Our Summary

This research paper surveys how orthognathic surgeries (surgeries to correct conditions of the jaw and face) are carried out in various US academic training centers. The study found that practices vary greatly, with no clear guidelines followed by all. For instance, the number of surgeries performed by the surgeons varied from less than 20 to over 100 per year. Also, the techniques and procedures used during the surgery varied among the surgeons. The study concluded that there is a need for more research and standardized protocols in orthognathic surgery to ensure consistency and potentially improve patient outcomes.

FAQs

  1. What is the main finding of the research paper on orthognathic surgeries in US academic training centers?
  2. How does the number of orthognathic surgeries performed by surgeons vary?
  3. Why is there a need for more research and standardized protocols in orthognathic surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about orthognathic surgery is to follow all pre-operative and post-operative instructions closely to ensure the best possible outcome. This may include maintaining good oral hygiene, avoiding certain foods or activities, and attending all follow-up appointments as scheduled. Additionally, it is important to communicate any concerns or questions with the surgical team to address any issues promptly.

Suitable For

Patients who are typically recommended orthognathic surgery include those with:

  1. Severe malocclusion (misalignment of the teeth)
  2. Jaw discrepancies (overbite, underbite, crossbite)
  3. Facial asymmetry
  4. Difficulty chewing or speaking due to jaw alignment issues
  5. Temporomandibular joint (TMJ) disorders
  6. Sleep apnea or other breathing difficulties related to jaw position
  7. Facial trauma or deformities
  8. Congenital conditions affecting the jaw and face

Orthognathic surgery is often recommended for patients who have tried orthodontic treatment but have not achieved the desired results, or for those with more severe jaw alignment issues that cannot be corrected with braces alone. Before undergoing orthognathic surgery, patients typically undergo a comprehensive evaluation by a team of specialists, including orthodontists, oral and maxillofacial surgeons, and sometimes other healthcare professionals, to determine if surgery is the best course of action for their specific condition.

Timeline

Before orthognathic surgery:

  1. Initial consultation: The patient meets with a maxillofacial surgeon to discuss their concerns and goals for the surgery.
  2. Pre-surgical evaluations: The patient undergoes various tests and evaluations, such as dental impressions, X-rays, and possibly a CT scan, to assess the structure of their jaw and face.
  3. Orthodontic treatment: In many cases, the patient will undergo orthodontic treatment prior to surgery to align their teeth and ensure proper positioning for the surgery.

After orthognathic surgery:

  1. Hospital stay: Depending on the extent of the surgery, the patient may need to stay in the hospital for a few days for monitoring and recovery.
  2. Post-operative care: The patient will need to follow specific post-operative instructions provided by their surgeon, which may include pain management, dietary restrictions, and oral care.
  3. Orthodontic follow-up: After the initial healing period, the patient will continue with orthodontic treatment to further align their teeth and ensure proper bite alignment.
  4. Long-term follow-up: The patient will have regular follow-up appointments with their surgeon and orthodontist to monitor their progress and address any issues that may arise.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with orthognathic surgery?
  2. What is the recovery process like after orthognathic surgery?
  3. How long will I need to stay in the hospital after the surgery?
  4. Will I need to follow a specific diet or take any medication after the surgery?
  5. How soon after the surgery can I resume normal activities, such as eating and exercising?
  6. What are the long-term results and benefits of orthognathic surgery?
  7. Are there any alternative treatments or procedures that could achieve similar results?
  8. How experienced are you in performing orthognathic surgery?
  9. What is your success rate with orthognathic surgery procedures?
  10. Can you provide me with before and after photos of previous patients who have undergone orthognathic surgery?

Reference

Authors: Bourne G, Kinard B. Journal: Cleft Palate Craniofac J. 2024 Jun;61(6):986-996. doi: 10.1177/10556656231151722. Epub 2023 Jan 24. PMID: 36692966