Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 6 , Pages 1269-1273, June 2009

Intraoperative and Perioperative Complications in Anterior Maxillary Osteotomy: A Retrospective Evaluation of 103 Patients

  • Rajan Gunaseelan, MBBS, BDS, FDSRCS

      Affiliations

    • Medical Director, Rajan Dental Institute, Mylapore, Chennai, India
  • ,
  • Parameswaran Anantanarayanan, MDS, DNB, MNAMS

      Affiliations

    • Consulting Maxillofacial Surgeon, Rajan Dental Institute, Mylapore, Chennai, India
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Anantanarayanan: Rajan Dental Institute, #56 Dr. Radhakrishnan Salai, Mylapore, Chennai 600004, India
  • ,
  • Muthusubramanian Veerabahu, MDS

      Affiliations

    • Professor and Head, Department of Oral and Maxillofacial Surgery, Ragas Dental College, Chennai, India
  • ,
  • Baskarapandian Vikraman, MDS

      Affiliations

    • Professor, Department of Oral and Maxillofacial Surgery, Ragas Dental College, Chennai, India
  • ,
  • Rajendran Sripal, MDS

      Affiliations

    • Reader, Department of Oral and Maxillofacial Surgery, Ragas Dental College, Chennai, India

Purpose

To study the intraoperative and perioperative complications associated with anterior maxillary osteotomy (AMO), and assess its safety and predictability in orthognathic surgery.

Patients and Methods

We performed a retrospective evaluation of 103 patients undergoing AMO as a single procedure, or in combination with other osteotomies over a period of 5 years, with a mean follow-up of 3 years.

Results

Twenty-seven (26.2%) patients in our series of 103 had complications of varying severity: 43.3% of these were soft tissue-related, and 36.6% were attributable to dental causes. All other complications accounted for the remaining 20%.

Conclusion

Although its indications are limited, AMO is a safe and reliable procedure in routine orthognathic surgery.

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 This study was performed at the Rajan Dental Institute, Mylapore, Chennai, India.

PII: S0278-2391(09)00062-7

doi:10.1016/j.joms.2008.12.051

Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 6 , Pages 1269-1273, June 2009