Complications or rather side effects? Quantification of patient satisfaction and complications after orthognathic surgery—a retrospective, cross-sectional long-term analysis
- Publikationstyp:
- Zeitschriftenaufsatz
- Metadaten:
-
- Abstract
- <jats:title>Abstract</jats:title><jats:sec> <jats:title>Objectives</jats:title> <jats:p>The aim of this clinical analysis was to evaluate intraoperative and early postoperative complications as well as late findings and the overall patient satisfaction following orthognathic surgery.</jats:p> </jats:sec><jats:sec> <jats:title>Materials and Methods</jats:title> <jats:p>In a retrospective, cross-sectional study, 119 patients after orthognathic surgery were included. Surgical approaches were single bilateral sagittal split osteotomy (BSSO (<jats:italic>n</jats:italic> = 52)), single LeFort-I osteotomy (<jats:italic>n</jats:italic> = 5) and bimaxillary osteotomy (LeFort-I + BSSO (<jats:italic>n</jats:italic> = 62)). Intraoperative and early (0–4 weeks postoperative) complications were investigated retrospectively (<jats:italic>n</jats:italic> = 119), whereas late findings and quality of life were assessed via clinical follow-up and survey (mean: 59 months postoperative) on 48 patients.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Bad split (<jats:italic>n</jats:italic> = 4/114) was the most common intraoperative complication followed by one case of severe bleeding. Regarding early postoperative complications, temporary damage of the inferior alveolar nerve after BSSO was most common (<jats:italic>n</jats:italic> = 33/114), followed by facial nerve dysfunction (<jats:italic>n</jats:italic> = 3), failed osteosynthesis (<jats:italic>n</jats:italic> = 2) and one case of postoperative dyspnoea. Permanent hypaesthesia of the lower lip was the most prevalent (<jats:italic>n</jats:italic> = 28/45<jats:sup>(BSSO and LeFort-I + BSSO)</jats:sup>) late finding with varying extent, followed by temporomandibular dysfunction (TMD) (<jats:italic>n</jats:italic> = 25/48). Skeletal relapse mostly occurred after class II treatment, followed by class III, posterior crossbite and open bite. Overall, the surgery improved the patients’ self-perception (85.4%), with 60.4% of patients opting for surgery again.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusions</jats:title> <jats:p>Long-term complications after orthognathic surgery occurred more frequently than commonly described in the literature, and analyses of the quality of life show the need for more comprehensive preoperative patient education.</jats:p> </jats:sec><jats:sec> <jats:title>Clinical relevance</jats:title> <jats:p>Hypaesthesia of the lower lip presented less as complication but rather as side effect following BSSO. As orthognathic surgery is mostly elective, preoperative patient education is of pivotal importance and should include proactive risk stratification.</jats:p> </jats:sec>
- Autoren
- Daniel GE Thiem
- Daniel Schneider
- Michael Hammel
- Bassam Saka
- Bernhard Frerich
- Bilal Al-Nawas
- Peer W Kämmerer
- DOI
- 10.1007/s00784-020-03664-z
- eISSN
- 1436-3771
- ISSN
- 1432-6981
- Ausgabe der Veröffentlichung
- 5
- Zeitschrift
- Clinical Oral Investigations
- Sprache
- en
- Online publication date
- 2020
- Paginierung
- 3315 - 3327
- Datum der Veröffentlichung
- 2021
- Status
- Published
- Herausgeber
- Springer Science and Business Media LLC
- Herausgeber URL
- http://dx.doi.org/10.1007/s00784-020-03664-z
- Datum der Datenerfassung
- 2021
- Titel
- Complications or rather side effects? Quantification of patient satisfaction and complications after orthognathic surgery—a retrospective, cross-sectional long-term analysis
- Ausgabe der Zeitschrift
- 25
Datenquelle: Crossref
- Andere Metadatenquellen:
-
- Abstract
- <h4>Objectives</h4>The aim of this clinical analysis was to evaluate intraoperative and early postoperative complications as well as late findings and the overall patient satisfaction following orthognathic surgery.<h4>Materials and methods</h4>In a retrospective, cross-sectional study, 119 patients after orthognathic surgery were included. Surgical approaches were single bilateral sagittal split osteotomy (BSSO (n = 52)), single LeFort-I osteotomy (n = 5) and bimaxillary osteotomy (LeFort-I + BSSO (n = 62)). Intraoperative and early (0-4 weeks postoperative) complications were investigated retrospectively (n = 119), whereas late findings and quality of life were assessed via clinical follow-up and survey (mean: 59 months postoperative) on 48 patients.<h4>Results</h4>Bad split (n = 4/114) was the most common intraoperative complication followed by one case of severe bleeding. Regarding early postoperative complications, temporary damage of the inferior alveolar nerve after BSSO was most common (n = 33/114), followed by facial nerve dysfunction (n = 3), failed osteosynthesis (n = 2) and one case of postoperative dyspnoea. Permanent hypaesthesia of the lower lip was the most prevalent (n = 28/45<sup>(BSSO and LeFort-I + BSSO)</sup>) late finding with varying extent, followed by temporomandibular dysfunction (TMD) (n = 25/48). Skeletal relapse mostly occurred after class II treatment, followed by class III, posterior crossbite and open bite. Overall, the surgery improved the patients' self-perception (85.4%), with 60.4% of patients opting for surgery again.<h4>Conclusions</h4>Long-term complications after orthognathic surgery occurred more frequently than commonly described in the literature, and analyses of the quality of life show the need for more comprehensive preoperative patient education.<h4>Clinical relevance</h4>Hypaesthesia of the lower lip presented less as complication but rather as side effect following BSSO. As orthognathic surgery is mostly elective, preoperative patient education is of pivotal importance and should include proactive risk stratification.
- Addresses
- Department of Oral and Maxillofacial Surgery, Facial Plastic Surgery, University Medical Centre Mainz, Augustusplatz 2, 55131, Mainz, Germany. daniel.thiem@uni-mainz.de.
- Autoren
- Daniel GE Thiem
- Daniel Schneider
- Michael Hammel
- Bassam Saka
- Bernhard Frerich
- Bilal Al-Nawas
- Peer W Kämmerer
- DOI
- 10.1007/s00784-020-03664-z
- eISSN
- 1436-3771
- Externe Identifier
- PubMed Identifier: 33155066
- PubMed Central ID: PMC8060167
- Funding acknowledgements
- Universitätsmedizin der Johannes Gutenberg-Universität Mainz:
- Open access
- true
- ISSN
- 1432-6981
- Ausgabe der Veröffentlichung
- 5
- Zeitschrift
- Clinical oral investigations
- Schlüsselwörter
- Humans
- Postoperative Complications
- Retrospective Studies
- Cross-Sectional Studies
- Quality of Life
- Patient Satisfaction
- Orthognathic Surgical Procedures
- Orthognathic Surgery
- Osteotomy, Sagittal Split Ramus
- Sprache
- eng
- Medium
- Print-Electronic
- Online publication date
- 2020
- Open access status
- Open Access
- Paginierung
- 3315 - 3327
- Datum der Veröffentlichung
- 2021
- Status
- Published
- Publisher licence
- CC BY
- Datum der Datenerfassung
- 2020
- Titel
- Complications or rather side effects? Quantification of patient satisfaction and complications after orthognathic surgery-a retrospective, cross-sectional long-term analysis.
- Sub types
- research-article
- Journal Article
- Ausgabe der Zeitschrift
- 25
Files
https://link.springer.com/content/pdf/10.1007/s00784-020-03664-z.pdf https://europepmc.org/articles/PMC8060167?pdf=render
Datenquelle: Europe PubMed Central
- Abstract
- OBJECTIVES: The aim of this clinical analysis was to evaluate intraoperative and early postoperative complications as well as late findings and the overall patient satisfaction following orthognathic surgery. MATERIALS AND METHODS: In a retrospective, cross-sectional study, 119 patients after orthognathic surgery were included. Surgical approaches were single bilateral sagittal split osteotomy (BSSO (n = 52)), single LeFort-I osteotomy (n = 5) and bimaxillary osteotomy (LeFort-I + BSSO (n = 62)). Intraoperative and early (0-4 weeks postoperative) complications were investigated retrospectively (n = 119), whereas late findings and quality of life were assessed via clinical follow-up and survey (mean: 59 months postoperative) on 48 patients. RESULTS: Bad split (n = 4/114) was the most common intraoperative complication followed by one case of severe bleeding. Regarding early postoperative complications, temporary damage of the inferior alveolar nerve after BSSO was most common (n = 33/114), followed by facial nerve dysfunction (n = 3), failed osteosynthesis (n = 2) and one case of postoperative dyspnoea. Permanent hypaesthesia of the lower lip was the most prevalent (n = 28/45(BSSO and LeFort-I + BSSO)) late finding with varying extent, followed by temporomandibular dysfunction (TMD) (n = 25/48). Skeletal relapse mostly occurred after class II treatment, followed by class III, posterior crossbite and open bite. Overall, the surgery improved the patients' self-perception (85.4%), with 60.4% of patients opting for surgery again. CONCLUSIONS: Long-term complications after orthognathic surgery occurred more frequently than commonly described in the literature, and analyses of the quality of life show the need for more comprehensive preoperative patient education. CLINICAL RELEVANCE: Hypaesthesia of the lower lip presented less as complication but rather as side effect following BSSO. As orthognathic surgery is mostly elective, preoperative patient education is of pivotal importance and should include proactive risk stratification.
- Date of acceptance
- 2020
- Autoren
- Daniel GE Thiem
- Daniel Schneider
- Michael Hammel
- Bassam Saka
- Bernhard Frerich
- Bilal Al-Nawas
- Peer W Kämmerer
- Autoren-URL
- https://www.ncbi.nlm.nih.gov/pubmed/33155066
- DOI
- 10.1007/s00784-020-03664-z
- eISSN
- 1436-3771
- Externe Identifier
- PubMed Central ID: PMC8060167
- Ausgabe der Veröffentlichung
- 5
- Zeitschrift
- Clin Oral Investig
- Schlüsselwörter
- Complications
- Elective surgery
- Patient information
- QoL
- SF-36
- Side effect
- Surgery
- Cross-Sectional Studies
- Humans
- Orthognathic Surgery
- Orthognathic Surgical Procedures
- Osteotomy, Sagittal Split Ramus
- Patient Satisfaction
- Postoperative Complications
- Quality of Life
- Retrospective Studies
- Sprache
- eng
- Country
- Germany
- Paginierung
- 3315 - 3327
- PII
- 10.1007/s00784-020-03664-z
- Datum der Veröffentlichung
- 2021
- Status
- Published
- Datum, an dem der Datensatz öffentlich gemacht wurde
- 2021
- Titel
- Complications or rather side effects? Quantification of patient satisfaction and complications after orthognathic surgery-a retrospective, cross-sectional long-term analysis.
- Sub types
- Journal Article
- Ausgabe der Zeitschrift
- 25
Datenquelle: PubMed
- Author's licence
- CC-BY
- Autoren
- Daniel GE Thiem
- Daniel Schneider
- Michael Hammel
- Bassam Saka
- Bernhard Frerich
- Bilal Al-Nawas
- Peer W Kämmerer
- Hosting institution
- Universitätsbibliothek Mainz
- Sammlungen
- JGU-Publikationen
- Resource version
- Published version
- DOI
- 10.1007/s00784-020-03664-z
- File(s) embargoed
- false
- Open access
- true
- ISSN
- 1436-3771
- Zeitschrift
- Clinical oral investigations
- Schlüsselwörter
- 610 Medizin
- 610 Medical sciences
- Sprache
- eng
- Open access status
- Open Access
- Paginierung
- 3315 - 3327
- Datum der Veröffentlichung
- 2021
- Public URL
- https://openscience.ub.uni-mainz.de/handle/20.500.12030/5929
- Herausgeber
- Springer
- Herausgeber URL
- https://doi.org/10.1007/s00784-020-03664-z
- Datum der Datenerfassung
- 2021
- Datum, an dem der Datensatz öffentlich gemacht wurde
- 2021
- Zugang
- Public
- Titel
- Complications or rather side effects? : Quantification of patient satisfaction and complications after orthognathic surgery : a retrospective, cross-sectional long-term analysis
- Ausgabe der Zeitschrift
- 25
Files
thiem_daniel-complications_-20210514095334107.pdf
Datenquelle: OPENSCIENCE.UB