Prolonged Dysphagia After Orthognathic Surgery
Roger A. Meyer, DDS, MS, MD
Greensboro, GA
Journal of Oral and Maxillofacial Surgery, Volume 77, Issue 8
Received: March 12, 2019; Accepted: March 14, 2019; Published online: April 27, 2019
DOI: https://doi.org/10.1016/j.joms.2019.03.039 | The recent article by Salmon et al1 in the Journal reporting on 2 cases of prolonged dysphagia after orthognathic surgery serves as a reminder that reconstructive surgery of the mouth and jaws can cause complications, not all of which are common, trivial, or anticipated. Dysphagia, or difficulty with swallowing, after orthognathic surgery was a more frequent postoperative problem when wire osteosynthesis and intermaxillary fixation were the accepted methods of bone stabilization. Since the introduction of rigid internal fixation in the 1980s, the need for prolonged wiring of the patient's teeth is no longer essential to the healing of the osteotomies, and speech and the oral ingestion of food, fluids, and medications have become much less problematic for patients.
Roger A. Meyer, DDS, MS, MD
Greensboro, GA
Journal of Oral and Maxillofacial Surgery, Volume 77, Issue 8
Received: March 12, 2019; Accepted: March 14, 2019; Published online: April 27, 2019
DOI: https://doi.org/10.1016/j.joms.2019.03.039 | The recent article by Salmon et al1 in the Journal reporting on 2 cases of prolonged dysphagia after orthognathic surgery serves as a reminder that reconstructive surgery of the mouth and jaws can cause complications, not all of which are common, trivial, or anticipated. Dysphagia, or difficulty with swallowing, after orthognathic surgery was a more frequent postoperative problem when wire osteosynthesis and intermaxillary fixation were the accepted methods of bone stabilization. Since the introduction of rigid internal fixation in the 1980s, the need for prolonged wiring of the patient's teeth is no longer essential to the healing of the osteotomies, and speech and the oral ingestion of food, fluids, and medications have become much less problematic for patients.
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