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Abstract
BackgroundTo investigate retrospectively the orthognathic surgery (OGS) patients experience in weight loss and the influence of gender, age, duration of the surgical procedure, length of hospital stay, location of surgery and use of intermaxillary fixation (IMF) or without IMF on postoperative weight loss.Material and MethodsA total of 4487 patients treated by OGS where all patients visited the outpatient clinic one, three and six weeks after the surgical procedure. After six weeks, patients filled out a questionnaire in which weight loss was addressed. The patients were asked to give an estimate of their experiences weight loss. The population was first divided in two groups weight loss and no weight loss.ResultsIn the weight loss group there is no significant difference in weight loss between patients with IMF and patients without IMF. In the weight loss group there were significantly more females then males. Further, in the subgroup IMF the operation time was significantly longer compared with the subgroup without IMF. The other parameters including age and hospital stay were not different in the groups.ConclusionsIMF in orthognathic treatment does not result in a difference self-reported loss of body weight compared to patients without IMF. Treatment protocols should include pre- and post-operative dietician consultations and possible indications for medical nutrition and vitamins. Key words:Assessing, protocol, weight loss, experiences, orthognathic surgery.
Highlights
Double-jaw osteotomies play an important role in the maxillofacial surgery (1)
In the intermaxillary fixation (IMF) group the surgery time was significantly higher (p < 0.05), which seems logical as significant more patients underwent a bi-maxillary surgery in this group
Orthognathic surgery appears to have the largest impact on appearance and chewing, followed by comfort (14)
Summary
Double-jaw osteotomies play an important role in the maxillofacial surgery (1). Recuperation following osteotomies is a complex process for the patient and requires the resolution of postoperative sequel, such as, nausea, swelling, pain, discomfort, uncomfortable oral function, and decreased activity levels (2,3). Patients undergoing OGS and subsequent IMF are at risk for malnutrition and substantial weight loss This may lead to impaired bone and wound healing and to a deteriorated overall functional recovery (13). The aim of the present study was to investigate retrospectively the OGS patients experience in weight loss and the influence of gender, age, duration of the surgical procedure, length of hospital stay, location of surgery and use of IMF or without IMF on post-operative weight loss. To investigate retrospectively the orthognathic surgery (OGS) patients experience in weight loss and the influence of gender, age, duration of the surgical procedure, length of hospital stay, location of surgery and use of intermaxillary fixation (IMF) or without IMF on postoperative weight loss. Treatment protocols should include pre- and post-operative dietician consultations and possible indications for medical nutrition and vitamins
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