Abstract

Orthognathic surgery is performed to correct jaw deformities and improve facial aesthetics, occlusal relations, stomatognathic functions and psychological states. However, various accidents and complications in orthognathic surgery may occur at any time during the course of treatment: in the preoperative judgment and planning, intraoperatively or postoperatively. Written information about possible complications and the recovery period and patients’ consent to the surgical procedure may be helpful in proper communication, which may reduce patients’ dissatisfaction. In the perioperative period, careful attention to possible complications, especially bleeding, nerve injury, airway narrowing and psychological problems, is required. By understanding and analyzing these possible complications, we can prevent and reduce the risks of incidental failures. The key points for perioperative management in orthognathic surgery are a reasonable surgical plan, mastery of the skill required, a safe and sure operation, and a careful wait-and-see approach with consideration of possible accidents and complications in the same manner as that for general surgical procedures.

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