Facial palsy after sagittal split osteotomies. A survey of 1747 sagittal split osteotomies.
Facial nerve palsy following a sagittal split osteotomy is a rare but serious complication. The incidence of facial nerve injury in a group of 1747 patients who had undergone a bilateral sagittal split osteotomy (3494 sagittal splits) was determined and proved to be 0.26% (9 cases). The case histories of 2 patients are presented, and the etiology, diagnosis, treatment and prevention of this complication are discussed.
de Vries
K
K
Department of Oral and Maxillofacial Surgery, Division of Surgery, University Hospital Leiden.
Devriese
P P
PP
Hovinga
J
J
van den Akker
H P
HP
D000328:Adult; D020220:Facial Nerve Injuries; D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D010027:Osteotomy / Q000009:adverse effects*; D011378:Prognathism / Q000601:surgery; D063173:Retrognathia / Q000601:surgery; D015599:Trauma Severity Indices