ArticleCureus2024
Pharyngeal Complications Following Two-Jaw Surgery.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTwo-jaw surgery corrects jaw deformities by adjusting occlusion and reshaping the jaw. This technique carries a high risk of pharyngolaryngeal injury due to frequent head and neck movements during intraoperative maneuvers and prolonged intubation, although the details remain unclear. This study explored the frequency and causes of postoperative pharyngeal complications following maxillary translocation. METHODOLOGY: Between September 2019 and July 2022, 133 cases of two-jaw surgery (36 males and 97 females; mean age: 26.4 years; age range: 17-55 years) were performed in our dental and oral surgery department. Postoperatively, patients with hoarseness or pharyngeal discomfort were immediately referred to the ear, nose, and throat department to assess the pharyngeal larynx by nasal endoscopy. Patients with and without pharyngeal lesions (such as vocal cord paralysis and laryngeal granulation) were compared.
resultsThe mean age, sex ratio, operative time, and blood loss were compared between groups with and without vocal cord paralysis. There was a statistically significant difference between the groups in terms of the sex ratio. No significant differences were found between groups with and without laryngeal granulation.
conclusionsVocal fold paralysis and laryngeal granulation were attributed to mechanical irritation of the larynx due to movement of the intubation tube during surgery, and perilaryngeal tissue compression due to hematoma and pharyngolaryngeal edema.
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