Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 7 , Pages 1399-1403 , July 2008

Factors for Intraoperative Blood Loss in Bimaxillary Osteotomies

  • Winfried Kretschmer, MD, DMD

      Affiliations

    • Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Marienhospital, Stuttgart, Germany.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Kretschmer: Department of Oral and Maxillofacial Surgery, Marienhospital, Boeheimstraße 37, 70199 Stuttgart, Germany
  • ,
  • Ulrich Köster, MD

      Affiliations

    • Anesthesiologist, Department of Anesthesiology and Intensive Care Medicine, Marienhospital, Stuttgart, Germany.
  • ,
  • Klaus Dietz, PhD

      Affiliations

    • Professor and Chair, Institute of Biometry, University of Tuebingen, Germany.
  • ,
  • Werner Zoder, MD, DMD

      Affiliations

    • Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Marienhospital, Stuttgart, Germany.
  • ,
  • Konrad Wangerin, MD, DMD, PhD

      Affiliations

    • Professor and Head of the Department, Department of Oral and Maxillofacial Surgery, Marienhospital, Stuttgart, Germany.

References 

  1. Lanigan DT, Hey JH, West RA. Major vascular complications of orthognathic surgery (Hemorrhage associated with Le Fort I osteotomies). J Oral Maxillofac Surg. 1990;48:561
  2. Moenning JE, Bussard DA, Lapp TH, et al. Average blood loss and the risk of requiring perioperative blood transfusion in 506 orthognathic surgical procedures. J Oral Maxillofac Surg. 1995;53:880
  3. Umstadt HE, Weippert-Kretschmer M, Austermann KH, et al. Transfusion need in orthognathic surgery. Mund Kiefer Gesichtschir. 2000;4:228
  4. Gong SG, Krishnan V, Waack D. Blood transfusions in bimaxillary orthognathic surgery: Are they necessary?. Int J Adult Orthod Orthognath Surg. 2002;17:314
  5. Nkenke E, Kessler P, Wiltfang J, et al. Hemoglobin value reduction and necessity of transfusion in bimaxillary orthognathic surgery. J Oral Maxillofac Surg. 2005;63:623
  6. Kessler P, Hegewald J, Adler W, et al. Is there a need for autologous blood donation in orthognathic surgery?. Plast Reconstr Surg. 2006;117:571
  7. Schaberg SJ, Kelly JF, Terry BC, et al. Blood loss and hypotensive anesthesia in oro-facial corrective surgery. J Oral Surg. 1976;34:147
  8. Precious DS, Splinter W, Bosco D. Induced hypotensive anaesthesia for adolescent orthognathic surgery patients. J Oral Maxillofac Surg. 1996;54:680
  9. Praveen K, Narayanan V, Muthusekhar MR, et al. Hypotensive anaesthesia and blood loss in orthognathic surgery: A clinical study. Br J Oral Maxillofac Surg. 2001;39:138
  10. Regan F, Taylor C. Recent developments blood transfusion medicine. BMJ. 2002;318:1435
  11. Gibbons AJ, Dhariwal DK, Benton A, et al. Blood usage in maxillofacial surgery. Br J Oral Maxillofac Surg. 2002;40:350
  12. Sudhindran S. Perioperative blood transfusion: A plea for guidelines. Am R Coll Surg Engl. 1997;79:299
  13. Goodnaugh LT. Risks of blood transfusion. Crit Care Med. 2003;31(Suppl):678
  14. Yu CNF, Chow TK, Kwan ASK, et al. Intra-operative blood loss and operating time in orthognathic surgery using induced hypotensive general anesthesia: Prospective study. HKMJ. 2000;6:307
  15. Ueki K, Marukawa K, Shimada M, et al. The assessment of blood loss in orthognathic surgery for prognathia. J Oral Maxillofac Surg. 2005;63:350
  16. Dhariwal DK, Gibbons AJ, Kittur MA, et al. Blood transfusion requirements in bimaxillary osteotomies. Br J Oral Maxillofac Surg. 2004;42:231
  17. Ash DC, Mercuri LG. The relationship between blood ordered and blood administered in orthognathic surgery: A retrospective study. J Oral Maxillofac Surg. 1985;43:944
  18. Zellin G, Rasmusson L, Palsson J, et al. Evaluation of hemorrhage depressors on blood loss during orthognathic surgery: A retrospective study. J Oral Maxillofac Surg. 2004;62:662
  19. Bell WH. Le Fort I osteotomy for correction of maxillary deformities. J Oral Surg. 1975;33:412
  20. Hunsuck EE. A modified intraoral sagittal splitting technique for correction of mandibular prognathism. J Oral Surg. 1968;26:250
  21. Rohling RG, Haers PE, Zimmermann AP, et al. Multimodal strategy for reduction of homologous transfusions in cranio-maxillofacial surgery. Int J Oral Maxillofac Surg. 1999;28:137
  22. Stewart A, Newman L, Sneddon K, et al. Aprotinin reduces blood loss and the need for transfusion in orthognathic surgery. Br J Oral Maxillofac Surg. 2001;39:365
  23. Nath A, Pogrel MA. Preoperative autologous blood donation for oral and maxillofacial surgery: An analysis of 913 patients. J Oral Maxillofac Surg. 2005;63:347
  24. Samman N, Cheung LK, Tong AC, et al. Blood loss and transfusion requirements in orthognathic surgery. J Oral Maxillofac Surg. 1996;54:21
  25. Stoelting RK, Hillier SC. Pharmacology and Physiology in Anesthetic Practice. Philadelphia: Lippincott Williams & Wilkins; 2005;
  26. De Hert SG, Turani F, Mathur S, et al. Cardioprotection with volatile anesthetics; Mechanisms and clinical implications. Anaesth Analg. 2005;100:1584
  27. Schimetta W. Therapeutische Hämodilution—eine Übersicht. Perfusion. 1995;8:228
  28. Lang K, Boldt J, Suttner S, et al. Colloid versus crystalloids and tissue oxygen tension in patients undergoing major abdominal surgery. Anesth Analg. 2001;93:405
  29. Gallandat Huet RCG, Siemons AW, Baus D, et al. A novel hydroxyethyl starch for effective perioperative plasma volume substitution in cardiac surgery. Can J Anesth. 2000;47:1207
  30. Kurian A, Ward-Booth P. Blood transfusion and orthognathic surgery—A thing of the past?. Br J Oral Maxillofac Surg. 2004;42:369
  31. Puelacher W, Hinteregger G, Nussbaumer W, et al. Preoperative autologous blood donation in orthognathic surgery: A follow-up study of 179 patients. J Craniomaxillofac Surg. 1998;26:121

PII: S0278-2391(08)00220-6

doi: 10.1016/j.joms.2008.01.060

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 7 , Pages 1399-1403 , July 2008