Facial nerve injuries associated with orthognathic surgery: A review of incidence and management

While facial nerve injuries associated with both extraoral and intraoral orthognathic surgery are rare, the results of such an injury can be devastating to the patient. A review of the literature shows that the majority of such injuries fall into the first-, second-, and third-degree injury categori...

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Bibliographic Details
Published inJournal of oral and maxillofacial surgery Vol. 49; no. 7; pp. 740 - 744
Main Authors Jones, John K., Van Sickels, Joseph E.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.1991
Subjects
Anastomosis, Surgical
Dentistry
Electrodiagnosis
Facial Nerve - surgery
Facial Nerve Injuries
Humans
Nerve Regeneration
Neural Conduction - physiology
Orthognathic Surgical Procedures
Osteotomy - adverse effects
Wounds and Injuries - diagnosis
Wounds and Injuries - therapy
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Summary:While facial nerve injuries associated with both extraoral and intraoral orthognathic surgery are rare, the results of such an injury can be devastating to the patient. A review of the literature shows that the majority of such injuries fall into the first-, second-, and third-degree injury categories. Prevention cannot be stressed enough; however, early recognition of an injury with prompt electrodiagnostic testing can assist with determining prognosis and treatment planning. When close observation is indicated, a variety of medical therapies have been suggested. For more severe injuries, nerve repair and facial reanimation have been reported.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0278-2391
1531-5053
DOI:10.1016/S0278-2391(10)80239-3