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与正颌手术相关的面神经瘫痪。

Facial Nerve Palsy Associated With Orthognathic Surgery.

机构信息

Department of Oral and Maxillofacial Surgery, Dental School, Pontificial Catholic University of Rio Grande do Sul (PUCRS), Partenon.

Medical School, Federal University of Health Sciences of Porto Alegre (UCFSPA), Porto Alegre, Brazil.

出版信息

J Craniofac Surg. 2020 Sep;31(6):e546-e549. doi: 10.1097/SCS.0000000000006476.

Abstract

The authors report a 25-year-old female who presented facial palsy after undergoing bimaxillary orthognathic surgery for retrognathism correction. Orthognathic surgery is a procedure used to treat dentofacial deformities which aims to achieve an adequate relationship between dental archs, improving function (such as chewing, breathing, and speaking) and facial aesthetics. Even though there are some complications that can occur during the intraoperative and postoperative periods like bleeding, tooth, soft-tissue damage, nerve damage, bad split, infection, and nonunion, facial nerve injuries are considered rare complications after this kind of surgical procedure. Despite being uncommon, rarely described, transient, and spontaneously resolved in almost all patients, facial nerve palsy is one of the most serious complications because it directly affects patient's quality of life and social interaction.

摘要

作者报告了一位 25 岁的女性患者,在接受双颌正颌手术矫正下颌后缩后出现面瘫。正颌手术是一种用于治疗牙颌面畸形的手术,旨在实现牙弓之间的适当关系,改善功能(如咀嚼、呼吸和说话)和面部美观。尽管在手术过程中和手术后可能会出现一些并发症,如出血、牙齿、软组织损伤、神经损伤、骨折不良、感染和骨不连,但面神经损伤被认为是这种手术的罕见并发症。尽管面神经损伤很少见,描述也很少,但在几乎所有患者中都是短暂的和自发缓解的,它仍然是最严重的并发症之一,因为它直接影响患者的生活质量和社会交往。

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