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Article

Recovery following Orthognathic Surgery Procedures—A Pilot Study

1
Department of Maxillofacial Surgery and Implantology, University of Medicine and Pharmacy “Iuliu Hațieganu”, 37 Cardinal Iuliu Hossu Street, 400029 Cluj-Napoca, Romania
2
Department of Prosthetic Dentistry and Dental Materials, Iuliu Hațieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400006 Cluj-Napoca, Romania
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2022, 19(23), 16028; https://doi.org/10.3390/ijerph192316028
Submission received: 2 November 2022 / Revised: 24 November 2022 / Accepted: 29 November 2022 / Published: 30 November 2022
(This article belongs to the Special Issue New Advances in Dentistry)

Abstract

This study aims at evaluating and categorizing patients’ objective and subjective postoperative recovery symptoms after bimaxillary orthognathic surgery assigning the healing process. The patients were monitored throughout the recovery process, and their symptoms were managed. A prospective, observational study was performed. Patients with Class II and III malocclusion (aged 18 to 35) were evaluated and monitored preoperatively, and postoperatively at 48 h, 2 weeks, 1 month, and 3 months postsurgery. A questionnaire was used to assess pain and anesthesia/hypoesthesia. The most common objective and subjective signs that were correlated with the healing process were edema, hematoma, trismus, pain, and anesthesia/hypoesthesia. Edema peaked at 48–72 h postoperatively (distance between eye’s external canthus and gonion, mean difference = 4.53, between tragus and cheilion, mean difference = 7, between tragus and gnathion, mean difference = 4.65, p < 0.001); mouth opening amplitude was significantly decreased during the first two weeks postsurgery (class II, mean difference = 32.42, p = 0.006, class III, mean difference = 44.57, p < 0.001), but it steadily and considerably improved over three months. The nose tended to widen postsurgery. The most severe pain experienced by patients was of medium intensity in the mandibular body, described as pressure, and usually did not spread. Patients were most severely and persistently impacted by anesthesia/hypoesthesia.
Keywords: orthognathic surgery; edema; trismus; pain; anesthesia; hypoesthesia; recovery after surgery orthognathic surgery; edema; trismus; pain; anesthesia; hypoesthesia; recovery after surgery

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MDPI and ACS Style

Dinu, C.; Manea, A.; Tomoiagă, D.; Băciuț, M.; Almășan, O.; Mitre, A.O.; Barbur, I.; Hedeșiu, M.; Armencea, G.; Opriș, H.; et al. Recovery following Orthognathic Surgery Procedures—A Pilot Study. Int. J. Environ. Res. Public Health 2022, 19, 16028. https://doi.org/10.3390/ijerph192316028

AMA Style

Dinu C, Manea A, Tomoiagă D, Băciuț M, Almășan O, Mitre AO, Barbur I, Hedeșiu M, Armencea G, Opriș H, et al. Recovery following Orthognathic Surgery Procedures—A Pilot Study. International Journal of Environmental Research and Public Health. 2022; 19(23):16028. https://doi.org/10.3390/ijerph192316028

Chicago/Turabian Style

Dinu, Cristian, Avram Manea, Denisa Tomoiagă, Mihaela Băciuț, Oana Almășan, Andrei Otto Mitre, Ioan Barbur, Mihaela Hedeșiu, Gabriel Armencea, Horia Opriș, and et al. 2022. "Recovery following Orthognathic Surgery Procedures—A Pilot Study" International Journal of Environmental Research and Public Health 19, no. 23: 16028. https://doi.org/10.3390/ijerph192316028

APA Style

Dinu, C., Manea, A., Tomoiagă, D., Băciuț, M., Almășan, O., Mitre, A. O., Barbur, I., Hedeșiu, M., Armencea, G., Opriș, H., Stoia, S., Tamaș, T., Băciuț, G., Onișor, F., & Bran, S. (2022). Recovery following Orthognathic Surgery Procedures—A Pilot Study. International Journal of Environmental Research and Public Health, 19(23), 16028. https://doi.org/10.3390/ijerph192316028

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