Our Summary

This research paper discusses the challenges of performing orthognathic surgery (surgery that corrects conditions of the jaw and face related to structure, growth, sleep apnea, TMJ disorders, malocclusion problems owing to skeletal disharmonies, and other orthodontic problems) in cases where the patient’s face or jaw is not symmetrical.

The researchers emphasize the importance of thorough clinical observations due to the uniqueness of each case. They also highlight the usefulness of 3D diagnosis and virtual planning in making the treatment process easier and more precise.

They note that while surgeries on symmetrical conditions are straightforward, asymmetrical cases present more complications but also offer unique opportunities for innovative surgical procedures. The keywords indicate that the paper explores the complications that can arise, and how computer-assisted planning can help manage facial asymmetry in orthognathic surgery.

FAQs

  1. What makes orthognathic surgery in asymmetric cases more challenging than symmetric ones?
  2. How does three-dimensional diagnosis and virtual planning aid in orthognathic surgery for asymmetric cases?
  3. What are some potential complications and opportunities in orthognathic surgery for facial asymmetry?

Doctor’s Tip

One helpful tip a doctor might tell a patient about jaw surgery is to follow all pre-operative and post-operative instructions closely. This includes maintaining a proper diet, avoiding strenuous activities, and attending all follow-up appointments. It is also important to communicate any concerns or changes in symptoms to the doctor promptly. By following these guidelines, the patient can help ensure a successful outcome and minimize the risk of complications.

Suitable For

Patients who are typically recommended for jaw surgery include those with severe malocclusions, facial asymmetry, temporomandibular joint (TMJ) disorders, obstructive sleep apnea, and aesthetic concerns. Patients with skeletal discrepancies such as an overbite, underbite, crossbite, or open bite may also benefit from jaw surgery. Additionally, patients with congenital conditions such as cleft lip and palate or craniofacial anomalies may require jaw surgery to improve function and aesthetics. It is important for patients to undergo a thorough evaluation by a multidisciplinary team of oral and maxillofacial surgeons, orthodontists, and other specialists to determine the most appropriate treatment plan.

Timeline

Before jaw surgery:

  1. Initial consultation with a maxillofacial surgeon to discuss treatment options and determine eligibility for surgery.
  2. Comprehensive evaluation of the patient’s facial structure, bite alignment, and any existing asymmetry.
  3. Three-dimensional imaging and virtual planning to create a customized surgical plan.
  4. Pre-surgical orthodontic treatment to align the teeth and prepare the jaws for surgery.
  5. Pre-operative appointments to discuss the procedure, recovery process, and post-operative care.

After jaw surgery:

  1. Immediate recovery period in the hospital with pain management and monitoring of swelling and discomfort.
  2. Follow-up appointments with the surgeon to monitor healing and progress.
  3. Post-operative orthodontic treatment to finalize bite alignment and ensure long-term stability.
  4. Gradual return to normal activities and diet as healing progresses.
  5. Long-term follow-up appointments to monitor the results of the surgery and address any issues that may arise.

Overall, the timeline for jaw surgery can vary depending on the complexity of the case and the individual patient’s healing process. It is important for patients to follow their surgeon’s recommendations for post-operative care to ensure the best possible outcome.

What to Ask Your Doctor

  1. What specific jaw abnormalities or asymmetries do I have that require surgery?
  2. What are the potential risks and complications associated with jaw surgery in my case?
  3. How will jaw surgery improve my facial symmetry and overall appearance?
  4. What is the recovery process like after jaw surgery, and how long will it take for me to fully heal?
  5. Will I need to wear braces before or after jaw surgery, and for how long?
  6. Can you provide me with a virtual simulation of the expected outcomes of jaw surgery?
  7. How many jaw surgeries have you performed in cases similar to mine, and what is your success rate?
  8. Are there any alternative treatments or procedures that could achieve similar results to jaw surgery?
  9. How long will the results of jaw surgery last, and will I need any additional procedures in the future?
  10. What are the potential long-term effects or complications I should be aware of after jaw surgery?

Reference

Authors: van Riet TCT, Klop C, Becking AG, Nolte JW. Journal: Oral Maxillofac Surg Clin North Am. 2023 Feb;35(1):11-21. doi: 10.1016/j.coms.2022.06.013. Epub 2022 Nov 3. PMID: 36336591