Incidence of complications and problems related to orthognathic surgery: A review of 655 patients
Incidence of complications and problems related to orthognathic surgery: A review of 655 patients
复制标题
DOI：
10.1053/joms.2001.26704
复制
发表时间：
2001-10-01
影响因子：
1.9
通讯作者：
Oikarinen, K
中科院分区：
文献类型：
--
作者：
Panula, K;Finne, K;Oikarinen, K
目的：这份回顾性报告评估了正颌手术术前、术中和术后并发症的发生率及其对患者的意义。 患者和方法：对 1983 年至 1996 年 13 年间在芬兰瓦萨中央医院接受手术的 655 名患者的临床记录和 X 光片进行了检查。手术总数为 689 例。收集并分析了从正畸阶段到不同术后随访时间的所有涉及问题或并发症的记录。结果：最常见的并发症是下牙槽神经支配区域的神经感觉缺陷； 32% 的患者（574 名进行下颌骨截骨术的患者中的 183 名）表现轻微，3% 的患者 (18/574) 感到不安。最严重的并发症是 I 患者术中严重出血，需要大量输血并随后栓塞上颌内动脉。没有致命的并发症。其他问题的发生率较低，患者投诉也很少。结论：尽管文献报道的严重并发症种类繁多，但其发生频率似乎极低，正颌手术治疗可以被认为是一种安全的手术。 (C) 2001 年美国口腔颌面外科医师协会。
Purpose: This retrospective report evaluates the incidence of pre-, intra-, and postoperative complications of orthognathic surgery and their significance to the patient.Patients and Methods: The clinical records and radiographs of 655 patients operated on in Vaasa Central Hospital, Finland during a 13-year period between 1983 and 1996 were examined. The total number of operations was 689. All notes referring to problems or complications from the orthodontic phase to the varying postoperative follow-up times were gathered and analyzed.Results: The most common complication was a neurosensory deficit in the region innervated by the inferior alveolar nerve; mild in 32% of patients (183 of 574 patients with an osteotomy in the mandible) and disturbing in 3% of patients (18/574). The most serious complication was severe intraoperative bleeding in I patient necessitating major blood transfusions and later embolization of the internal maxillary artery. There were no fatal complications. The incidence of other problems was low, and there were very few patient complaints.Conclusions: Despite the great variety of severe complications reported in the literature, their frequency seems to be extremely low, and orthognathic surgery treatment can be considered to be a safe procedure. (C) 2001 American Association of Oral and Maxillofacial Surgeons.