open access
메뉴ISSN : 0376-4672
BSSRO (bilateral sagittal split ramus osteotomy) is frequently performed to correct dentofacial deformity and malocclusion. Among its complications the incidence of post-operative facial nerve palsy is very rare, but it is one of the most serious complications. The case of a 21-year-old male patient who underwent facial nerve palsy after BSSRO is described. After surgical intervention and conservative therapy, the patient recovered his facial nerve function successfully.
1. Kim SG, Park SS. Incidence of complications and problems related to orthognathic surgery. J Oral Maxillofac Surg. 2007; 65:2438-2444.
2. Choi BK, Goh RC, Chen PK, Chuang DC, Lo LJ, Chen YR. Facial nerve palsy after sagittal split ramus osteotomy of the mandible: mechanism and outcomes. J Oral Maxillofac Surg. 2010; 68:1615-1621.
3. Dendy R. Facial nerve paralysis following sagittal split mandibular osteotomy: a case report. Br J Oral Surg. 1973; 11:101-105.
4. Cousin G. Facial nerve palsy following intra-oral surgery performed with local anaesthesia. J R Coll Surg Edinb. 2000; 45:330-334.
5. Barth EL, Gellrich NC, Brachvogel P. Facial palsy after mandibular bilateral split osteotomy?Analysis of a rare and seldom complication. J Craniomaxillofac Surg. 2006; 34(supple 1):77.
6. Seddon H. Three types of nerve injury. Brain. 1943; 66:237-288.
7. Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain. 1951; 74:491-516.
8. Hong SC, Lee HC, Yoon KH, Park KS, Cheong JK, Shin JM. Facial nerve palsy after sagittal split ramus osteotomy in severe mandibular prognathism: a case report. J Korean Assoc Maxillofac Plast Reconstr Surg. 2006; 28:73-79.
9. Jin SY, Kim SG, Kim HK, Moon SY, Oh JS, Jeong KI, et al. Facial nerve palsy after bilateral sagittal split ramus osteotomy: case report. Maxillofac Plast Reconstr Surg. 2011; 33:276-280.
10. Lundborg G. Nerve regeneration. Nerve Injury and Repair. 1988:149-195.