Orthognathic surgery in patients with systemic diseases.
Oral Maxillofac Surg
; 27(2): 235-243, 2023 Jun.
Article
em En
| MEDLINE
| ID: mdl-35344096
ABSTRACT
PURPOSE:
To review the experience with orthognathic surgery in patients with systemic diseases, syndromic conditions or an oncological history at a tertiary center.METHODS:
All patients who had undergone orthognathic surgery and all patients who were considered for orthognathic surgery between January 2013 and August 2020 at a tertiary center were retrospectively reviewed. Patients with cleft lip/palate and orthognathic patients requiring craniofacial surgery or reconstructive surgery were excluded. Patients with an underlying disorder were identified and divided into 3 categories systemic disease, syndromic condition, or oncological disease treated with chemotherapy and/or radiation therapy of the head and neck. Data on intraoperative and postoperative complications until 3 months after surgery were collected for the patients who had undergone surgery. If orthognathic surgery was contraindicated, the reason was extracted from the patient's medical record.RESULTS:
Eighty out of 1049 orthognathic patients had an underlying disorder (7.6%), including 50 patients with at least one systemic disease, 25 patients with a syndromic condition, and 5 patients with an oncological disease. A complication was encountered in respectively 5 (10%), 9 (36%), and 0 (0%) patients. Three out of 1134 patients who consulted the multidisciplinary orthognathic-orthodontic consultation had a contraindication for orthognathic surgery because of an underlying disease (0.3%).CONCLUSION:
Based on our findings, intraoperative and short-term postoperative complications in patients with an underlying disorder are not frequent. Contraindications for orthognathic surgery because of a medical condition are very rare.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Fenda Labial
/
Fissura Palatina
/
Procedimentos Cirúrgicos Ortognáticos
/
Cirurgia Ortognática
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article