Outcome of Orthognathic Surgery in Craniofacial Syndrome Patients

Rasmusson L, Walladbegi J, Rasmusson S, Tarnow P, Kölby L, Lund H and Larsson A

Department of Oral and Maxillofacial Surgery, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden Department of Physiology, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Sweden Department of Plastic Surgery, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden Department of Radiology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden

^*Correspondance to: Lars Rasmusson 

 PDF  Full Text DOI: 10.25107/2474-1647.3716

Abstract

Craniofacial Syndrome (CFS) patients often present a great variety of facial malformations with corresponding cephalometric values, which in turn complicate surgery and increase the risk of relapse. In this study, we present a group of consecutive CFS patients treated with orthognathic surgery at a craniofacial center in Sweden. The secondary objective was to identify diagnoses that were unable to be corrected toward normal reference values according to cephalometric measurements. CFS patients included those undergoing orthognathic surgery from 2001 to 2015 following skeletal maturity and with adequate radiological documentation. Patients were grouped according to diagnosis, and pre- and post-operative cephalometric measurements were compared with reference values from normal control patients. Evaluation of 31 CFS patients with Crouzon, Treacher Collins, Apert Saethre-Chotzen, or Pfeiffer syndrome revealed surgical outcomes demonstrating lateral cephalometric progress toward normal values. These findings showed that orthognathic surgery performed on CFS patients improved cephalometric characteristics in all groups. The most difficult rehabilitation was observed in corrections for Treacher Collins syndrome due to the accompanying complexity of skeletal and soft-tissue malformations.

Keywords

Cephalometry; Craniofacial syndromes; Maxillofacial anomalies

Cite the article

Rasmusson L, Walladbegi J, Rasmusson S, Tarnow P, Kölby L, Lund H, et al. Outcome of Orthognathic Surgery in Craniofacial Syndrome Patients. Clin Surg. 2024; 9: 3716..