Dissertation
Dissertation > Medicine, health > Surgery > Plastic Surgery (repair surgery ) > Plastic surgery school

Clinical Analysis of the Complications Following Correction of Prominent Mandibular Angle

Author LiuJian
Tutor LiXiaoDan
School Huazhong University of Science and Technology
Course Plastic Surgery
Keywords Mandible Mandibular angle plasty Osteotomy Complication
CLC R622
Type Master's thesis
Year 2011
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Objective: To investigate the causes and to propose preventive measures analysis of mandibular angle plasty and postoperative complications occurred . Methods: 60 cases of the mandibular angle angioplasty cases from 2006 to 2009 . Surgery is divided into three , to improve the mandibular branch sagittal split osteotomy II mandibular angle wedge osteotomy , three mandibular angle continuous curved osteotomy . Surgery and postoperative complications are summarized, and analysis of its causes , and to propose preventive measures . Results: In addition to a case of postoperative right mandibular angle is too large , underwent secondary surgery treatment , the remaining patients recovered well , the postoperative facial contours to improve satisfaction . Follow - up time of 3-24 months , with an average of 12 months. Two cases of facial artery rupture led to bleeding in surgery , facial artery ligation , bandaged uneventful recovery . Four patients wound oozing excessive coagulation surgery to stop bleeding , postoperative hemostatic agents , blood transfusion and pressure bandage improved after treatment . 1 case occurred in the inferior alveolar nerve transection . 1 patient perioral soft tissue injury , recovery after appropriate treatment . Three cases of postoperative hematoma after clearing after a good recovery . Two cases of postoperative lower lip paresthesia, about two months after surgery to restore their own . 8 cases of postoperative mouth askew , are in the three months after their own recovery . After removal of wisdom teeth pericoronitis triggered jaw abscess after debridement and drainage anti-inflammatory treatment , healing well . Conclusion : The surgical area complex anatomical structures , narrow surgical field , on the technical requirements of the surgeon , and prone to complications . Surgery , one of the highest risk orthopedic surgery . Requiring the surgeon to have a skilled surgical techniques , and appropriate osteotomy , widely separated subperiosteal soft tissue , perioral soft tissue gentle traction after properly bandaged , continuous suction drainage and other measures can be avoided and reduce complications place.

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