ArticleClinical oral investigations2021
Complications or rather side effects? Quantification of patient satisfaction and complications after orthognathic surgery-a retrospective, cross-sectional long-term analysis.
Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Clinical Practice Guideline: Condylar Hyperplasia of the Mandible—Diagnosis and Treatment.Deutsches Arzteblatt international · 2024Guideline
- Effectiveness of low-intensity laser photobiomodulation in reducing inflammatory events (pain, edema, and trismus) after orthognathic surgery: a systematic review and meta-analysis of randomized clinical trials.Clinical oral investigations · 2023Pooled it
- Quantitative computed tomography texture analysis of changes in the mandibular condyle associated with orthognathic surgery.Oral radiology · 2026Article
- The Impact of Mandibular Anatomy on the Incidence of Bad Splits in Sagittal Split Osteotomy: A Retrospective Study.Journal of clinical medicine · 2026Article
- Evaluation of structured training in osteotomy and splitting for BSSO using a 3D-printed mandibular model.BMC medical education · 2026Article
- Potential of Auriculotherapy in Pain, Edema and Anxiety Management Following Orthognathic Surgery: A Multicenter, Randomized, Placebo-Controlled and Triple-Blind Study.Journal of maxillofacial and oral surgery · 2026Article
- Association Between Anterior Maxillary Sinus Wall Position and Nasal Bone Asymmetry with Patient-Reported Outcomes Following Septorhinoplasty.Journal of clinical medicine · 2026Article
- Condylar Sag After Orthognathic Surgery: Biomechanical Mechanisms, Surgical Factors, and Clinical Prevention.Cureus · 2026Review
- Changes in transverse dimensions in growing patients treated with AMCOP® and electromyographic assessment with Teethan®.Frontiers in dental medicine · 2026Article
- Dentoskeletal changes and anteroposterior improvements in skeletal class III malocclusion treated with MEAW: A retrospective study.PloS one · 2026Article
- Auditory Outcomes in Patients Undergoing Orthognathic Surgery: An Analysis of Middle Ear Disease.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Article
- Dentoalveolar process remodelling in the anterior mandible after Class III camouflage treatment with lower premolar extractions.Head & face medicine · 2025Article
- Evaluation of Satisfaction Levels Following Orthognathic Treatment in Adult Patients: A Systematic Review.Cureus · 2024Review
- Nonsurgical correction of occlusal canting using temporary anchorage devices: A systematic review.Heliyon · 2024Article
- Favourable dentoalveolar changes after lower premolar extractions for Class III camouflage with completely customized lingual appliances.Head & face medicine · 2024Article
- Evaluating Post-surgical Stability and Relapse in Orthognathic Surgery: A Comprehensive Review.Cureus · 2024Review
- Clinical insights into traumatic injury of the inferior alveolar and lingual nerves: a comprehensive approach from diagnosis to therapeutic interventions.Clinical oral investigations · 2024Review
- Patient Satisfaction Following Orthognathic Surgery: A Systematic Review.Journal of maxillofacial and oral surgery · 2023Review
- Orthognathic Surgery and Relapse: A Systematic Review.Bioengineering (Basel, Switzerland) · 2023Review
- Comparison of two surgical techniques (HOO vs. BSSO) for mandibular osteotomies in orthognathic surgery-a 10-year retrospective study.Oral and maxillofacial surgery · 2023Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this clinical analysis was to evaluate intraoperative and early postoperative complications as well as late findings and the overall patient satisfaction following orthognathic surgery. MATERIALS AND
methodsIn a retrospective, cross-sectional study, 119 patients after orthognathic surgery were included. Surgical approaches were single bilateral sagittal split osteotomy (BSSO (n = 52)), single LeFort-I osteotomy (n = 5) and bimaxillary osteotomy (LeFort-I + BSSO (n = 62)). Intraoperative and early (0-4 weeks postoperative) complications were investigated retrospectively (n = 119), whereas late findings and quality of life were assessed via clinical follow-up and survey (mean: 59 months postoperative) on 48 patients.
resultsBad split (n = 4/114) was the most common intraoperative complication followed by one case of severe bleeding. Regarding early postoperative complications, temporary damage of the inferior alveolar nerve after BSSO was most common (n = 33/114), followed by facial nerve dysfunction (n = 3), failed osteosynthesis (n = 2) and one case of postoperative dyspnoea. Permanent hypaesthesia of the lower lip was the most prevalent (n = 28/45
conclusionsLong-term complications after orthognathic surgery occurred more frequently than commonly described in the literature, and analyses of the quality of life show the need for more comprehensive preoperative patient education. CLINICAL RELEVANCE: Hypaesthesia of the lower lip presented less as complication but rather as side effect following BSSO. As orthognathic surgery is mostly elective, preoperative patient education is of pivotal importance and should include proactive risk stratification.
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