Incidence of Otalgia After Orthognathic Surgery.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
01 Oct 2023
01 Oct 2023
Historique:
received:
18
05
2023
accepted:
04
07
2023
medline:
9
10
2023
pubmed:
17
8
2023
entrez:
17
8
2023
Statut:
ppublish
Résumé
In orthognathic surgery, it is well known that maxillary osteotomies and displacements sometimes affect auditory function. Thus, this study examined the relationship between the direction of maxillary displacement and postoperative otalgia. Twenty consecutive patients underwent Le Fort I maxillary osteotomy using advancement, impaction, setback, or a combination of these procedures. The direction of movement and incidence of otalgia were investigated. Patients provided informed consent preoperatively, and postoperative reassurance was prudent. Pure-tone average evaluation based on horizontal or vertical movements did not show significant differences, although vertical movements resulted in fewer changes in the hearing threshold. Specifically, no significant changes were observed in the hearing thresholds of patients after surgery. No significant difference was also observed between horizontal and vertical movements in the tympanometry results. Negative changes were found in the results of the Eustachian tube dysfunction test in vertical movements, which returned to preoperative values in the final test. The risk of minor changes in hearing function is probable during the first week after orthognathic surgery; however, these negative changes either completely disappear or remain negligible.
Sections du résumé
BACKGROUND
BACKGROUND
In orthognathic surgery, it is well known that maxillary osteotomies and displacements sometimes affect auditory function. Thus, this study examined the relationship between the direction of maxillary displacement and postoperative otalgia.
METHODS
METHODS
Twenty consecutive patients underwent Le Fort I maxillary osteotomy using advancement, impaction, setback, or a combination of these procedures. The direction of movement and incidence of otalgia were investigated. Patients provided informed consent preoperatively, and postoperative reassurance was prudent.
RESULTS
RESULTS
Pure-tone average evaluation based on horizontal or vertical movements did not show significant differences, although vertical movements resulted in fewer changes in the hearing threshold. Specifically, no significant changes were observed in the hearing thresholds of patients after surgery. No significant difference was also observed between horizontal and vertical movements in the tympanometry results. Negative changes were found in the results of the Eustachian tube dysfunction test in vertical movements, which returned to preoperative values in the final test.
CONCLUSIONS
CONCLUSIONS
The risk of minor changes in hearing function is probable during the first week after orthognathic surgery; however, these negative changes either completely disappear or remain negligible.
Identifiants
pubmed: 37589962
doi: 10.1097/SCS.0000000000009609
pii: 00001665-990000000-00959
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e694-e696Informations de copyright
Copyright © 2023 by Mutaz B. Habal, MD.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
DeRuyter F, Diefendorf AO. Hearing sensitivity and measurements of middle ear and eustachian tube function after maxillary osteotomy with advancement surgery. J Oral Surg 1980;38:343–347
Yaghmaei M, Ghoujeghi A, Sadeghinejad A, et al. Auditory changes in patients undergoing orthognathic surgery. Int J Oral Maxillofac Surg 2009;38:1148–1153
Bayram B, Deniz K, Aydin E, et al. Is auditory function affected after Le Fort I osteotomy? Int J Oral Maxillofac Surg 2012;41:709–712
Precious DS, Morrison A, Ricard D. Pterygomaxillary separation without the use of an osteotome. J Oral Maxillofac Surg 1991;49:98–99
Schilder AG, Bhutta MF, Butler CC, et al. Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation and diagnosis. Clin Otolaryngol 2015;40:407–411