The document reviews common and uncommon complications that can occur during and after orthognathic surgery, including intraoperative complications like excessive bleeding and soft tissue damage, as well as postoperative complications such as sensory nerve impairment, infection, skeletal issues like condylar resorption, and rare occurrences like avulsion of the maxilla. It discusses the causes, rates, management, and outcomes of various surgical complications to help surgeons recognize and address issues.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
orthognathic surgery is very intresting and well knowing branch in oral surgery ....this presentation is dealing with jaw correction surgery in upper jaw.
Head and Neck Trauma by Dr. Kenneth DickieKenneth Dickie
Dr. Kenneth Dickie from Royal Centre of Plastic Surgery in Barrie, Ontario explained the care for Head & Neck Trauma.
f you have any questions, please contact Dr. Kenneth Dickie at http://royalcentreofplasticsurgery.com/
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
orthognathic surgery is very intresting and well knowing branch in oral surgery ....this presentation is dealing with jaw correction surgery in upper jaw.
Head and Neck Trauma by Dr. Kenneth DickieKenneth Dickie
Dr. Kenneth Dickie from Royal Centre of Plastic Surgery in Barrie, Ontario explained the care for Head & Neck Trauma.
f you have any questions, please contact Dr. Kenneth Dickie at http://royalcentreofplasticsurgery.com/
Lefort fractures /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
Complication of ortho gnathic surgery /certified fixed orthodontic courses by...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Le fort fracture by Dr. Amit Suryawanshi .Dentist in Kolhapur (MDS). Oral &...All Good Things
Description:
Hi. This is Dr. Amit T. Suryawanshi. Dentist in Kolhapur (MDS) Oral & Maxillofacial surgeon from Kolhapur, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best & your replies are welcomed!
Orbital Fractures - The Role of an OphthalmologistAnkit Punjabi
Orbital fractures are a common finding in maxillofacial trauma. although a multi-disciplinary approach is essential, the role of ophthalmologist cannot be overemphazised. here we discuss the same.
5.Dr. Rahul VC Tiwari et al. A case of posterior dislocation of mandibular condyle into external auditory canal. International Journal of Medical and Oral Research July-December 2017;2(2):84-88
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala - 27th publication IJMOR 1st name
the slide describes femoral fracture with case presentations as well as rediological diagnosis ,when opened and closed .the management from emergency period and through to stabilization
Zygoma: Strong buttress of lateral midface lying between zygomatic process of frontal bone and maxilla.
The high incidence of zygomatic complex fracture relates to its prominent position within the facial skeleton.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
3. Unusual and rare complications of
orthognathic surgery: A Literature
Review
BEN J. STEEL AND MARTIN R. COPE
J ORAL MAXILLOFAC SURG 70: 1678-1691,
2012
4. Complication :
Unintended consequence of the surgery that causes
harm to the patient, occurring either intra
operatively or early and late postoperatively.
(Ben J Steel et al JOMS 2012)
5. Common complications
Post operative nausea
Instrument fracture
Foreign body
and vomiting
Infection
Excessive bleeding
Soft tissue damage
Localized skin burns
Loss of pulpal vitality
Periodontal disease
Gingival recession
Nerve exposure
Temporary taste
disturbance
Instrument/ screw loss
Bad split
Malunion
Condylar resorption
TMJ effects
Relapse- skeletal/ dental
Respiratory difficulty
Screw loosening
Neck pain malocclusion
11. Excessive bleeding
Acc to Behrman one quarter of the surgeons reported
maxillary, inferior alveolar and facial arteries
Sagital split osteotomy
2%
10.7 %
Kim and parker 2007
MacIntosh 1981
Lefort I procedure
1.5 %
Kim and parker 2007
12. Bleeding from Inferior Alveolar artery :
severance of the vessel by a sharp tool.
artery is torn by distal bone fragment
Bleeding can be prevented by limiting the depth of the
instrument penetration and accurately evaluating the nerve
and the vascular structure before osteotomy.
Bleeding from facial artery:
Dissection
Osteotomy of the mandibular margin
Avoided by limiting the instrument to the lower margin of
the periosteum
13. Other vessels that may be damaged:
Lefort I procedure: 0-0.7%
Descending palatine
Sphenopalatine
Pterygoid venous plexuses
14. Management of hemorrhage
Visualization of the problem area.
Completion of osteotomy to allow application of
direct pressure, vascular clips or electrocautery.
Deliberate controlled hypotension
Intravascular fluids and blood transfusion.
Anterior and posterior nasal packing
ECA ligation
Embolisation of the maxillary artery.
15. Tooth damage
1 % Kim and Parker 2007 in Lefort I osteotomy and
genioplasty combined with anterior subapical
osteotomy.
16. Soft tissue injury
2 % Kim and Parker 2007
Prolonged traction on the lips or mucosa to secure
the operative field and facilitate access
Surgical instrument can scrape soft tissue.
Vaseline or antibacterial ointment before and after
surgery to prevent soft tissue laceration and
abrasion.
17. Neurologic Complications
Infraorbital, inferior alveolar and lingual nerves are
in close proximity to osteotomy cuts
Inferior alveolar nerve lies in the path of
instrumentation and is at risk for transection.
Inferior alveolar nerve
73.3%
27.8% (> 1 year)
Kim and Parker 2007
Ow and Cheung 2009
Lingual nerve
9.3 %
18%
19.4%
Al-Bishri et al 2004
Cunningham et al 1996
Jacks et al 1998
18. Inferior alveolar nerve Paresthesia
Post operatively
63.3 %
7 days
49.2 %
14 days
42.5%
1 month
33%
6 month
12.8%
1 year
(Ben J Steel et al JOMS 2012)
19. Inferior alveolar nerve Paresthesia
Nerve distraction & secession
Cut ----bone dissection
Tear ----- separation & movement of the distal and
proximal segment.
Compression injury during stabilization of the distal
fragments.
Large mandibular advancement
Unfavorable fracture
20. Facial nerve palsy
0.26 % per side (9 patients) De Vries et al
95 % in set back procedure
Choi et al ---0.1 %
Majority of the palsies recover within a period of few
weeks to a year after injury (Lanigan and Hohn).
21. In mandibular advancement (laningan and Hohn)
High level subcondylar fracture-----condylar neck positioned
more posteriorly, thus applying traction to the main trunk of
the nerve
Traction to the nerve caused by placement of pressure pack in
the retromolar area.
Other causes:
Direct trauma by retractor placement
Nerve ischemia (reflex sympathetic vasospasm)
Fracture and posterior displacement of styloid process
Compression by post operative edema
22. 1. Frey syndrome: (Guerissi and Stoyanoff)
6 months after lefort I osteotomy (Obwegeser technique)
Due to aberrant regeneration of secretomotor fibers from the
Auriculotemporal nerve entering the long buccal nerve as a result of
direct surgical trauma to the former.
2. Bilateral hypoesthesia in the dermatome of the mylohyoid
nerve (genioplasty)
Direct trauma from the bone saw
Normal sensation returned within 6 months.
3. Palsy of X, XI, XII ((Baddour et al )
Life threatening intra operative bleeding.
Maxillary down fracture
Insertion of pressure pack to control bleeding.
At the time of pterygomaxillary dysjunction ------pterygoid complex
got detached----sharp piece of bone posteriorly-----lacerating the
vessels and causing vascular injury.
23. 4.
Secretomotor rhinopathy: (Marais and Brookes)
Rhinorrhea + lacrimal hypersectretion 3 days post
operatively (Lefort I)
Sphenopalatine ganglion dysfunction by a local hematoma
or fibrous organization shifting the autonomic balane
towards a parasympathetic predominance.
5. Reduced hearing -----cleft patients + Lefort I (Gotzfried
and Thumfart)
Edema/ hematoma formation in the eustachain tubes.
24. Abducens and occulomotor nerve palsy ----lefort I
osteotomy
Cavernous sinus thrombosis
Subarachnoid haemorrhage
Hematoma
Fracture of pterygoid plate----blood in the right side
of the sphenoid sinus
Direct trauma to the medial aspect of the cavernous
sinus
Pre- existing carotid aneurysm
Fracture of superior orbital fissure
25. Optic nerve palsy---lefort I
9 reported cases
Arterial aneurysm
Propogation of pterygomaxillary dysjunction fracture
through the skull base (Girotto et al)
Hypoperfusion of optic nerve
26. Respiratory difficulty
Gasping and wheezing
Patient may breath much faster or slowly than
normal
Breathing may be deeper / more shallow
Skin appearance and temperature----moist and
flushed; pale, ashen or cyanotic and feel cool to
touch
Pain and tightness in chest
Paresthesia of the hands, feet or lips
27. Infection
Without antibiotics----rate of infection 10 – 15%
Tucker and Ochs----2.4% - mandibular procedure
0.5% - maxillary procedures
kim and Park--- 1 %
Baker et al -----a case of brain abscess- lefort I
osteotomy
6 cases of actinomycosis
28. Infection
Hinders normal healing
Prolongs entire healing period
Cause--- subcutaneous hematomas
serous exudates
previously infected tissues or irradiated
tissues
29. Infection
Factors-- Age
Length of surgery
Type of orthognathic procedure
Use of prophylactic antibiotics
Chow et al JOMS 2007
30. Short term Vs Long term course of antibiotics
Lindeboom et al
600 mg clindamycin I/V
Single dose---5.6%
Single day ----2.8%
No statistical difference
Fridrich et al
High dose short term therapy---7.1%
Long term therapy---6.3%
No statistical difference
Baquain et al
Short term Vs long term
No statistical difference
Danda et al
Single dose (1 gm ampicillin
I/V)----9.3%
Single day (1 Gm + 500 mg
ampicillin I/V)-----2.7%
No statistical difference
Bentley et al
Long term group---6.7%
Short term group---- 60%
Statistically significant
Chow et al
Single dose---17.3%
Multiple dose (2-14 days)--5.1%
Statistically signifcant
31. Microbiology
Complex endogenous oral bacteria
Polymicrobial
Aerobic and anaerobic gram positive cocci and gram
negative rods
Anaerobic----gram negative bacteroids
Aerobic----hemolytic streptococcus
Chow et al JOMS 2007
32. Skeletal and bony complications
Condylar resorption
TMJ dysfunction
Osteonecrosis of maxilla/ mandible
Avulsion of maxilla
33. Condylar resorption
1- 31%
6.1% BSSO
Pre existing TMJ internal derangement.
High mandibular plane angle
Posteriorly inclined condylar neck
Large advancements
Ow and Cheung 2009
34. Osteonecrosis of maxilla
1 case of sloughed off maxilla (entire maxilla)
Laningan et al – 51 cases of partial necrosis
Maxillary central incisor pulp, whole of alveolar
ridge or all of the premaxilla.
Treatment
Hyperbaric oxygen therapy
Iliac crest graft
Implant supported prosthodontics
36. Avulsion of maxilla
Intraoperative complication
Bendor- Samuel et al ---- avulsion of left hemi
maxilla and palate in a 20 year male patient with
repaired bilateral cleft lip and palate undergoing
lefort I tpe osteotomy with iliac crest bone graft.
37. Anterior open bite
Higher tendency in high angle patients when
mandible is advanced.
Distal fragment is rotated counterclock wise to achieve proper
occlusion
Stretches suprahyoid muscle and pterygomassetric sling
thereby contributing the tendency towards relapse.
Sn-MeGo angle > 32 degrees
38. Ophthalmic complications
Lack of tearing
Lefort I osteotomy
Excessive tearing
Damage to greater
petrosal/ vidian nerve --interrupt
parasympathetic supply
to the lacrimal gland.
Nasolacrimal duct
damage
Hemolacria (bleeding
from lacrimal puncta)
Lefort I osteotomy
Retrobulbar hemorrhage
Bilateral posterior
segmental maxillary
osteotomies
Minor surgical trauma to
the vessels in the nasal
wall accompanied by a
small tear in the
nasolacrimal duct
40. Psychological complication
Conversion disorder
Depression
4- day Blues
Postsurgical discomfort, pain and neurologic
disturbance were found to correlate with postsurgical
altered emotional state.
41. Other complications:
Dysphagia -----constricted eosophageal sphincter---
hypoestesia due to change in anatomy of the hyoid
region, which may have led to reduced tension in the
suprahyoid musculature and hence reduced dilator
effect on sphincter
Perforation of the lateral nasal mucosa by fixation
screws
Oroantral and oronasal fisula
Eustachain tube malfuncion----due to damage to
tensor veli palatini
Dental malocclusion---skeletal / dental relapse.
42. Conclusion
When a true complication occurs early recognition,
rapid response and effective resolution are essential.
43.
44.
45. Reoperations
16 (3%)
Counterclockwise rotation of proximal
segment
5
Severe secondary bleeding/ gross swelling
6
Infection
26
Maxillary sinusitis
6
Acne on chin
5
Root injured by drill
10
Severe relapse
16 (3%)
Mild relapse
50 (8%)
Occlusal outcome unsatisfactory
15 (3%)
Mild neurosensory deficit of IAN
183 (32%)
Disturbing neurosensory deficit of IAN
18 (3%)
Condylar resorption---total
partial
58 (11%)
30
TMJ problems
167 (29%)
Osteosynthesis material removed
48 (8%)
Panula et al JOMS 2001