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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.

Development of visual treatment objectives. Conflict of interest The authors declare that they have no conflicts of interest. Abstract Objectives The aim of this study was to determine whether orthognathic surgery is condykar with any complications, and what type of complications may occur.

A large number of these unfavorable outcomes are preventable, if attention is paid to detail while carrying out the treatment plan itself.

Dental relationship before orthodontic treatment Click here to view. Contemporary Management of Dentofacial Deformities. Br J Oral Maxillofac Sur.

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

This SR exhibits some limitations. Condylar displacement and temporomandibular joint dysfunction following bilateral sagittal split osteotomy and rigid fixation. Clinical trials CT represented a smaller group of studies An assessment of the quality of care provided to orthognathic surgery patients through a multidisciplinary clinic.


On the other hand, axonal injury often recovers incompletely, and slowly, over months or even years, and entails a higher risk of pain developement [ 29 ]. Further risk factors for IAN injury and impairment are the following: The role of intraoperative positioning of the inferior alveolar nerve on postoperative paresthesia after bilateral sagittal split osteotomy of the mandible: Exaggerated reverse overjet visible Click here to view.

Am J Orthod Dentofacial Orthop ; Home Subscribe Feedback Login. No publication date restrictions were imposed. The commonly accepted method of pathogenesis is the scarring or compromise of musculature that opens the auditory tube and ventilates the middle ear [ 28 ]. Blindness as a complication of Le Fort osteotomies: Electronic supplementary material Online Resource 1 23K, docx Risk of bias assessment graph: The earliest article describing complications associated with such a procedure dates back to [ 52 ].

The included articles contained five randomized controlled trials Essentials of Orthognathic Surgery.

According to Alpha et al. Infections reported in 6. Alteration in facial sensibility in adolescents following sagittal split and chin osteotomies of the mandible.

Eighteen patients had an incorrect occlusion diagnosed during the operation after removal of the IMF. Predictors of velopharyngeal insufficiency in cleft condlyar orthognathic surgery. Bilateral sagittal split osteotomy and temporomandibular disorders: Intraoperative diagnosis of condylar sag after bilateral sagittal split ramus osteotomy.


To provide the most reliable evidence, a critical appraisal of all included randomized controlled trials RCTs and clinical trials CTs was performed Online Resources 1 — 2. Impact of dentofacial deformity and motivation for treatment: J Craniofac Surg ; Illinois, Quintessence Books; Optimizing benefit to the patient.

Pramod Subash, Cochin Click here to view.

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

Dental relationship after surgery Click here to view. Association between ratings of facial attractivess and patients’ motivation for orthognathic surgery. In conclusion, we need to confirm the null hypothesis. Pitfalls in orthognathic surgery: W B Saunders, Pennsylvania Therefore, we wanted to provide an extensive systematic review of complications in orthognathic surgery according to strict requirements of evidence-based medicine.

The aim of our study was to answer to the clinical question asking what are the complications associated with orthognathic surgery.