Complications related to orthognathic surgery: A 10-year experience in oral and maxillofacial training center
| Autor: | Napat Damrongsirirat, Boosana Kaboosaya, Kiti Siriwatana, Pornchai Jansisyanont, Keskanya Subbalekha, Atiphan Pimkhaokham |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Operative Time Orthognathic surgery Osteotomy Young Adult Postoperative Complications Bleeding time Statistical significance medicine Humans Skeletal deformity Postoperative Period Adverse effect Retrospective Studies medicine.diagnostic_test Orthognathic Surgical Procedures business.industry Orthognathic Surgery Surgery Otorhinolaryngology Training center Female Oral Surgery Complication business |
| Zdroj: | Journal of Cranio-Maxillofacial Surgery. 50:197-203 |
| ISSN: | 1010-5182 |
| DOI: | 10.1016/j.jcms.2021.11.011 |
| Popis: | Aim This article aimed to review adverse events and complications to orthognathic surgery based upon 10 years. Material and methods This study was a retrospective investigation between 2009 and 2018. Independent variables such as sex, age, pre-operative conditions, diagnosis, type of surgery, bleeding volume, surgery duration, and hospitalization were recorded. The data regarding orthognathic surgery adverse events and complications were evaluated and statistically analyzed with a significance level of p Results A total of 891 patients were included in this study (male 39.1%, female 60.9%) with a mean age of 26.4 ± 6.09 years. A neurosensory disturbance was found as immediate post-operative sequelae as 93.5%. The four most frequent complications had a relapse (6.4%), post-operative TMD (5.7%), unfavorable osteotomy (5.5%), and infection (4.9%), which seem to be more common in males. An average blood loss was 497 ± 371 ml and the average operative time was 401 ± 109.3 min. Complication rates were statistically affected by bleeding volume (p-value = 0.01), operative time (p-value = 0.03), and type of skeletal deformity (p-value = 0.01). Conclusion Although numerous complications were recorded, no fatal complications were experienced. Bleeding time, operative time, and skeletal classification have significant influence on orthognathic surgery complications. However, a multitude of factors could be modified to reduce the complication rate and improve the result of the treatment. One of the most significant factors was the operative time. |
| Databáze: | OpenAIRE |
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