A Clinical Study of Orthognathic Surgery in Department of Oral and Maxillofacial Surgery Gifu Prefectural Tajimi Hospital

ABSTRACT Aim The aim of this paper was to report a case of orthognathic surgery successfully done in a patient with multiple sclerosis. Background Multiple sclerosis (MS) is a chronic, progressive inflammatory disorder of the central nervous system affecting young adults, characterized by lymphocytic infiltration of the brain and spinal cord leading to demyelination and focal axonal damage. Clinically, MS patients present with reversible neurological dysfunction in the early stages, which progresses to irreversible neurological disability and deficit. Oral manifestations of MS include facial numbness or pain, neuralgias, facial paralysis, dysarthria and dysphagia. While dental treatment is not contraindicated in MS patients, it is, however, limited to preventive and supportive dental care. Case description A 23-year-old Saudi male patient with a diagnosis of MS since 2008 reported to the oral and maxillofacial surgery (OMFS) department for correction of dentofacial deformity. The patient was under follow-up with the neurology department and was being treated with interferon beta-1a. Following consent from the neurologist and the patient, a Lefort 1 segmental osteotomy was done under general anesthesia. The patient was stable throughout the surgical procedure and during the postoperative period. The patient was discharged upon complete surgical recovery and no acute exacerbations of MS were reported during the perioperative period. Conclusion Based on our observations, orthognathic and maxillofacial surgical procedures can be safely carried out in patients with MS, provided a strict perioperative prophylactic regimen for stress reduction and prevention of acute attacks of MS is adhered to. Clinical significance Due to the stressful nature of dental treatment and oral and maxillofacial surgical procedures, acute exacerbations of MS are very much likely. Hence, it is imperative that dental and oral surgical practitioners are aware of the manifestations of MS and are able to manage such patients with suitable treatment modifications. How to cite this article Al-Bazie SA. Orthognathic Surgery in a Patient with Multiple Sclerosis. J Contemp Dent Pract 2015;16(6):507-511.

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Clinical study of Besvion in oral and maxillofacial surgery.

Japanese Journal of Oral & Maxillofacial Surgery ◽

10.5794/jjoms.36.1397 ◽

1990 ◽

Vol 36 (5) ◽

pp. 1397-1403

Author(s):

Katsuhiro MINAMI ◽

Motohiro TSUJINO ◽

Yoshihide MORI ◽

Kinya HIGUCHI ◽

Hiroyuki HAMAGUCHI ◽

...

Keyword(s):

Clinical Study ◽

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery

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Maxillofacial surgery

Oxford Handbook of Clinical Dentistry ◽

10.1093/med/9780198832171.003.0012 ◽

2020 ◽

pp. 487-525

Keyword(s):

Head And Neck ◽

Orthognathic Surgery ◽

Life Support ◽

Maxillofacial Surgery ◽

Neck Surgery ◽

Dental Students ◽

Facial Trauma ◽

Advanced Trauma Life Support ◽

Oral And Maxillofacial Surgery ◽

Post Graduate

Oral and maxillofacial surgery is largely a post-graduate subject. This chapter begins with a section on advanced trauma life support and goes on to include details of the diagnosis and management of facial trauma, orthognathic surgery, as well as head and neck surgery and reconstruction. Only basic aspects of this specialty have been included here as advanced techniques are beyond the scope of this chapter. However, this chapter provides enough information so as to ensure success for final year dental students but it can also be of use to those working in oral and maxillofacial units.

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Quality and outcomes in orthognathic surgery, oral and maxillofacial surgery department at Oxford University Hospitals

British Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.bjoms.2020.10.032 ◽

2020 ◽

Vol 58 (10) ◽

pp. e143

Author(s):

Nusaybah Elsherif ◽

Predrag Jeremic

Keyword(s):

Orthognathic Surgery ◽

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery ◽

University Hospitals ◽

Oxford University ◽

Quality And Outcomes ◽

Surgery Department

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Anesthetic Complication during Maxillofacial Trauma Surgery: A Case Report of Intraoperative Tension Pneumothorax

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0036-1572504 ◽

2016 ◽

Vol 9 (3) ◽

pp. 251-254

Author(s):

AlHaitham Al Shetawi ◽

Leonard Golden ◽

Michael Turner

Keyword(s):

Case Report ◽

Orthognathic Surgery ◽

Maxillofacial Surgery ◽

Trauma Surgery ◽

Tension Pneumothorax ◽

Facial Trauma ◽

Oral And Maxillofacial Surgery ◽

Circulatory Collapse ◽

Life Threatening ◽

Chest Decompression

Tension pneumothorax is a life-threatening emergency that requires a high index of suspension and immediate intervention to prevent circulatory collapse and death. Only five cases of pneumothorax were described in the Oral and Maxillofacial Surgery literature. All cases were postoperative complications associated with orthognathic surgery. We report a case of intraoperative tension pneumothorax during a routine facial trauma surgery requiring emergency chest decompression. The possible causes, classification, and reported cases will be presented.

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Mandibular Reconstruction with Lateral Tibial Bone Graft: An Excellent Option for Oral and Maxillofacial Surgery

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0036-1593475 ◽

2017 ◽

Vol 10 (4) ◽

pp. 292-298 ◽

Cited By ~ 4

Author(s):

Ana Lucia Carpi Miceli ◽

Livia Costa Pereira ◽

Thiago da Silva Torres ◽

MônicaDiuana Calasans-Maia ◽

Rafael Seabra Louro

Keyword(s):

Bone Graft ◽

Orthognathic Surgery ◽

Proximal Tibia ◽

Donor Site ◽

Maxillofacial Surgery ◽

Lateral Approach ◽

Autogenous Bone ◽

Oral And Maxillofacial Surgery ◽

Superficial Infection ◽

Tibial Bone

Autogenous bone grafts are the gold standard for reconstruction of atrophic jaws, pseudoarthroses, alveolar clefts, orthognathic surgery, mandibular discontinuity, and augmentation of sinus maxillary. Bone graft can be harvested from iliac bone, calvarium, tibial bone, rib, and intraoral bone. Proximal tibia is a common donor site with few reported problems compared with other sites. The aim of this study was to evaluate the use of proximal tibia as a donor area for maxillofacial reconstructions, focusing on quantifying the volume of cancellous graft harvested by a lateral approach and to assess the complications of this technique. In a retrospective study, we collected data from 31 patients, 18 women and 13 men (mean age: 36 years, range: 19–64), who were referred to the Department of Oral and Maxillofacial Surgery at the Servidores do Estado Federal Hospital. Patients were treated for sequelae of orthognathic surgery, jaw fracture, nonunion, malunion, pathology, and augmentation of bone volume to oral implant. The technique of choice was lateral access of proximal tibia metaphysis for graft removal from Gerdy tubercle under general anesthesia. The mean volume of bone harvested was 13.0 ± 3.7 mL (ranged: 8–23 mL). Only five patients (16%) had minor complications, which included superficial infection, pain, suture dehiscence, and unwanted scar. However, none of these complications decreases the result and resolved completely. We conclude that proximal tibia metaphysis for harvesting cancellous bone graft provides sufficient volume for procedures in oral and maxillofacial surgery with minimal postoperative morbidity.

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