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- Title
Maxillary sinus haziness and facial swelling following suction drainage in the maxilla after orthognathic surgery.
- Authors
Lee, Jung-Soo; Kim, Moon-Key; Kang, Sang-Hoon
- Abstract
Background: We investigated the efficacy of a maxillary Jackson-Pratt (J-P) suction drain for preventing maxillary sinus hematoma and facial swelling after maxillary Le Fort I osteotomy (LF1). Methods: We retrospectively evaluated 66 patients who underwent LF1 at a single institution. Of these, 41 had a J-P suction tube inserted in the mandible and maxilla (maxillary insertion), and 25 had a J-P drain inserted in the mandible only (no maxillary insertion). Facial CT was obtained before and 4 days after surgery. We compared mean midfacial swelling and maxillary sinus haziness by t test and examined correlations between bleeding amount and body mass index (BMI). Results: For the maxillary-insertion group, the ratio of total maxillary sinus volume to haziness (57.5 ± 24.2%) was significantly lower than in the group without maxillary drain insertion (65.5% ± 20.3; P =.043). This latter group, however, did not have a significantly greater midfacial soft tissue volume (7575 mm3) than the maxillary-insertion group (7250 mm3; P =.728). BMI did not correlate significantly with bleeding amount or facial swelling. Conclusions: Suction drainage in the maxilla reduced maxillary sinus haziness after orthognathic surgery but did not significantly reduce midfacial swelling.
- Subjects
ORTHOGNATHIC surgery; MAXILLARY sinus; MAXILLA; BODY mass index; EDEMA
- Publication
Maxillofacial Plastic & Reconstructive Surgery, 2020, Vol 42, Issue 1, pN.PAG
- ISSN
2288-8101
- Publication type
Article
- DOI
10.1186/s40902-020-00277-0