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

Conclusions An evaluation of the obtained studies revealed the existence of a large number of varied complications associated with orthognathic surgery procedures. Stewart TD, Sexton J. Reyneke JP, Ferretti C. Unfavourable outcomes are results of such work, which the patient and or the clinician does not like.

Essentials of Orthognathic Surgery.

The additional search with the same search equation was performed in Google Scholar and by browsing references of acquired studies on Diagnosis and treatment planning. A survey of patient reasons and experiences. Regardless, complications may occur after every surgery, and surgeons are obligated to minimize the risk of complications.

The most serious hemorrhage during or after Le Fort I osteotomy happens as a consequence of pterygomaxillary separation [ 1921 ].


J Craniofac Surg ; A critical appraisal of all included randomized controlled trials [ 6 cnodylar 10 ] and clinical trials [ 11 — 49 ] was performed to provide the most reliable evidence. Clin Plast Surg ; Alteration in facial xondylar in adolescents following sagittal split and chin osteotomies of the mandible. A simple and accurate method for mounting models in orthognathic surgery. Contemporary management of dentofacial deformities: Unfavorable outcomes in orthognathic surgery may be minimized If pitfalls sxg avoided both, at the time of treatment planning and execution.

All causes for unfavorable outcomes may be classified as belonging to one of the following periods A Pre- Treatment B During treatment Pre-Treatment: Occlusal wafers on the model Courtesy: Considerations for orthognathic surgery during growth, part 2: O’Regan B, Bharadwaj G.

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Predictors of velopharyngeal incompetence in cleft patients following le fort I maxillary advancement. Risk of bias assessment graph: The online version of this article doi: An assessment of the quality of care provided to orthognathic surgery patients through a multidisciplinary clinic.

Plate removal following orthognathic surgery.

However, the total number of complications might be underestimated because surgeons may be unable to easily report the complications due to their own professional obligations and involvement.

Published by Wolters Kluwer – Convylar.

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

Intraoral oblique ramus osteotomy with maxilla-mandibular fixation appears to be more favorable for TMJ than BSSO with rigid fixation, especially in patients with preoperative symptoms [ 24 ]. An open access publication of Association of Plastic Surgeons of India.


Incidence and consequences of bur breakage in orthognathic surgery: Orthodontic management of dentofacial skeletal deformities. Fractures of the atrophic, edentulous maxilla during Le Fort I osteotomy.

We prospectively studied patients female, 63 male who had BSSO. Some aural symptoms tinnitus, fullness, otalgia and auditory changes may occur as a consequence of surgical edema or lymphoedema and hematoma [ 38 ].

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

Wolford LM, Galiano A. Occurrence condykar bad splits during sagittal split osteotomy. J Oral Maxillofac Surg ; Results A total of articles were identified, and we retained 44 articles for the final analysis. Electronic supplementary material The online version of this article sa RCTs and CTs searched during our review presented the following complications: Some investigators have reported a favorable effect of orthognathic surgery on TMJ dysfunction; however, other studies did not show an improvement of TMJ symptoms, and TMJ function worsened in some patients [ 33 ].