Combating Nasal Septum Deviation in Le Fort 1 Orthognathic Surgery Complications, with Submental Intubation
Introduction: Orthognathic Le Fort 1 osteotomy, a surgical procedure performed to correct the aesthetics of mid face. Some of the complications of this surgery are hemorrhage, loss of sensation due to facial nerve damage, nasal septum deviation leading to crooked nose and snoring. Nasal septum...
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JCDR Research and Publications Private Limited
|Series:||Journal of Clinical and Diagnostic Research|
|Summary:||Introduction: Orthognathic Le Fort 1 osteotomy, a surgical
procedure performed to correct the aesthetics of mid face.
Some of the complications of this surgery are hemorrhage,
loss of sensation due to facial nerve damage, nasal septum
deviation leading to crooked nose and snoring. Nasal septum
deviation is the most common complication and one of the
most noticeable complications that is developed during the Le
Fort 1 osteotomy.
Aim: To ascertain that Submental Intubation in Orthognathic Le
Fort 1 Osteotomy combats Nasal septum Deviation.
Materials and Methods: Medical records and clinical data of
32 patients who underwent orthognathic Le Fort 1 Osteotomy
under submental orotracheal intubation were analyzed to
understand if nasal septum deviation and other complications
of Le Fort 1 Osteotomy occurred in such cases based on 6
Results: No complications of nasal septum deviation or other
complications that’s associated with orthognathic Le Fort 1
Osteotomy were found in the 32 cases that were analyzed.
Discussion: The surgeon needs to have a non-obtrusive nasal
canal so as to determine the extent to which the nasal septum
needs to be reduced so that it does not cause nasal septum
deviation post the procedure. Submental oratracheal intubation
provides the surgeon with an excellent view of the operating
field, enough space for intra oral manipulation of the bone and
septum for intra oral operation and control of dental occlusion.
Conclusion: Submental intubation is a better method of
intubation during Le Fort 1 osteotomy as it does not cause
nasal septum deviation or other associated complications.|