Complications of Orthognathic Surgery

Prevention of Complications of Orthognathic Surgery
  • Frank PalettaEmail author
  • Douglas Johnson
  • Carlo Guevara
  • Tian Ran Zhu


Orthognathic surgery is a complex operation requiring a sophisticated understanding of facial anatomy as well as an advanced knowledge of the interplay between the associated soft and hard tissues. A thorough analysis of the patient’s preoperative form and function along with the mastery of different techniques involved could circumvent many potential complications. Additionally, a thorough and detailed discussion of these complications with the patients and their families could prevent future disappointments or unreasonable expectations. This chapter will review surgical complications involving maxillary and mandibular osteotomies and will discuss different ways to recognize and correct them.


Orthognathic Surgery Bilateral Sagittal Split Ramus Osteotomy (BSSRO) Intraoral Vertical Ramus Osteotomy (IVRO) Inferior Alveolar Nerve Injury Maxillary Surgery 
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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Frank Paletta
    • 1
    • 2
    • 3
    Email author
  • Douglas Johnson
    • 4
    • 5
  • Carlo Guevara
    • 6
  • Tian Ran Zhu
    • 2
  1. 1.MSL Facial and Oral SurgeryWarwickUSA
  2. 2.Department of SugeryWarren Alpert Medical School of Brown UniversityProvidenceUSA
  3. 3.Division of Oral and Maxillofacial Surgery, Clinical Faculty, Department of Craniofacial SciencesUniversity of ConnecticutFarmingtonUSA
  4. 4.Oral and Facial Surgical CenterSaint AugustineUSA
  5. 5.University of FloridaShands JacksonvilleUSA
  6. 6.Department of Oral and Maxillofacial SurgeryUniversity of FloridaGainesvilleUSA

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