The Likelihood of Orthognathic Surgery After Orofacial... : Journal of Craniofacial Surgery (2024)

FAQs

What are the chances of orthognathic surgery after orofacial cleft repair? ›

The rate of orthognathic surgery was 38.1% for bilateral cleft lip and palate (BCLP), 30.2% for unilateral cleft lip and palate (UCLP), 4.4% for isolated cleft palate (ICP), and 1.8% for patients with isolated cleft lip (ICL).

Individual rates of different types of complications were 4.08% (28/686) for infections, 2.49% (17/686) for fixation device fracture, 1.89% (13/686) for inferior alveolar nerve injury, 1.02% (7/686) for temporomandibular disorder (TMD), and 0.29% (2/686) for facial nerve problems. Kim et al.

Orthognathic surgery is also available as a very successful treatment (90–100%) for obstructive sleep apnea.

The corrective jaw surgery can have adverse side effects like numbness, loss of hearing, extreme pain, and increased drooling. Moreover, corrective jaw surgery is ten times more expensive than non-surgical treatments for correcting malocclusions.

15 The present study confirms this pattern, showing a relapse rate of 39% versus 23% in the presence of 10–14 mm versus 6–10 mm of repositioning.

Studies have revealed that the modified von Langenbeck procedure works well in many palatal clefts with success rates of 51-73% (mean: 60%). [⁵⁵⁰] Our finding of 70.2% good palate closure is consistent with the abovementioned figures.

The answer to this matter is "it depends." If the condition is deemed medically necessary rather than elective, it is likely that the orthognathic surgery procedure will be covered by a person's dental or medical insurance. Procedures that are elective in nature are usually not covered by insurance.

Good candidates for orthognathic surgery include: Those who have a bite discrepancy. Those looking to improve facial disproportion.

Like any major surgery, there are several risks involved in jaw surgery. Some risks are common surgical risks, such as anesthesia risks, risk of bleeding or infection. Other risks are more specific to jaw surgery.

On average, in our responses, a deformity consultant performs on average 27 orthognathic cases a year. 7 deaths were reported so far, with average estimates for the risk of mortality being 0.16% (single jaw) and 0.23% (bi-maxillary).

What is the satisfaction rate for jaw surgery? ›

Of the participants, 95% were satisfied with the results of treatment (very satisfied: 66.7%; moderately satisfied: 28.4%); 7.5% were dissatisfied with the results; and 76.5% stated that they would undergo the surgery again.

Jaw surgery is a very involved operation, but there are many benefits to having it done: Improved appearance of your profile post-surgery. Improved biting, chewing and swallowing. Possible improvements of breathing and major symptoms related to sleep apnea.

Corrective Jaw Surgery Risks

Risks include infection, bleeding or the need for further surgery to improve or adjust a result. While patients frequently feel numbness or tingling in various areas of their face and mouth after surgery, the sensation usually goes away as the swelling subsides.

The least stable movements in orthognathic surgery are mandibular setback and transverse expansion of the maxilla, with mandibular setback being particularly unstable compared to other procedures.

Post-operative malocclusion, bleeding, inferior alveolar nerve injury, infection, poor division, and infection are the most common complications in orthognathic surgery.

Conclusions: There was no significant difference in the incidence of perioperative OSCs and length of hospital stay between cleft and noncleft patients.

What's the outlook for children who have cleft lip or cleft palate? Treatment may take many years and require several surgeries. But most children affected by these conditions have a normal childhood. Treatment helps improve speech and feeding issues.

As many as 15% of patients have dental and jaw abnormalities that cannot be corrected with braces alone and may be candidates for orthognathic surgery.

Jaw Surgeries Can Relapse As Well

This is a testament to the power of the tongue and the other oral and facial muscles. A systematic review conducted in 2010 found that up to 60 percent of patients who have had orthognathic surgery can experience relapse over the long-term.