Dysphagia Requiring Nasogastric Feeding Following Orthognathic Surgery: An Unusual Complication, Case Report, Literature Review, and Recommendations

Abstract

To report on dysphagia following orthognathic surgery, to review the literature on this topic, and to make recommendations for the management of this highly unusual problem. Two cases of dysphagia requiring nasogastric feeding tubes following two-jaw surgery are presented adding to the two already reported in the English language. Similarities and possible causes are discussed and the management of this entity is proposed. Both of our patients required nasogastric feeding tubes be placed to facilitate enteral nutrition. Similar to cases reported in the literature, none of the patients had neurological deficits other than to the second and third division of the trigeminal nerve. All patients recovered the ability to swallow. While less than 2% of patients undergoing orthognathic surgery may report difficulty with swallowing following jaw surgery, most will recover in a short period of time. For those with prolonged dysphagia, a neurologic examination, a swallow study, and a nasogastric feeding may be required until normal swallowing returns.