2023 Nov 28. In: Swennen GRJ, editor. Minimally Invasive (MI) Orthognathic Surgery: A Systematic Step-by-Step Approach [Internet]. Cham (CH): Springer; 2023. Chapter 8.

ABSTRACT

To increase patient’s postoperative comfort and experience, to enhance fast recovery and decrease patient morbidity after minimally invasive (MI) orthognathic surgery, the overall conditions are also of major importance. In this chapter, important preoperative, perioperative, and postoperative considerations are outlined. Preoperatively, the orthognathic surgical workup in combination with clinical focused 3D virtual surgical planning (3D-VSP) is crucial. Perioperative considerations in regard to the surgical-anesthesiologic team, preparation of the operating room, surgical instrumentation table organization, patient preparation, hypotensive anesthesia, and adequate medication are described in detail. Last but not least, postoperative considerations such as patient and wound care, pain and postoperative nausea/vomiting (PONV) management, dietary support, thermo-therapy, manual lymphatic drainage (MLD), and close patient follow-up will be finally highlighted. In conclusion, besides MI orthognathic surgical techniques performed with delicate and dedicated MI orthognathic surgical instruments, a crucial part of the “Minimally Invasive Orthognathics Algorithm” remains the conditions described in this chapter in order to enhance quality of life (QoL) of patients with maxillofacial deformity undergoing orthognathic / orthofacial surgery.

PMID:38349986 | Bookshelf:NBK600307 | DOI:10.1007/978-3-031-38012-9_8