Purpose: To evaluate a method to identify condylar sag intraoperatively by clinical examination after bilateral sagittal split osteotomy (BSSO). Methods: We. Condylar sag is an immediate or late alteration in the position of the condylar process in the glenoid fossa after the fixation of the osteotomy. Peripheral condylar sag (type II) had developed in three of these patients. In 15 patients central sag was diagnosed. One-week postoperatively, three patients.

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RCTs and CTs are crucial to evidence-based medicine as the most reliable source of information; therefore, only these types of studies were included in our evaluation. J Oral Szg Surg ; Patients of any age who had any orthognathic surgery procedure were evaluated in this review.

Its mechanical impairment may lead to poor function of the tube and the loss of middle ear integrity [ 28 ]. Published by Wolters Kluwer – Medknow. The additional search with the same search equation was performed sab Google Scholar and by browsing references of acquired studies on Serious hemorrhage from the pterygoid venous plexus occurs less frequently [ 19 ].

Intraoperative diagnosis of condylar sag after bilateral sagittal split ramus osteotomy.

Additionally, the critical appraisal of all included RCTs and CCTs resulted in only three studies that were assessed as having a low risk of bias.

Facial altered sensation and sensory impairment after orthognathic surgery. Some authors suggested that the use of heavy osteotomes, twisting techniques, or the incomplete split of the inferior border of the mandible could be the main cause of bad splitting [ 18 ].


Problems with function that are frequently reported include the following: Conflict of interest The authors declare that they have no conflicts of interest. What are orthognathic patients’ expectations of treatment outcome: Li KK, Stephens W. A new style of orthognathic clinic.

Unfavourable outcomes in orthognathic surgery Bonanthaya K, Anantanarayanan P – Indian J Plast Surg

A simple and accurate method for mounting models in orthognathic surgery. Additionally, Terijoki-Oksa et al. As with any surgical procedure, various preoperative, intraoperative, and postoperative complications may occur.

Willey Blackwell, Sussex; Regardless, complications may sagg after every surgery, and surgeons are obligated to minimize the risk of complications. Bad split can be provoked by the following: A rare complication after Le Fort I osteotomy.

Prediction of neurosensory alterations after sagittal split ramus osteotomy. A large number of these unfavorable outcomes are preventable, if attention is paid to detail while carrying out the treatment plan itself. An assessment of the quality of care provided to orthognathic surgery patients through a multidisciplinary clinic.

Transposition of the mental nerve in orthognathic surgery. Limitations of the study This SR exhibits some limitations.

Occlusal wafers on the model Courtesy: Br J Oral Asg Surg. Incidence of maxillary sinusitis following Le Fort I osteotomy: The hierarchy of evidence classification from the UK NHS Centre for Reviews and Dissemination was used to assess the level of evidence for the retrieved studies. Plate removal following orthognathic surgery. The effect of orthognathic surgery on taste function on the palate and tongue. Evaluation of an improved orthognathic articulator system: To provide the most reliable evidence, a critical appraisal of all included randomized controlled trials RCTs and clinical trials CTs was performed Online Resources 1 — 2.

Late onset of abducens palsy after Le Fort Codylar maxillary osteotomy. The overall judgment was assessed as high or unclear risk when one condyar more key domains were assessed as high or unclear. J Oral Maxillofac Surg ;67 Suppl: Velopharyngeal anatomy and maxillary advancement. All systematic reviews, randomized controlled trials, clinical trials were considered.


Table 2 Search strategy equation for PubMed Medline database. Unfavourable outcomes are results of such work, which the patient and or the clinician does not like. The infraorbital nerve ION is another cranial nerve that may be exposed to injury during orthognathic surgery procedures. coondylar

Ellingsen RH, Artun J. Most of the references searched in the databases constituted case reports, case series, reviews, or comparative studies The most common reason for an unclear or high-risk designation was the unblinded evaluation of clinical outcomes.

W B Saunders, Pennsylvania Subjective symptoms of sensory alteration are more important after axonal rather than with demyelinating injuries [ 29 ]. Contemporary management of dentofacial deformities: Non-union of the maxilla: Online Resource 2 26K, docx Risk of bias assessment graph: This SR exhibits some limitations.

Oral and maxillofacial surgeons, orthodontists, and the surgical team need to prevent such complications during preoperative, intraoperative, and aag periods to increase the safety of orthognathic surgery procedures.

Intraoperative diagnosis of condylar sag after bilateral sagittal split ramus osteotomy.

Hippocrate, Brussels, Belgium. Home Subscribe Feedback Login. Results Most of the references searched in the databases constituted case reports, case series, reviews, or comparative studies

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