Akademik Veri Yönetim Sistemi
Current Research in Dental Sciences, cilt.34, sa.2, ss.122-127, 2024 (Scopus)
Objective: The aim of this study was to evaluate the incidence of preoperative and postoperative complications in patients undergoing orthognathic surgery. Methods: The clinical records and radiographs of 112 patients who undergone orthognathic surgery between 2014 and 2021 were retrospectively analyzed. Patients’ demographics, follow-up period, type of malocclusion and operation were recorded. All surgical complications were evaluated into two groups as intraoperative or postoperative complications. Results: The mean age of 112 patients (69 female, 43 male) was 24.4 ± 5.5 (ranging from 16 to 47). The most frequent intraoperative complication was the bad split (5 cases, 4.5%), followed by severe hemorrhage due to rupture of facial artery (1 case, 0.9%), dissection of inferior alveolar nerve (1 case, 0.9%), and dental damage (1 case, 0.9%). The most common postoperative complication was the neurosensorial deficit (29 cases, 25.9%), followed by infection (6 cases, 5.4%), extraoral scar formation (5 cases, 4.5%), fracture of fixation material (2 cases, 1.8%), maxillary non-union (2 cases, 1.8%), postoperative nasal hemorrhage (1 case, 0.9%), and failure of fixation material (1 case, 0.9%). There were no fatal complications. Conclusion: Although the wide range of complications related to orthognathic surgery is reported both in our study and the literature, the frequency of these appears to be uncommon. However, in order to manage the complications of the operation properly, through knowledge and experience are essential.