Joël Ferri1, Charles Druelle2, Matthias Schlund3, Nicolas Bricout4, Romain Nicot1. 1. Université de Lille, service de chirurgie maxillo-faciale et stomatologie, CHU Lille, 59000 Lille, France; University Lille, Controlled Drug Delivery Systems and Biomaterials, Inserm U1008, 59000 Lille, France; AIMOM, 7, bis rue de la Créativité, 59650 Villeneuve d'Ascq, France. 2. Université de Lille, service de chirurgie maxillo-faciale et stomatologie, CHU Lille, 59000 Lille, France; AIMOM, 7, bis rue de la Créativité, 59650 Villeneuve d'Ascq, France. Electronic address: charles.druelle.pro@gmail.com. 3. Université de Lille, service de chirurgie maxillo-faciale et stomatologie, CHU Lille, 59000 Lille, France; University Lille, Controlled Drug Delivery Systems and Biomaterials, Inserm U1008, 59000 Lille, France. 4. CHU Lille, Université de Lille, service de neuroradiologie, 59000 Lille, France.
Abstract
INTRODUCTION: Orthognathic surgery is a safe procedure with increasing indications during the past few decades. However, complications in exceptional situations can be serious and even lethal. OBJECTIVE: In this article, we analysed the complications of orthognathic surgery with the aim to recognize and treat them appropriately. MATERIALS AND METHODS: In all, 5025 cases of orthognathic surgery have been performed over a 25-year period. All the complications except trigeminal disorders, temporo-mandibular joint disorders, dental traumas, and bad splits were recorded with their corresponding management. RESULTS: In all, 73 complications were found including vascular complications, ophthalmic, infections, pseudarthrosis, and cranial base fractures. DISCUSSION: Complications in orthognathic surgery are rare. While many are manageable, some could have adverse outcomes. Each complication has its own treatment. Prevention can be achieved with perfect surgical techniques. However, some complications cannot be avoided even with skilled surgeons.
INTRODUCTION: Orthognathic surgery is a safe procedure with increasing indications during the past few decades. However, complications in exceptional situations can be serious and even lethal. OBJECTIVE: In this article, we analysed the complications of orthognathic surgery with the aim to recognize and treat them appropriately. MATERIALS AND METHODS: In all, 5025 cases of orthognathic surgery have been performed over a 25-year period. All the complications except trigeminal disorders, temporo-mandibular joint disorders, dental traumas, and bad splits were recorded with their corresponding management. RESULTS: In all, 73 complications were found including vascular complications, ophthalmic, infections, pseudarthrosis, and cranial base fractures. DISCUSSION: Complications in orthognathic surgery are rare. While many are manageable, some could have adverse outcomes. Each complication has its own treatment. Prevention can be achieved with perfect surgical techniques. However, some complications cannot be avoided even with skilled surgeons.
Authors: Luana Lima Bulgarelli; Dov Charles Goldenberg; Rafael Maffei Loureiro; Andre Felix Gentil; Roberto Franco Morgulis; Eduardo Carvalhal Ribas Journal: Plast Reconstr Surg Glob Open Date: 2022-08-19