Cargando…
Delayed progressive haematoma after Le Fort I osteotomy: A possible severe complication in orthognatic surgery
Although the Le Fort I osteotomy is a safe surgical technique, many complications have been reported. We present a case of an extended cervico-facial haematoma due to delayed bleeding from the terminal branches of the maxillary artery after orthognatic surgery. A 23-year-old man was referred to our...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3692184/ https://www.ncbi.nlm.nih.gov/pubmed/23814594 http://dx.doi.org/10.4103/1735-3327.109782 |
_version_ | 1782274589393420288 |
---|---|
author | Bertossi, Dario Malchiodi, Luciano Shideh, Ehsani Albanese, Massimo Portelli, Marco Lucchese, Alessandra Carinci, Francesco Nocini, Pierfrancesco |
author_facet | Bertossi, Dario Malchiodi, Luciano Shideh, Ehsani Albanese, Massimo Portelli, Marco Lucchese, Alessandra Carinci, Francesco Nocini, Pierfrancesco |
author_sort | Bertossi, Dario |
collection | PubMed |
description | Although the Le Fort I osteotomy is a safe surgical technique, many complications have been reported. We present a case of an extended cervico-facial haematoma due to delayed bleeding from the terminal branches of the maxillary artery after orthognatic surgery. A 23-year-old man was referred to our observation for the surgical correction of a class III asymmetric malocclusion. The patient underwent a Le Fort I osteotomy, with impaction of the maxilla, associated with an Epker mandibular bilateral sagittal split osteotomy, with maxillary advancement and rigid internal fixation of the mandible with four miniplates and another four for the upper maxilla as well. The first post-surgery day, the patient developed a gradual dispnea together with neck swelling. By second postoperative day, the patient's general condition improved with a progressive normalization of laboratory tests values. The Computerised Axial Tomography (CAT) scan confirmed a decrease in the parapharyngeal thickening. Total recovery was achieved within two months, the final clinical check showed a healthy appearance with good occlusion. An increased knowledge of the basic biology of the Le Fort I osteotomy, the development of instruments specially designed for the Le Fort I procedure and the use of hypotensive anaesthesia could reduce the morbidity and duration of this procedure. |
format | Online Article Text |
id | pubmed-3692184 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-36921842013-06-28 Delayed progressive haematoma after Le Fort I osteotomy: A possible severe complication in orthognatic surgery Bertossi, Dario Malchiodi, Luciano Shideh, Ehsani Albanese, Massimo Portelli, Marco Lucchese, Alessandra Carinci, Francesco Nocini, Pierfrancesco Dent Res J (Isfahan) Case Report Although the Le Fort I osteotomy is a safe surgical technique, many complications have been reported. We present a case of an extended cervico-facial haematoma due to delayed bleeding from the terminal branches of the maxillary artery after orthognatic surgery. A 23-year-old man was referred to our observation for the surgical correction of a class III asymmetric malocclusion. The patient underwent a Le Fort I osteotomy, with impaction of the maxilla, associated with an Epker mandibular bilateral sagittal split osteotomy, with maxillary advancement and rigid internal fixation of the mandible with four miniplates and another four for the upper maxilla as well. The first post-surgery day, the patient developed a gradual dispnea together with neck swelling. By second postoperative day, the patient's general condition improved with a progressive normalization of laboratory tests values. The Computerised Axial Tomography (CAT) scan confirmed a decrease in the parapharyngeal thickening. Total recovery was achieved within two months, the final clinical check showed a healthy appearance with good occlusion. An increased knowledge of the basic biology of the Le Fort I osteotomy, the development of instruments specially designed for the Le Fort I procedure and the use of hypotensive anaesthesia could reduce the morbidity and duration of this procedure. Medknow Publications & Media Pvt Ltd 2012-12 /pmc/articles/PMC3692184/ /pubmed/23814594 http://dx.doi.org/10.4103/1735-3327.109782 Text en Copyright: © Dental Research Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Bertossi, Dario Malchiodi, Luciano Shideh, Ehsani Albanese, Massimo Portelli, Marco Lucchese, Alessandra Carinci, Francesco Nocini, Pierfrancesco Delayed progressive haematoma after Le Fort I osteotomy: A possible severe complication in orthognatic surgery |
title | Delayed progressive haematoma after Le Fort I osteotomy: A possible severe complication in orthognatic surgery |
title_full | Delayed progressive haematoma after Le Fort I osteotomy: A possible severe complication in orthognatic surgery |
title_fullStr | Delayed progressive haematoma after Le Fort I osteotomy: A possible severe complication in orthognatic surgery |
title_full_unstemmed | Delayed progressive haematoma after Le Fort I osteotomy: A possible severe complication in orthognatic surgery |
title_short | Delayed progressive haematoma after Le Fort I osteotomy: A possible severe complication in orthognatic surgery |
title_sort | delayed progressive haematoma after le fort i osteotomy: a possible severe complication in orthognatic surgery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3692184/ https://www.ncbi.nlm.nih.gov/pubmed/23814594 http://dx.doi.org/10.4103/1735-3327.109782 |
work_keys_str_mv | AT bertossidario delayedprogressivehaematomaafterlefortiosteotomyapossibleseverecomplicationinorthognaticsurgery AT malchiodiluciano delayedprogressivehaematomaafterlefortiosteotomyapossibleseverecomplicationinorthognaticsurgery AT shidehehsani delayedprogressivehaematomaafterlefortiosteotomyapossibleseverecomplicationinorthognaticsurgery AT albanesemassimo delayedprogressivehaematomaafterlefortiosteotomyapossibleseverecomplicationinorthognaticsurgery AT portellimarco delayedprogressivehaematomaafterlefortiosteotomyapossibleseverecomplicationinorthognaticsurgery AT lucchesealessandra delayedprogressivehaematomaafterlefortiosteotomyapossibleseverecomplicationinorthognaticsurgery AT carincifrancesco delayedprogressivehaematomaafterlefortiosteotomyapossibleseverecomplicationinorthognaticsurgery AT nocinipierfrancesco delayedprogressivehaematomaafterlefortiosteotomyapossibleseverecomplicationinorthognaticsurgery |