Genel Anestezi Altındaki Ortognatik Cerrahi Prosedürlerinin Perioperatif Olarak Değerlendirilmesi: Retrospektif Bir Çalışma

Abstract

Objective: The reconstruction of dentofacial deformities via orthognathic surgery is one of the procedures in oral and maxillofacial surgery. Several complications can occur-related to general anesthesia and prolonged operating time. The aim of this study was to investigate the effect of type of the skeletal deformity and the type of orthognathic surgery on anesthesia-related complications. Two hundred and two patients who underwent orthognathic surgery under general anesthesia were evaluated retrospectively. Material and Methods: According to inclusion criteria, 114 patients were included in the study. The patients were divided into two groups according to their surgical operations as single jaw (n=41) and double jaw (n=73) surgery. Ninety seven patients have skeletal Class 3 deformity and 17 patients have Class 2 deformity. The incidence of intraoperative surgical complications, duration of surgery, intubation difficulty, blood transfusion, postoperative intensive care and/or usage of additional medication were descriptively analyzed. Anesthesia-related complications were statistically compared between the groups. Results: The most common surgery-related complication was bad split. The incidence of life-threatening complications such as extensive blood loss or pulmonary edema was slightly higher in skeletal Class 2 patients and in double jaw surgery group. Although there was no statistically significant difference between the groups, both Mallampati score and difficult intubation scores were higher in skeletal Class 2 groups. Conclusion: Surgeon should be aware of prolonged surgery time can increase the complication risk while anesthesiologist should be aware of the Class 2 skeletal deformity-related intubation difficulties.