Volume 11, Issue 2 (7-2022)                   WJPS 2022, 11(2): 144-149 | Back to browse issues page

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Eshghpour M, Attar A R S, Labafchi A, Shooshtari Z, Bahramijoo F, Samieirad S. Emergence from Anesthesia: A Comparison between Isolated Mandibular Setback and Bimaxillary Orthognathic Surgeries in Skeletal Class III Patients. WJPS. 2022; 11 (2) :144-149
URL: http://wjps.ir/article-1-941-en.html
Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. , samieerads@mums.ac.ir
Abstract:   (201 Views)
Background: We aimed to compare the emergence from anesthesia between the isolated mandibular setback and bimaxillary orthognathic surgeries in Skeletal Class III Patients.
Methods: All healthy patients with skeletal class III deformity admitted to Mashhad Dental School, Mashhad, Iran from the years 2017 to 2018 were included in this study. They were candidates for either bimaxillary orthognathic surgery (Bimax surgery) through a combination of mandibular setback surgery plus maxillary advancement or isolated mandibular setback (Monomax surgery). The predictor variable was the type of jaw displacement and anesthesia duration, while the outcome variable was the duration of emergence from general anesthesia. The duration of emergence from anesthesia was calculated from the time the patient was transported to the recovery room until the time of safely discharging from the recovery room. For statistical analysis, the significance level was set at 0.05 using SPSS 21.
Results: A total of 81 consecutive patients, comprising 45 (55.6%) males and 36 (44.4%) females, with an average age of 23.15±4.58 years were recruited. Among the participating patients, 56 (69.1%) underwent bimaxillary surgery while the other 25 (30.9%) were treated with Monomax surgery. Regardless of the type of performed surgery, the duration of general anesthesia was the only factor to be significantly correlated to the length of emergence from anesthesia (P= 0.001). 
Conclusion: Increased exposure time to general anesthesia might result in a longer emergence from anesthesia, despite the type of performed orthognathic surgery. Further clinical trials are needed to support the relevancy.
Full-Text [PDF 213 kb]   (92 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2022/07/15 | Accepted: 2022/07/19 | Published: 2022/07/30

1. 1 Gabardo M, Zielak J, Tórtora G, et al. Impact of orthognathic surgery on quality of life: Predisposing clinical and genetic factors. J Craniomaxillofac Surg 2019 Aug;47(8):1285-91. [DOI:10.1016/j.jcms.2019.05.001]
2. 2 Saghafi H, Benington P, Ayoub A. Impact of orthognathic surgery on quality of life: a comparison between orthodontics-first and surgery-first approaches. Br J Oral Maxillofac Surg 2020 Apr;58(3):341-7. [DOI:10.1016/j.bjoms.2020.01.005]
3. 3 AlAsseri N, Swennen G. Minimally invasive orthognathic surgery: a systematic review. Int J Oral Maxillofac Surg 2018 Oct;47(10):1299-310. [DOI:10.1016/j.ijom.2018.04.017]
4. 4 Song IS, Choi J, Baik UB, et al. Recovery pattern following bimaxillary orthognathic surgery: Differences between sexes. J Craniomaxillofac Surg 2019 Jan;47(1):138-42. [DOI:10.1016/j.jcms.2018.11.003]
5. 5 Yavari N, Samieirad S, Labafchi A, Rezaeetalab F, Eshghpour M. Is There an Increase in the Risk of Obstructive Sleep Apnea After Isolated Mandibular Setback Surgery? An Evaluation Using the STOP-BANG Questionnaire. J Oral Maxillofac Surg 2020 Nov;78(11):2061-9. [DOI:10.1016/j.joms.2020.07.008]
6. 6 Ueki K, Marukawa K, Hashiba Y, Nakagawa K, Degerliyurt K, Yamamoto E. Assessment of the relationship between the recovery of maximum mandibular opening and the maxillomandibular fixation period after orthognathic surgery. J Oral Maxillofac Surg 2008 Mar;66(3):486-91. [DOI:10.1016/j.joms.2007.08.044]
7. 7 Salma RG, Al-Shammari FM, Al-Garni BA, Al-Qarzaee MA. Operative time, blood loss, hemoglobin drop, blood transfusion, and hospital stay in orthognathic surgery. Oral Maxillofac Surg 2017 Jun;21(2):259-66. [DOI:10.1007/s10006-017-0626-1]
8. 8 Ettinger KS, Yildirim Y, Weingarten TN, Van Ess JM, Viozzi CF, Arce K. Hypotensive Anesthesia Is Associated With Shortened Length of Hospital Stay Following Orthognathic Surgery. J Oral Maxillofac Surg 2016 Jan;74(1):130-8. [DOI:10.1016/j.joms.2015.05.025]
9. 9 Garg M, Cascarini L, Coombes DM, et al. Multicentre study of operating time and inpatient stay for orthognathic surgery. Br J Oral Maxillofac Surg 2010 Jul;48(5):360-3. [DOI:10.1016/j.bjoms.2009.08.035]
10. 10 Alwadei S. Early Orthognathic Surgery: A Review. J Contemp Dent Pract 2017 Mar 1;18(3):250-6. [DOI:10.5005/jp-journals-10024-2026]
11. 11 Chang FS, Burrows SA, Gebauer DP. Patient-Controlled Analgesia and Length of Hospital Stay in Orthognathic Surgery: A Randomized Controlled Trial. J Oral Maxillofac Surg 2019 Apr;77(4):818-27. [DOI:10.1016/j.joms.2018.10.001]
12. 12 Venugoplan SR, Nanda V, Turkistani K, Desai S, Allareddy V. Discharge patterns of orthognathic surgeries in the United States. J Oral Maxillofac Surg 2012 Jan;70(1):e77-86. [DOI:10.1016/j.joms.2011.09.030]
13. 13 Choi WS, Samman N. Risks and benefits of deliberate hypotension in anaesthesia: a systematic review. Int J Oral Maxillofac Surg 2008 Aug;37(8):687-703. [DOI:10.1016/j.ijom.2008.03.011]
14. 14 Winston SR. Preliminary communication: EMT and the Glasgow [correction of Glascow] Coma Scale. J Iowa Med Soc 1979 Oct;69(10):393, 8.
15. 15 Huamán ET, Juvet LM, Nastri A, Denman WT, Kaban LB, Dodson TB. Changing patterns of hospital length of stay after orthognathic surgery. J Oral Maxillofac Surg 2008 Mar;66(3):492-7. [DOI:10.1016/j.joms.2007.08.025]
16. 16 Jarab F, Omar E, Bhayat A, Mansuri S, Ahmed S. Duration of hospital stay following orthognathic surgery at the jordan university hospital. J Maxillofac Oral Surg 2012 Sep;11(3):314-8. [DOI:10.1007/s12663-011-0327-5]
17. 17 Dolan P, White RP, Jr. Community hospital charges for orthognathic surgery. Int J Adult Orthodon Orthognath Surg 1996;11(3):253-5.
18. 18 Cangemi CF, Jr. Administration of general anesthesia for outpatient orthognathic surgical procedures. J Oral Maxillofac Surg 2011 Mar;69(3):798-807. [DOI:10.1016/j.joms.2009.07.047]
19. 19 Seago JA, Weitz S, Walczak S. Factors influencing stay in the postanesthesia care unit: a prospective analysis. J Clin Anesth 1998 Nov;10(7):579-87. [DOI:10.1016/S0952-8180(98)00084-1]
20. 20 Dann JJ. Outpatient oral and maxillofacial surgery: transition to a Surgicenter setting and outcome of the first 200 cases. J Oral Maxillofac Surg 1998 May;56(5):572-7. [DOI:10.1016/S0278-2391(98)90454-2]
21. 21 Meisami T, Musa M, Keller MA, Cooper R, Clokie CM, Sàndor GK. Magnetic resonance imaging assessment of airway status after orthognathic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007 Apr;103(4):458-63. [DOI:10.1016/j.tripleo.2006.07.006]
22. 22 Parbatani R, Williams AC, Ireland AJ, Sandy JR. The process of orthognathic care in an NHS region. Annals of the Royal College of Surgeons of England 2010;92(1):34-9. [DOI:10.1308/003588410X12518836438723]
23. 23 Lombardo GA, Karakourtis MH, White RP, Jr. The impact of clinical practice patterns on hospital charges for orthognathic surgery. Int J Adult Orthodon Orthognath Surg 1994;9(4):251-6.
24. 24 Yu CN, Chow TK, Kwan AS, Wong SL, Fung SC. Intra-operative blood loss and operating time in orthognathic surgery using induced hypotensive general anaesthesia: prospective study. Hong Kong Med J 2000 Sep;6(3):307-11.

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