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J Oral Maxillofac Surg ; 67(6): 1269-73, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19446215

ABSTRACT

PURPOSE: To study the intraoperative and perioperative complications associated with anterior maxillary osteotomy (AMO), and assess its safety and predictability in orthognathic surgery. PATIENTS AND METHODS: We performed a retrospective evaluation of 103 patients undergoing AMO as a single procedure, or in combination with other osteotomies over a period of 5 years, with a mean follow-up of 3 years. RESULTS: Twenty-seven (26.2%) patients in our series of 103 had complications of varying severity: 43.3% of these were soft tissue-related, and 36.6% were attributable to dental causes. All other complications accounted for the remaining 20%. CONCLUSION: Although its indications are limited, AMO is a safe and reliable procedure in routine orthognathic surgery.


Subject(s)
Intraoperative Complications , Maxilla/surgery , Osteotomy/methods , Postoperative Complications , Blood Loss, Surgical , Bone Plates , Bone Transplantation , Dentin Sensitivity/etiology , Follow-Up Studies , Hematoma/etiology , Humans , Intubation, Intratracheal/instrumentation , Malocclusion/surgery , Mandible/surgery , Maxilla/abnormalities , Necrosis , Open Bite/surgery , Osteotomy/adverse effects , Palate/surgery , Palate, Soft/injuries , Postoperative Hemorrhage/etiology , Retrospective Studies , Safety , Tooth Extraction
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