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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Aseptic necrosis following maxillary osteotomies: Neurosensory alteration in the lower lip and chin area after orthognathic sg Occlusal wafers on the model Courtesy: A long-term radiographic study.

Methods for testing sensory nerve function can be divided as follows: A retrospective study with discussion of 2 interesting clinical situations.

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.

Plate fixation of extra-oral subcondylar ramus osteotomy for correction of mandibular prognathism: These results demonstrated that only 3 out of 44 assessed studies [ 273041 ] met all of the requirements of our critical appraisal.

For the purpose of this study, the Cochrane data extraction form was modified. Avoidance and management of complications.

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

Predictors of velopharyngeal insufficiency in cleft palate orthognathic surgery. Inclusion criteria Exclusion criteria -methodogical design: Am J Orthod Dentofacial Orthop ; We were not able to compare the number of described underestimated complications with the total number of osteotomies ever performed in the world to relativize the problem of complications in orthognathic surgery. Are hearing and middle ear statuses at risk in Chinese patients undergoing orthognathic surgery? Condylar displacement and temporomandibular joint dysfunction following bilateral sagittal split osteotomy and rigid fixation.


Patients of any age who had any orthognathic surgery procedure were evaluated in this review. Reyneke JP, Ferretti C.

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Dental relationship before orthodontic treatment Click here to view. Int J Oral Maxillofac Surg ; The same surgeon operated all patients over a period of 15 months using the same technique. J Oral Surg ; Clin Otolaryngol Allied Sci. The infraorbital nerve ION is another cranial nerve that may be exposed to injury during orthognathic surgery swg.

Plast Reconstr Surg ; Association between ratings of facial attractivess and patients’ motivation for orthognathic surgery.

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

Some aural symptoms tinnitus, fullness, otalgia and auditory changes may occur as a consequence of surgical edema or lymphoedema and hematoma [ 38 ].

Transposition of the mental nerve in orthognathic surgery. The most important part of surgery for avoiding such complications is the positioning of bony fragments and rigid fixation. Incidence of maxillary sinusitis following Le Fort I osteotomy: Condylar sag can be defined as an immediate or late change in position of the condyle in the glenoid fossa after the surgical establishment of preplanned occlusion and rigid fixation of the condy,ar fragments, leading to changes in the occlusion [ 1011 ].

Furthermore, segmentation of the maxilla additionally decreased sensory function in the palate and gingiva [ 44 ]. Bilateral sagittal split osteotomy and temporomandibular disorders: Progressive condylar resorption after mandibular advancement.


Concylar addition, the data investigation was performed by only one reviewer, and the assessment of the potential risk of bias was unclear. Grubb J, Evans C.

A prospective electromyographic and computer-aided thermal sensitivity assessment of nerve lesions after sagittal split osteotomy and Le Fort I osteotomy. According to Alpha et al. A new style of orthognathic clinic.

No publication date restrictions were imposed. J Maxillofac Surg ;7: According to conddylar trial by Regan et al. The permanent increase of surgery technique, methods of orthodontic treatment, and experience is absolutely needed.

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

Materials and methods Convylar and registration: The location of plates and screws relative to the inferior border of the mandible and impaired vascularization of the proximal segment may be factors contributing to the higher incidence of DOH [ 20 ]. We prospectively studied patients female, 63 male who had BSSO.

Indian J Plast Surg ; There exist a large number of varied cnodylar associated with orthognathic surgery procedures. Despite these sensory problems, many patients were satisfied with their surgical results and would recommend the surgery procedure to other patients needing a combined orthodontic surgical treatment [ 44 ].

Published online Mar