Cases reported "Prognathism"

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1/8. Atypical Frey syndrome as a complication of Obwegeser osteotomy.

    A patient with Frey syndrome on the left cheek area as a complication of an Obwegeser osteotomy is reported. flushing, sweating of skin, and hypoesthesia of buccal mucosae were present 6 months after surgery. An injury to the auriculotemporal nerve during desperiostization of the posterior border of the mandibular ramus is believed to be the principal cause. The physiopathologic mechanism is thought to occur in relation to aberrant regeneration of the postganglionic secretomotor parasympathetic nerve fibers carried in this nerve. These regenerated fibers erroneously reach the sweat glands of the cheek skin through anastomosis with the buccal nerve and temporofacial ramus of the facial nerve. Direct injury of the buccal nerve may be another cause, because of its close anatomic course with the external pterygoid muscle and the mandibular ramus. An extensive literature review revealed no cases of this syndrome as a complication of Obwegeser osteotomy.
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2/8. Transient facial nerve paralysis after mandibular sagittal osteotomy.

    facial nerve injuries are rare complications after orthognathic surgery. A literature review shows that such damages can develop with various mechanisms and are usually transient. Two cases of delayed facial paralysis after mandibular osteotomy with spontaneous recovery are reported.
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3/8. Facial nerve palsy following combined maxillary and mandibular osteotomy. A case report.

    A temporary facial nerve palsy is described in a female patient who underwent bimaxillary surgery for the correction of an anterior open bite associated with mandibular prognathism. A possible mechanism pertinent to this distressing complication is discussed.
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4/8. Iatrogenic facial nerve injury.

    A case of injury to the facial nerve as a complication to sagittal split osteotomy is reported.
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5/8. Traumatic neuroma following sagittal split mandibular osteotomy.

    A 23-year-old female patient had a sagittal split mandibular osteotomy performed to correct prognathism. Two years after surgery she developed pain in the distribution of the right inferior dental and mental nerves. The area was investigated surgically and a traumatic neuroma was excised.
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keywords = nerve
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6/8. Facial paresis following sagittal split osteotomy. Report of two cases.

    Two cases of transient facial nerve paresis following sagittal split osteotomy have been presented. The patients had complete recovery of nerve function within 5 months in the first case and 8 months in the second case.
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keywords = nerve
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7/8. Facial palsy after sagittal split osteotomies. A survey of 1747 sagittal split osteotomies.

    Facial nerve palsy following a sagittal split osteotomy is a rare but serious complication. The incidence of facial nerve injury in a group of 1747 patients who had undergone a bilateral sagittal split osteotomy (3494 sagittal splits) was determined and proved to be 0.26% (9 cases). The case histories of 2 patients are presented, and the etiology, diagnosis, treatment and prevention of this complication are discussed.
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8/8. Peripheral facial palsy after sagittal split ramus osteotomy for setback of the mandible. A case report.

    The case of a 21-year-old man who underwent sagittal split setback osteotomy is described. He experienced facial nerve palsy 2 days after his surgery. However, after physical therapy and the administration of vitamins, he regained normal function within 3 months. The literature related to postoperative facial nerve paralysis is briefly reviewed.
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