Factors associated with postoperative complications after orthognathic surgery – a National Swedish register-based cohort study
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Le résumé fourni par la source
PURPOSE: The aim of the study was to identify patient-specific and/or surgery-specific factors that may predict complications following orthognathic surgery, using data from the Swedish National Register of Orthognathic Surgery (NROK). METHODS: In this retrospective register-based cohort study, data from NROK (2017-2020) was analyzed to identify risk factors for complications following single-jaw maxilla surgery, mandibular surgery, and bimaxillary surgery. Outcome data on postoperative infection (POI), removal of osteosynthesis material, re-operation, and persistent neurosensory disturbance (NSD) were collected 12-months postoperatively. RESULTS: Among the 428 patients included in the study, 100 had single-jaw maxilla surgery, 130 had mandible surgery, and 198 had bimaxillary surgery. The site of surgery showed to be the main factor linked to postoperative complications after orthognathic surgery. Mandibular interventions and bimaxillary surgery increased the risk of POI, removal of osteosynthesis material and NSD more than three (3) times compared to maxillary surgery. For re-operation, there was no significant difference between the groups. Other factors associated with increased risk were overweight, age over forty, smoking, and no postoperative antibiotics. CONCLUSION: Mandibular and bimaxillary procedures are associated with increased postoperative complication rates. Age, BMI, smoking, and antibiotic use should be considered in preoperative planning and postoperative care.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Factors associated with postoperative complications after orthognathic surgery – a National Swedish register-based cohort study
- Date Crossref
- 04/12/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Karolinska Institutet Department of Dental Medicine pays non établi dans la noticeUniversité ou école supérieure
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Eastmaninstitutet Department of Oral and Maxillofacial Surgery pays non établi dans la noticeStructure de recherche
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Gävle Hospital Department of Oral and Maxillofacial Surgery pays non établi dans la noticeÉtablissement de santé
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Region Gävleborg pays non établi dans la noticeOrganisme public
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Karolinska University Hospital Medical Unit for Reconstructive Plastic- and Craniofacial Surgery pays non établi dans la noticeÉtablissement de santé
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Linköping University and Biomedical and Clinical Sciences pays non établi dans la noticeUniversité ou école supérieure
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Malmö University pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Odontology Health Technology Assessment-Odontology (HTA-O) pays non établi dans la noticeUniversité ou école supérieure
Department of Dental Medicine — Karolinska Institutet, Department of Oral and Maxillofacial Surgery — Eastmaninstitutet et Department of Oral and Maxillofacial Surgery — Gävle Hospital, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.