title: Complications following orthognathic surgery that required early surgical intervention: fifteen years' experience.
abstract: The aim of this study was to assess complications following various orthognathic surgical procedures that required early surgical intervention. This study was carried out on 821 patients who had undergone surgical treatment for correction of dentofacial deformities between 1985 and 2000. Only patients who required a second procedure to deal with immediate or early postoperative complications (i.e., those occurring within 4 weeks of surgery) were investigated in this study. Twelve patients underwent a second surgical procedure; 9 had undergone conventional osteotomy surgery, and 3 had undergone distraction osteogenesis. Three Le Fort I cases had to be further impacted and repositioned, and 4 vertical subsigmoid osteotomies had to be reexplored. The details of the complications are presented, and possible methods by which these problems could be reduced and/or prevented are discussed.
authors.affiliation: Glasgow University Dental Hospital and School, 378 Sauchiehall Street, Glasgow G2 3JZ, United Kingdom. a.ayoub@dental.gla.ac.uk
authors.forename: A F
authors.initials: AF
authors.lastname: Ayoub
authors.forename: Z
authors.initials: Z
authors.lastname: Lalani
authors.forename: K F
authors.initials: KF
authors.lastname: Moos
authors.forename: G A
authors.initials: GA
authors.lastname: Wood
mesh_terms: D000293:Adolescent; D000328:Adult; D019465:Craniofacial Abnormalities / Q000601:surgery*; D005260:Female; D006801:Humans; D007569:Jaw Abnormalities / Q000601:surgery*; D008297:Male; D008310:Malocclusion / Q000601:surgery; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D019857:Osteogenesis, Distraction / Q000009:adverse effects; D010027:Osteotomy / Q000009:adverse effects; D019340:Osteotomy, Le Fort / Q000009:adverse effects; D011183:Postoperative Complications / Q000517:prevention & control / Q000601:surgery*