[Complications in surgical treatment of malocclusions. Report of 50 years experience] Mund-, Kiefer- und Gesichtschirurgie : MKG. [Mund Kiefer Gesichtschir] Journal article | | Title | [Complications in surgical treatment of malocclusions. Report of 50 years experience] | | Author(s) | Maurer P, Otto C, Eckert AW, Schubert J | | Institution | Klinik und Poliklinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Martin-Luther-Universität Halle-Wittenberg, Grosse Steinstrasse 19, 06097 Halle, Saale. peter.maurer@medizin.uni-halle.de | | Source | Mund Kiefer Gesichtschir 2001 Nov; 5(6):357-61. | | MeSH | Cross-Sectional Studies
English Abstract
Germany
Humans
Incidence
Intraoperative Complications
Malocclusion
Mandible
Maxilla
Osteotomy, Le Fort
Postoperative Complications
Retrospective Studies
| | Abstract | BACKGROUND: During the past few decades, orthognathic surgery has become routine in oral and maxillofacial surgery. As these surgical interventions are elective, the goal is a low complication rate. The aim of this study was to analyze the intraoperative and postoperative complications after orthognathic surgery without considering orthodontic relapse.
PATIENTS AND METHODS: The medical files of 507 patients were reviewed who had been treated in the department of oral maxillofacial surgery at the Martin-Luther-Universität in Halle-Wittenberg during a period of 51 years. The indication for orthognathic surgery was mandibular hyperplasia in 314 cases (61.9%), mandibular hypoplasia in 69 cases (13.6%), mandibular hyperplasia with a frontal open bite in 53 cases (10.5%), maxillary hyperplasia with a cleft in 30 cases (5.9%), maxillary hyperplasia in 22 cases (4.3%), severe laterognathia in 10 cases (2.1%), and isolated frontal open bite in 9 cases (1.5%). The surgical procedures were as follows: bilateral sagittal split osteotomy (n = 336, 66%), Le Fort I osteotomy (n = 29, 5.9%), bimaxillary osteotomy (n = 35, 6.3%), and segment osteotomy (n = 107, 21.1%). Rigid fixation was used in 147 patients.
RESULTS: In 55% of the patients a postoperative neurosensory deficit of the inferior alveolar nerve was observed, which was only found in 28% after 1 year. Inflammatory wound healing was found in 5.3% of the patients.
CONCLUSION: Due to antibiotic perioperative prophylaxis and modern rigid osteosynthesis devices, orthognathic surgery has become a routine method in maxillofacial surgery with predictable surgical results. | | Language | ger | | Pub Type(s) | Journal Article
| | PubMed ID | 11838040 |
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