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Analysis of the Complications in Patients Undergoing Orthognathic Surgery by Piezosurgery®: A 13 Years Retrospective Study
- Source :
- Applied Sciences, Volume 11, Issue 9, Applied Sciences, Vol 11, Iss 4271, p 4271 (2021)
- Publication Year :
- 2021
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2021.
-
Abstract
- Orthognathic surgery is a branch of maxillo-facial surgery increasingly in demand, which deals with the correction of skeletal deformities. The aim of the present study is to identify the most common post-operative complications following orthognathic bimaxillary surgery performed by means of Piezosurgery®. Furthermore, through an examination of the available scientific literature, we wanted to establish whether the frequency of postoperative complications were consistent with those already reported. A retrospective study on 58 patients who underwent orthognathic surgery with a bilateral sagittal osteotomy (BSSO) of the mandibular bone branch, maxillary surgery with Le Fort I mono-segmented or multi-segmented approach, and genioplasty technique using Piezosurgery®. The complications taken into consideration were disorders of the temporomandibular joint (TMJ), paraesthesia and hypoesthesia, asymmetries, nose enlargement, nasal septum deviation, nasal obstruction, dental discolorations, pulpal necrosis, occlusion and masticatory efficiency, gingival recession, periodontal problems, dysgeusia, nausea and vomiting, weeping alterations, hearing problems, delayed healing, superinfection, removal of synthesis means, reoperation, cicatricial outcome, and bilateral pneumothorax. It has been highlighted that a number and type of postoperative complications matched those reported by the most recent literature reviews. Temporomandibular disorders and paraesthesia were the most common ones. The only complication rate that differed from the literature was nerve damage, which was significantly lower. Post-surgical complications depend on the used surgical techniques, clinical work, and treatment methods. The use of piezoelectric devices in orthognathic surgery operations provides an innovative, safe, and effective technique compared to traditional methods.
- Subjects :
- Le Fort
Technology
medicine.medical_specialty
Complications
complications
QH301-705.5
QC1-999
medicine.medical_treatment
piezosurgery
Orthognathic surgery
Osteotomy
Genioplasty
03 medical and health sciences
0302 clinical medicine
Occlusion
medicine
Nasal septum
General Materials Science
Biology (General)
Piezosurgery
QD1-999
Instrumentation
Gingival recession
Fluid Flow and Transfer Processes
business.industry
Physics
Process Chemistry and Technology
orthognathic surgery
General Engineering
030206 dentistry
Hypoesthesia
Engineering (General). Civil engineering (General)
Computer Science Applications
Temporomandibular joint
Surgery
Chemistry
medicine.anatomical_structure
Bilateral sagittal osteotomy
030220 oncology & carcinogenesis
TA1-2040
medicine.symptom
business
bilateral sagittal osteotomy
Subjects
Details
- Language :
- English
- ISSN :
- 20763417
- Database :
- OpenAIRE
- Journal :
- Applied Sciences
- Accession number :
- edsair.doi.dedup.....2d687ba6445a977aa563552907543e00
- Full Text :
- https://doi.org/10.3390/app11094271