title: Nerve injury associated with orthognathic surgery. Part 1: UK practice and motor nerve injuries.
abstract: The head and neck is anatomically complex, and several nerves are at risk during orthognathic operations. Some injuries to nerves are reported more commonly than others. To find out what consultant surgeons tell their patients about the prevalence of common nerve injuries before orthognathic operations, we did a postal survey of fellows of the British Association of Oral and Maxillofacial Surgeons (BAOMS). We also reviewed published papers to find out the reported incidence of injuries to cranial motor nerves during orthognathic operations. Only injuries to the facial nerve were commonly reported, and we found only case reports about injuries to the oculomotor, abducens, and trochlear nerves. The risk of temporary facial nerve palsy reported was 0.30/100 nerves (95% CI 0.23 to 0.50) and permanent facial nerve palsy was 0.06/100 nerves (95% CI 0.02 to 0.15).
authors.affiliation: Department of Orthodontics, Worcester Royal Hospital, Charles Hasting Way, Worcester WR5 1DD.
authors.forename: D C
authors.initials: DC
authors.lastname: Bowe
authors.affiliation: Department of Oral & Maxillofacial Surgery, Worcester Royal Hospital, Charles Hasting Way, Worcester WR5 1DD.
authors.forename: E A
authors.initials: EA
authors.lastname: Gruber
authors.affiliation: Department of Oral & Maxillofacial Surgeon, Oxford University Hositals NHS Trust, Headley Way, Oxford OX3 9DU. Electronic address: niall_mcleod@yahoo.co.uk.
authors.forename: N M H
authors.initials: NM
authors.lastname: McLeod
mesh_terms: D003391:Cranial Nerves; D005154:Facial Nerve; D020220:Facial Nerve Injuries; D005158:Facial Paralysis; D006801:Humans; D056948:Orthognathic Surgical Procedures / Q000009:adverse effects*; D012886:Skull
keywords: Consent; Nerve Injury; Orthognathics