Dentistry Commons^™

Facial Burn During Orthognathic Surgery: Case Report, Jessica C. Avelar, Marcio Jose De Campos, Raphaella Barcellos Fernandes, Sergio Luiz Da Mota Júnior, Marcelo Reis Fraga, Robert Willer Farinazzo Vitral

International Journal of Orofacial Myology and Myofunctional Therapy

Despite the fact that the advances in surgical techniques have contributed to the reduction in the number of complications associated with orthognathic surgery, problems resulting from different phases of treatment, treatment planning, and postoperative period may occur. This paper presents a case of facial soft tissue lesion, burn in the lower lip region, in a patient with Class III malocclusion during orthognathic surgery. A 22-year, 3-month-old male patient with Class III malocclusion was burned in the paramedian region of the lower lip due to unnoticed overheating of the low-speed handpiece during sagittal osteotomy of the left mandibular ramus. The injury …

Quality Of Life In Patients Prescribed Vitamin B1-6-12 For Treatment Of Sensory Impairment Related-Mandibular Orthognathic Surgery, Kamolratanakul Paksinee, Ruxwongkana Taya, Kraisittisirikul Gun, Trising Worawee, Subbalekha Keskanya

Chulalongkorn University Dental Journal

Background/objective: One of the most common complication in orthognathic surgery is inferior alveolar nerve injury, resulting in sensory impairment that affects patientûs daily life. Many studies reported the potential of vitamin B on nerve regeneration. No clinical study showed the effect of vitamin B1-6-12 on the quality of life. Therefore, we aim to evaluate the effect of vitamin B on oral health related quality of life in post-orthognathic surgical nerve injury. Materials and methods: A prospective, randomized, double blinded trial study were performed in thirty two patients who had undergone mandibular orthognathic surgery with Bilateral Sagittal Split Osteotomy procedure were …

Concepts, Protocol, Variations And Current Trends In Surgery First Orthognathic Approach: A Literature Review, Hafiz Taha Mahmood, Maheen Ahmed, Mubassar Fida, Adeel Tahir Kamal, Farheen Fatima

Section of Dental-Oral Maxillofacial Surgery

In the current era of expedited orthodontics, among many clinicians, tertiary care hospitals and patients, surgery first orthognathic approach (SFOA) has gained popularity. The advantages of SFOA (face first approach) are the reduced overall treatment duration and the early improvement in facial esthetics. In SFOA, the absence of a presurgical phase allows surgery to be performed first, followed by comprehensive orthodontic treatment to achieve the desired occlusion. The basic concepts of surgery early, surgery last, SFOA and Sendai SFOA technique along with its variations are reviewed in the present article. The recent advancement in SFOA in the context of preoperative …

Authentic Leadership In Illness Blogs: What We Can Learn From Jaw Surgery Bloggers, Marilyn Mitchell

Marilyn Mitchell

This paper argues that authentic leadership theory provides a useful model for explaining the communication of orthognathic or jaw surgery bloggers. Previous studies concluded that illness blogs can empower patients, but no research considered any leadership theory as a model for blogging. For this study, 24 publicly available blogs were analyzed to find expressions that demonstrated each of the four components of authentic leadership, which are self-awareness, relational transparency, communication based upon an internalized moral perspective, and balanced processing of information. The research also analyzed blog comments to find expressions that demonstrated followers’ development of the positive psychological capacities of …

Bilateral Sagittal Split Osteotomy-Parameters And Correlations Of Postoperative Pain Management, Gregor F. Raschke, Winfried Meissner, Andre Peisker, Gabriel Djedovic, Ulrich M. Rieger, Arndt Guentsch, Marta Gomez-Dammeier, Stefan Schultze-Mosgau

School of Dentistry Faculty Research and Publications

Objectives

Postoperative pain management is of utmost interest for patients undergoing orthognathic surgery. Currently, there is a lack of information regarding process and outcome parameters of postoperative pain management after bilateral sagittal split osteotomy.

Materials and methods

In a prospective clinical study, 31 adults were evaluated on the first postoperative day following bilateral sagittal split osteotomy using the standardized questionnaire of the Germany-wide project Quality Improvement in Postoperative Pain Management (QUIPS). It allows a standardized assessment of patients’ characteristics, pain parameters, outcome, and pain therapy process parameters.

Results

Pain management consisted mainly of premedication with midazolam, sufentanil, and metamizol intraoperatively; …