Ghent University Academic Bibliography

Advanced

Obstructive airway compromise in the early postoperative period after orthognathic surgery

Constantinus Politis, Sidney Kunz, Serge Schepers UGent, Luc Vrielinck and Ivo Lambrichts (2012) JOURNAL OF CRANIOFACIAL SURGERY. 23(6). p.1717-1722
abstract
Between January 1, 1989 and April 30, 2012, approximately 2164 consecutive patients were treated with orthognathic surgery at the St. John's Hospital, Genk, Belgium. They all underwent a mandibular, maxillary, or bimaxillary osteotomy, performed by one of the 3 resident maxillofacial surgeons at the St. John's hospital in Genk. The purpose of the review was to investigate the incidence of major airway difficulties occurring postoperatively because of surgically related causes. It seemed that obstructive airway compromise was the only reason for urgent intervention to protect or to restore the airway. In total, 3 urgent unanticipated life-saving reintubations were attempted. One was successful, and the other was changed into an urgent tracheostomy. No deaths occurred in this patient series after orthognathic surgery. Osseous genioplasties, as stand-alone surgery or in combination with other simultaneous orthognathic procedures, do care the risk for a life-threatening respiratory distress because of a hematoma of the floor of the mouth, when performed with an oscillating saw or a surgical drill. If so, this probably will happen within the first 4 postoperative hours according to the experience in our series. This risk can be avoided by using a piezosurgical unit to perform the osseous genioplasty.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
jaw osteotomy, Orthognathic surgery, complication, tracheostomy, respiratory distress, genioplasty, BSSO, RAMUS OSTEOTOMY, IMPLANT PLACEMENT, SPLIT OSTEOTOMY, COMPLICATIONS, GENIOPLASTY, HEMORRHAGE
journal title
JOURNAL OF CRANIOFACIAL SURGERY
J. Craniofac. Surg.
volume
23
issue
6
pages
1717 - 1722
Web of Science type
Article
Web of Science id
000311889300085
JCR category
SURGERY
JCR impact factor
0.686 (2012)
JCR rank
155/195 (2012)
JCR quartile
4 (2012)
ISSN
1049-2275
DOI
10.1097/SCS.0b013e31826beeb2
language
English
UGent publication?
no
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
3054092
handle
http://hdl.handle.net/1854/LU-3054092
date created
2012-11-18 11:40:39
date last changed
2013-07-09 13:40:29
@article{3054092,
  abstract     = {Between January 1, 1989 and April 30, 2012, approximately 2164 consecutive patients were treated with orthognathic surgery at the St. John's Hospital, Genk, Belgium. They all underwent a mandibular, maxillary, or bimaxillary osteotomy, performed by one of the 3 resident maxillofacial surgeons at the St. John's hospital in Genk. The purpose of the review was to investigate the incidence of major airway difficulties occurring postoperatively because of surgically related causes. It seemed that obstructive airway compromise was the only reason for urgent intervention to protect or to restore the airway. In total, 3 urgent unanticipated life-saving reintubations were attempted. One was successful, and the other was changed into an urgent tracheostomy. No deaths occurred in this patient series after orthognathic surgery. Osseous genioplasties, as stand-alone surgery or in combination with other simultaneous orthognathic procedures, do care the risk for a life-threatening respiratory distress because of a hematoma of the floor of the mouth, when performed with an oscillating saw or a surgical drill. If so, this probably will happen within the first 4 postoperative hours according to the experience in our series. This risk can be avoided by using a piezosurgical unit to perform the osseous genioplasty.},
  author       = {Politis, Constantinus  and Kunz, Sidney and Schepers, Serge and Vrielinck, Luc and Lambrichts, Ivo},
  issn         = {1049-2275},
  journal      = {JOURNAL OF CRANIOFACIAL SURGERY},
  keyword      = {jaw osteotomy,Orthognathic surgery,complication,tracheostomy,respiratory distress,genioplasty,BSSO,RAMUS OSTEOTOMY,IMPLANT PLACEMENT,SPLIT OSTEOTOMY,COMPLICATIONS,GENIOPLASTY,HEMORRHAGE},
  language     = {eng},
  number       = {6},
  pages        = {1717--1722},
  title        = {Obstructive airway compromise in the early postoperative period after orthognathic surgery},
  url          = {http://dx.doi.org/10.1097/SCS.0b013e31826beeb2},
  volume       = {23},
  year         = {2012},
}

Chicago
Politis, Constantinus , Sidney Kunz, Serge Schepers, Luc Vrielinck, and Ivo Lambrichts. 2012. “Obstructive Airway Compromise in the Early Postoperative Period After Orthognathic Surgery.” Journal of Craniofacial Surgery 23 (6): 1717–1722.
APA
Politis, C., Kunz, S., Schepers, S., Vrielinck, L., & Lambrichts, I. (2012). Obstructive airway compromise in the early postoperative period after orthognathic surgery. JOURNAL OF CRANIOFACIAL SURGERY, 23(6), 1717–1722.
Vancouver
1.
Politis C, Kunz S, Schepers S, Vrielinck L, Lambrichts I. Obstructive airway compromise in the early postoperative period after orthognathic surgery. JOURNAL OF CRANIOFACIAL SURGERY. 2012;23(6):1717–22.
MLA
Politis, Constantinus , Sidney Kunz, Serge Schepers, et al. “Obstructive Airway Compromise in the Early Postoperative Period After Orthognathic Surgery.” JOURNAL OF CRANIOFACIAL SURGERY 23.6 (2012): 1717–1722. Print.