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COMPLICATIONS OF ORTHOGNATHIC SURGERY

Tareq Saleh Sagheer Alzahrani, ALI MOHAMMAD A ALZAHRANI, Saleh Abdullah Alqarni, Samar Abdulmajid Aldergham, Alawi Ali Hakami, Mansour Hebah Thabet Almakrami, Faisal Hassan saleh Al milaq, Amal kamal jumaymi, Hind Jumah Alrefai, Noha Ahmed Alkurdi

Introduction: Orthognathic surgery is one of the common treatment approaches of maxillofacial deformities, the aim of which is to improve the facial appearance to benefit the patient psychologically and socially. While most patients undergo orthognathic surgery for aesthetic improvement which is most often followed by postoperative functional complications. The decision to the aesthetic side or functional side is ultimately the patient’s choice. A wide variety of complication is associated with orthognathic surgery such as vascular disease, temporomandibular joints (TMJ) problems, infection, bone necrosis, nerve damage, hair loss, hearing problems, vision impairment, and neuropsychiatric problems, but rarely any complication is fatal. The aim of Work: The study aims to understand various complication related to orthognathic surgery Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: orthognathic surgery, complications of orthognathic surgery, bleeding, relapse, fracture, neurologic complications, gingival sensitivity Conclusion: While most patients undergo orthognathic for an aesthetic purpose which may pose a risk of various complication, therefore patient must decide carefully whether their purpose of undergoing orthognathic surgery lies on the aesthetic side or functional side. Though there are a wide variety of complication related to orthognathic surgery, complications can be resolved without any severe damage if detected early and with appropriate treatment. Besides an oral and maxillofacial surgeon must have a full understanding of types, causes, and treatment of complication and should deliver the information to the patient who develops these complications. Keywords: complication, orthognathic surgery, intra-operative complication, post-operative complications.

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