Dörte Ohrmann1, Paa Ekow Hoyte-Williams1, Philip Kuo-Ting Chen2. 1. Department of Plastic and Reconstructive Surgery, Craniofacial Research Center, Chang Gung Memorial Hospital, Taoyuan. 2. Craniofacial Center, Taipei Medical University Hospital, Taipei City, Taiwan.
Abstract
PURPOSE OF REVIEW: To give an update on recent publications and tendencies concerning complications in cleft orthognathic surgery. RECENT FINDINGS: Cleft-specific changes after orthognathic surgery and their impact on surgical outcomes are discussed. Focus lays on the causes and mechanisms of cleft-related surgical complications and strategies to prevent or minimize these complications. Bimaxillary surgery is seen as a safe procedure for cleft patients. Maxillary distraction, total or segmental, is pointed out as an alternative method to improve outcomes. Different techniques for osteotomies and maxillary mobilization could decrease adverse events. SUMMARY: Cleft patients are more susceptible to the occurrence of complications because of peculiar presurgical conditions. Different surgical approaches and techniques are presented to overcome these difficulties, to achieve better results and to increase patient safety. The importance of communication between patient, family and cleft team members is emphasized.
PURPOSE OF REVIEW: To give an update on recent publications and tendencies concerning complications in cleft orthognathic surgery. RECENT FINDINGS:Cleft-specific changes after orthognathic surgery and their impact on surgical outcomes are discussed. Focus lays on the causes and mechanisms of cleft-related surgical complications and strategies to prevent or minimize these complications. Bimaxillary surgery is seen as a safe procedure for cleftpatients. Maxillary distraction, total or segmental, is pointed out as an alternative method to improve outcomes. Different techniques for osteotomies and maxillary mobilization could decrease adverse events. SUMMARY:Cleftpatients are more susceptible to the occurrence of complications because of peculiar presurgical conditions. Different surgical approaches and techniques are presented to overcome these difficulties, to achieve better results and to increase patient safety. The importance of communication between patient, family and cleft team members is emphasized.
Authors: Björn Rahlf; Philippe Korn; Alexander-Nicolai Zeller; Simon Spalthoff; Philipp Jehn; Fritjof Lentge; Nils-Claudius Gellrich Journal: Int J Implant Dent Date: 2022-02-02