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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Orthod Craniofac Res ;6: Peripheral condylar sag type II had developed in three of these patients. Conservative treatment consists of controlling blood pressure and administering intravenous fluids and blood transfusion. Intraoral oblique ramus osteotomy with maxilla-mandibular fixation appears to be more favorable for TMJ than BSSO with rigid fixation, especially dondylar patients with preoperative symptoms [ 24 ].

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

This review was registered on http: Optimizing benefit to the patient. A retrospective study with discussion of 2 interesting clinical situations. Hemorrhage after LeFort I surgery was described in 9. The condylat of the second systematic review [ 1 ] was well designed and provided reliable conclusions. Introduction Orthognathic surgery procedures are frequently used to correct skeletal angle class II and III deformities, dentomaxillofacial deformities, mandibular laterognathia, and maxillofacial asymmetries [ 1 — 4 ].

The Prisma diagram flowchart demonstrates our selection scheme. Condylar resorption after convylar surgery: Lack of tearing after Le Fort I osteotomy.


Further risk factors for IAN injury and impairment are the following: Nasotracheal intubation may also cause swelling of the soft tissues in the nasotracheal area, blocking the Eustachian tube, and precipitating middle ear effusion [ 38 ]. An explanation of this result could be the h evaluation period and the administration of several 2—5 doses of intravenous antibiotics for such patients [ 20 ].

Functional and radiographic long-term results after bad sat in orthognathic surgery. Essentials of Orthognathic Surgery. In orthognathic surgery- as in any other discipline of surgery- which involves changes in both aesthetics and function, the patient motivation for seeking treatment is a very important input which may decide, whether the outcome is going to be favorable or not.

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Ellingsen RH, Artun J. Plate fixation of extra-oral subcondylar ramus osteotomy for correction of mandibular prognathism: An assessment of the quality of care provided to orthognathic surgery patients through a multidisciplinary clinic.

Stewart TD, Sexton J. Studies not meeting the inclusion criteria were excluded from further evaluation.

Condylar displacement and temporomandibular joint dysfunction following bilateral sagittal split osteotomy and rigid fixation. J Oral Maxillofac Surg. A total of articles were identified, and we retained 44 articles for the final analysis.

The most common reason for an unclear or high-risk designation was the unblinded evaluation of clinical outcomes. Alteration in facial sensibility in adolescents following sagittal split and chin osteotomies of the mandible. Association between ratings of facial attractivess and patients’ motivation for orthognathic surgery.

The patterns of fracture of the pterygoid plates in conventional pterygomaxillary dysjunction seem to have a great influence on the occurrence of bleeding.


Grubb J, Evans C. All patients had mandibular advancements. The infraorbital nerve ION is another cranial nerve that may be exposed to injury during orthognathic surgery procedures. Reyneke JP, Ferretti C. Sg examination with electroneuromyography conxylar the exact classification of nerve injury into either the axonal or demyelinating type, which allows the accurate prediction of recovery and the risk of neuropathic pain [ 29 ].

The effect of orthognathic surgery on taste function on the palate and tongue. All systematic reviews, randomized controlled trials, clinical trials were considered. Additionally, the critical appraisal of all included RCTs and CCTs resulted in only three studies that were assessed as having a low risk saf bias.

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

Evaluation of risk of injury to the inferior alveolar nerve with classical sagittal split osteotomy technique and proposed alternative surgical techniques using computer-assisted surgery. Diverse TMJ symptoms may occur after orthognathic surgery, ranging from intra-articular noise [ 53 — 55 ], pain, clicking, and crepitus, to condylar resorption [ 56 ].

Subjective sensory symptoms associated with axonal and demyelinating fondylar injuries after mandibular sagittal split osteotomy. Elective orthognathic treatment decision making: