Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

Facial Nerve Palsy after Sagittal Split Ramus Osteotomy: Follow Up with Electrodiagnostic Tests

하악지 시상분할 골절단술 후 발생한 안면신경마비: 전기신경생리 검사를 통한 경과관찰

  • Koh, Kwang-Moo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Yang, Jae-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Leem, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Baek, Jin-A (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Ko, Seung-O (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Shin, Hyo-Keun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University)
  • 고광무 (전북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 양재영 (전북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 임대호 (전북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 백진아 (전북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 고승오 (전북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 신효근 (전북대학교 치의학전문대학원 구강악안면외과학교실)
  • Received : 2010.12.31
  • Accepted : 2011.02.24
  • Published : 2011.03.31
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Abstract

The management of mandibular prognathism was revolutionized by the advent of the of sagittal split ramus osteotomy (SSRO) technique as described by Obwegesser and Trauner in 1957. Facial nerve palsy following SSRO is a rare but serious problem. In the event of post-operative facial palsy, careful clinical and neurophysiological investigations such as a nerve condunction test for facial function is mandatory. The authors examined patients with facial palsy following SSRO. Patients recovered after 3~4 months and we had performed clinical examinations with electromyography and nerve conduction tests during follow-up period.

Keywords

References

  1. Trauner R, Obwegeser H. The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. I. Surgical procedures to correct mandibular prognathism and reshaping of the chin. Oral Surg Oral Med Oral Pathol 1957;10:667-89.
  2. Dal Pont G. Retromolar osteotomy for the correction of prognathism. J Oral Surg Anesth Hosp Dent Serv 1961;19: 42-7.
  3. Hunsuck EE. A modified intraoral sagittal splitting technic for correction of mandibular prognathism. J Oral Surg 1968; 26:250-3.
  4. Epker BN. Modifications in the sagittal osteotomy of the mandible. J Oral Surg 1977;35:157-9.
  5. de Vries K, Devriese PP, Hovinga J, van den Akker HP. Facial palsy after sagittal split osteotomies. A survey of 1747 sagittal split osteotomies. J Craniomaxillofac Surg 1993;21: 50-3. https://doi.org/10.1016/S1010-5182(05)80147-7
  6. Karabouta-Voulgaropoulou I, Martis C. Facial paresis following sagittal split osteotomy. Report of two cases. Oral Surg Oral Med Oral Pathol 1984;57:600-3. https://doi.org/10.1016/0030-4220(84)90279-2
  7. Consolo U, Salgarelli A. Transient facial nerve palsy following orthognathic surgery: a case report. J Oral Maxillofac Surg 1992;50:77-9. https://doi.org/10.1016/0278-2391(92)90203-C
  8. Behrman SJ. Complications of sagittal osteotomy of the mandibular ramus. J Oral Surg 1972;30:554-61.
  9. Piecuch JF, Lewis RA. Facial nerve injury as a complication of sagittal split osteotomy. J Oral Maxillofac Sug 1982;40: 309-10. https://doi.org/10.1016/0278-2391(82)90227-0
  10. Lundborg G, editor. Nerve injury and repair. London: Churchill Livingstone; 1988.
  11. Jones JK, Van Sickels JE. Facial nerve injuries associated with orthognathic surgery. A review of incidence and management. J Oral Maxillofac Surg 1991;49:740-4. https://doi.org/10.1016/S0278-2391(10)80239-3
  12. de Vries K, Devriese PP, Hovinga J, van den Akker HP. Facial palsy after sagittal split osteotomies. A survey of 1747 sagittal split osteotomies. J Craniomaxillofac Surg 1993;21: 50-3. https://doi.org/10.1016/S1010-5182(05)80147-7
  13. Taher AA. Facial palsy: a complication of sagittal ramus osteotomy (Obwegeser-Dal Pont technique). Report of a case. Quintessence Int 1988;19:229-31.
  14. Lanigan DT, Hohn FI. Facial nerve injuries after sagittal split mandibular ramus osteotomies for advancement: a report of 2 cases and review of the literature. J Oral Maxillofac Surg 2004;62:503-7. https://doi.org/10.1016/j.joms.2003.05.019
  15. Behrman SJ. Complications of sagittal osteotomy of the mandibular ramus. J Oral Surg 1972;30:554-61.
  16. Dendy RA. Facial nerve paralysis following sagittal split mandibular osteotomy: a case report. Br J Oral Surg 1973; 11:101-5. https://doi.org/10.1016/0007-117X(73)90024-3
  17. Consolo U, Salgarelli A. Transient facial nerve palsy following orthognathic surgery: a case report. J Oral Maxillofacial Surg 1992;50:77-9 https://doi.org/10.1016/0278-2391(92)90203-C
  18. Sakashiuta H, Miyata M, Miyamoto H, Miyaji Y. Peripheral facial palsy after sagittal split ramus osteotomy for setback of the mandible. A case report. Int J Oral Maxillofac Surg 1996;25:182-3. https://doi.org/10.1016/S0901-5027(96)80025-7
  19. Seddon HJ. Three types of nerve injury. Brain 1943;66:237. https://doi.org/10.1093/brain/66.4.237
  20. Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain 1951;74:491-516. https://doi.org/10.1093/brain/74.4.491
  21. Jones JK, Van Sickels JE. Facial nerve injuries associated with orthognathic surgery. A review of incidence and management. J Oral Maxillofac Surg 1991;49:740-4. https://doi.org/10.1016/S0278-2391(10)80239-3
  22. May M. Reporting recovery of facial fuction. In: May M, editor. The Facial Nerve. New York. NY: Thieme; 1986. p. 311.
  23. Mark May. The Facial Nerve. 1st ed. In: May M, editor. New York: Thieme Inc.; 1986. p. 333-8.