yifat
AU - Ianculovici, Clariel
AU - Kleinman, Shlomi
N1 - Publisher Copyright: © 2021 European Association for Cranio-Maxillo-Facial Surgery
PY - 2021/10
Y1 - 2021/10
N2 - The retrospective cohort study aimed to assess the incidence and characteristics of these complications in patients who underwent orthognathic procedures. Data on the intraoperative and the postoperative complications were extracted from the patients’ medical files. Procedures were further subdivided into single-jaw procedures and bimaxillary procedures. A total of 209 orthognathic procedures were carried out in 190 patients. 184 (88%) were performed to treat angle class III malocclusion, while 25 (12%) aimed to treat class II malocclusion. A total of 94 complication events were observed (44.9% of 209 procedures). 22 of them occurred in single-jaw procedures (28.2% of 78 single jaw operations), and 72 occurred in bimaxillary procedures (55% of 131 bimaxillary operations). When compared regarding the type of complication, complication rates were comparable between the study groups with the exception of late-stage malocclusion. A significant difference (p-value = 0.028) in malocclusion incidences between the bimaxillary and single-jaw groups were observed (9 events, 4.3% and zero events, 0%, respectively). The majority of the complications during and following orthognathic surgical procedures are temporary or minor and require little or no treatment at all.
AB - The retrospective cohort study aimed to assess the incidence and characteristics of these complications in patients who underwent orthognathic procedures. Data on the intraoperative and the postoperative complications were extracted from the patients’ medical files. Procedures were further subdivided into single-jaw procedures and bimaxillary procedures. A total of 209 orthognathic procedures were carried out in 190 patients. 184 (88%) were performed to treat angle class III malocclusion, while 25 (12%) aimed to treat class II malocclusion. A total of 94 complication events were observed (44.9% of 209 procedures). 22 of them occurred in single-jaw procedures (28.2% of 78 single jaw operations), and 72 occurred in bimaxillary procedures (55% of 131 bimaxillary operations). When compared regarding the type of complication, complication rates were comparable between the study groups with the exception of late-stage malocclusion. A significant difference (p-value = 0.028) in malocclusion incidences between the bimaxillary and single-jaw groups were observed (9 events, 4.3% and zero events, 0%, respectively). The majority of the complications during and following orthognathic surgical procedures are temporary or minor and require little or no treatment at all.
KW - LeFort I Osteotomy
KW - Orthognathic surgery
KW - Sagittal split osteotomy
KW - Surgery complication
KW - Vertical ramus osteotomy
UR - http://www.scopus.com/inward/record.url?scp=85105794339&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jcms.2021.04.006
DO - https://doi.org/10.1016/j.jcms.2021.04.006
M3 - مقالة
C2 - 33994296
SN - 1010-5182
VL - 49
SP - 891
EP - 897
JO - Journal of Cranio-Maxillofacial Surgery
JF - Journal of Cranio-Maxillofacial Surgery
IS - 10
ER -