Complications after orthognathic surgery: our experience on 423 cases

被引：55
作者：
Friscia M. [1 ]
Sbordone C. [1 ]
Petrocelli M. [1 ]
Vaira L.A. [1 ]
Attanasi F. [2 ]
Cassandro F.M. [3 ]
Paternoster M. [4 ]
Iaconetta G. [5 ]
Califano L. [1 ]
机构：
[1] Department of Maxillo-Facial Surgery, School of Medicine, University of Naples “Federico II”, Via S. Pansini 5, Naples
[2] Statistical Science Department, School of Statistic Science, University of Rome “La Sapienza”, Piazzale Aldo Moro 5, Rome
[3] Dentistry Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II, Via Pansini 9, Naples
[4] Department of Advanced Biomedical Sciences, Legal Medicine Unit, School of Medicine, University of Naples “Federico II”, Via S. Pansini 5, Naples
[5] Department of Neurosurgery, School of Medicine, University of Salerno, Via S. Allende, Baronissi, Salerno
来源：
Oral and Maxillofacial Surgery | 2017年 / 21卷 / 2期
关键词：
Inferior alveolar nerve injuries; Le Fort 1 osteotomy complications; Orthognathic surgery; Orthognathic surgery complications; Sagittal split ramus osteotomy complications;
D O I：
10.1007/s10006-017-0614-5
中图分类号：
学科分类号：
摘要：
Introduction: Orthognathic surgery is widely used to correct dentofacial discrepancies. However, this procedure presents numerous possible complications. The aim of our study is to review intraoperative and postoperative complications related to orthognathic surgery based upon a 10-year period in the Maxillofacial Surgery Department of Federico II University of Naples. Materials and methods: Medical records of 423 patients who undergone orthognathic surgery in a 10-year period were retrospectively analyzed and complications was noted. Statistical analysis was conduced in order to understand if the type of surgical procedure influenced complications rate. Results: One hundred eighty-five complications in 143 (33.8%) of the 423 treated patients were reported. Complications detected were nerve injury (49 cases, 11.9%), infections (10 cases, 2.4%), complications related to fixation plates or screws (30 cases, 7.1%), bad split osteotomy (8 cases, 1.9%), secondary temporo-mandibular joint disorders (36 cases, 8.5%), dental injuries (21 cases, 5%), condilar resorption (2 cases, 0.5%), and necessity of a second-time surgery (24 cases, 5.7%). Conclusions: Serious complications seem to be quite rare in orthognathic surgery. Some of the surgical complications found are related to the surgeon experience and not strictly to the risks of the operation itself. Understanding potential complications allows the surgeon to guarantee safe care through early intervention and correctly inform the patient in the preoperative colloquy. © 2017, Springer-Verlag Berlin Heidelberg.
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页码：171 / 177
页数：6
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