PENATALAKSANAAN KOMPLIKASI INFRAORBITAL NERVE INJURY PASCA OSTEOTOMI LE FORT I : RAPID REVIEW
DOI:
https://doi.org/10.31004/jkt.v6i1.35118Keywords:
Infraorbital Nerve Injury, Le Fort I Osteotomy, penatalaksanaanAbstract
Osteotomi Le Fort I merupakan operasi yang dinilai relative aman dengan morbiditas dan mortalitas yang rendah. Meskipun demikian, Tindakan ini diasosiasikan dengan komplikasi yang jarang tetapi berarti. Saraf infraorbital merupakan salah satu saraf yang paling umum terkait dengan osteotomi Le Fort I. Hal ini terjadi karena tertekan atau tertarik secara tidak sengaja oleh operator selama pembedahan subperiosteal sehingga sering kali menimbulkan injuri berupa parestesia temporer dan gangguan neurosensori. Tujuan dilakukan penelitian ini adalah untuk mengetahui tata laksana dari komplikasi infraorbital nerve injury pasca osteotomi Le Fort I, beserta jenis dan penyebab terjadinya komplikasi tersebut. Penelitian dilakukan dengan menggunakan metode rapid review. Data didapatkan melalui pencarian sistematis pada database online PubMed, Scopus, dan Science Direct dengan memasukkan kriteria inklusi dan eksklusi. Proses penyaringan artikel dilakukan dengan pendekatan PRISMA dan kemudian dilakukan penilaian kualitas menggunakan The Joanna Briggs Institute Critical Appraisal Tools. Hasil dari 7 artikel terpilih didapatkan jenis komplikasi yang paling banyak ditemukan adalah paraestesia sebanyak 4 artikel dan diikuti oleh hipoestesia sebanyak 3 artikel. Kesimpulan penatalaksanaan yang dapat dilakukan terhadap komplikasi infraorbital nerve injury pasca osteotomi Le Fort I adalah dengan melakukan pemeriksaan medis rutin, evaluasi sensasi, pemberian obat-obatan farmakologis serta penghilangan faktor penyebab terjadinya komplikasi infraorbital nerve injury pasca osteotomi Le Fort I.References
Al-Nawas, B., Kämmerer, P. W., Hoffmann, C., Moergel, M., Koch, F. P., Wriedt, S., et al. (2014). Influence of osteotomy procedure and surgical experience on early complications after orthognathic surgery in the mandible. Journal of Cranio-Maxillofacial Surgery, 42(5), 284–288.
Alolayan, A. B., & Leung, Y. Y. (2021). Longitudinal recovery pattern of neurosensory deficit after Le Fort I osteotomy. International Journal of Oral and Maxillofacial Surgery, 50(8), 1069–1074.
Borzabadi-Farahani, A., Eslamipour, F., & Shahmoradi, M. (2016). Functional needs of subjects with dentofacial deformities: A study using the index of orthognathic functional treatment need (IOFTN). Journal of Plastic, Reconstructive & Aesthetic Surgery, 69(6), 796–801.
Buchanan, E. P., & Hyman, C. H. (2013). LeFort I osteotomy. Seminars in Plastic Surgery, 27(3), 149. Retrieved from /pmc/articles/PMC3805729/
Buchanan, E., & Hyman, C. (2013). LeFort I osteotomy. Seminars in Plastic Surgery, 27(3), 149–154.
Catherine, Z., & Scolozzi, P. (2019). Modified Le Fort I step osteotomy for improvement of paranasal flatness in maxillary deficiency: Technical note and series of 24 cases. Journal of Stomatology, Oral and Maxillofacial Surgery, 120(6), 559–565.
Dos Santos Alves, J. M., De Freitas Alves, B. W., De Figueiredo Costa, A. C., Carneiro, B. G. D. S., De Sousa, L. M., & Gondim, D. V. (2019). Cranial nerve injuries in Le Fort I osteotomy: A systematic review. International Journal of Oral and Maxillofacial Surgery, 48(5), 601–611.
Eshghpour, M., Mianbandi, V., & Samieirad, S. (2018). Intra- and postoperative complications of Le Fort I maxillary osteotomy. Journal of Craniofacial Surgery, 29(8), E797–E803.
Eslamipour, F., Borzabadi-Farahani, A., Le, B. T., & Shahmoradi, M. (2017). A retrospective analysis of dentofacial deformities and orthognathic surgeries.
Friscia, M., Sbordone, C., Petrocelli, M., Vaira, L. A., Attanasi, F., Cassandro, F. M., et al. (2017). Complications after orthognathic surgery: Our experience on 423 cases. Oral and Maxillofacial Surgery, 21(2), 171–177.
Garg, S., & Kaur, S. (2014). Evaluation of post-operative complication rate of Le Fort I osteotomy: A retrospective and prospective study. Journal of Maxillofacial and Oral Surgery, 13(2), 120–127.
Haas Junior, O. L., Guijarro-Martínez, R., De Sousa Gil, A. P., Da Silva Meirelles, L., De Oliveira, R. B., & Hernández-Alfaro, F. (2017). Stability and surgical complications in segmental Le Fort I osteotomy: A systematic review. International Journal of Oral and Maxillofacial Surgery, 46, 1071–1087.
Khechoyan, D. Y. (2013). Orthognathic surgery: General considerations. Seminars in Plastic Surgery, 27(3), 133–136.
Kotaniemi, K. V. M., Suojanen, J., & Palotie, T. (2021). Peri- and postoperative complications in Le Fort I osteotomies. Journal of Cranio-Maxillofacial Surgery, 49(9), 789–798.
Kramer, F. J., Baethge, C., Swennen, G., Teltzrow, T., Schulze, A., Berten, J., et al. (2004). Intra- and perioperative complications of the LeFort I osteotomy: A prospective evaluation of 1000 patients. Journal of Craniofacial Surgery, 15(6), 971–977.
Lee, S. Y., Kim, S. H., Hwang, J. H., & Kim, K. S. (2020). Sensory recovery after infraorbital nerve avulsion injury. Archives of Craniofacial Surgery, 21(4), 244–248.
McLeod, N. M. H., & Bowe, D. C. (2016). Nerve injury associated with orthognathic surgery. Part 3: Lingual, infraorbital, and optic nerves. British Journal of Oral and Maxillofacial Surgery, 54, 372–375.
Moran, I., Virdee, S., Sharp, I., & Sulh, J. (2018). Postoperative complications following LeFort 1 maxillary advancement surgery in cleft palate patients: A 5-year retrospective study. Cleft Palate-Craniofacial Journal, 55(2), 231–237.
Nafisa, A. S., Yuza, A. T., & Sadputranto, S. A. (2018). Frekuensi kelainan dento skeletal dengan penanganan bedah ortognatik dan osteodistraksi. Padjadjaran Journal of Dental Research Students, 2(2), 130–136.
Soh, C. L., & Narayanan, V. (2013). Quality of life assessment in patients with dentofacial deformity undergoing orthognathic surgery: A systematic review. International Journal of Oral and Maxillofacial Surgery, 42, 974–980.
Sykes, J. M., & Suárez, G. A. (2018). Orthognathic aesthetic facial surgery. In Master Techniques in Facial Rejuvenation (2nd ed., pp. 294–304). Elsevier Inc.
Thiem, D. G. E., Schneider, D., Hammel, M., Saka, B., Frerich, B., Al-Nawas, B., et al. (2020). Complications or rather side effects? Quantification of patient satisfaction and complications after orthognathic surgery—a retrospective, cross-sectional long-term analysis. Retrieved from https://doi.org/10.1007/s00784-020-03664-z
Witherow, H., & Naini, F. B. (2017). Le Fort I osteotomy and maxillary advancement. In Orthognathic Surgery: Principles, Planning and Practice (1st ed., pp. 397–421). John Wiley & Sons, Ltd.
Zaroni, F. M., Cavalcante, R. C., João da Costa, D., Kluppel, L. E., Scariot, R., & Rebellato, N. L. B. (2019). Complications associated with orthognathic surgery: A retrospective study of 485 cases. Journal of Cranio-Maxillofacial Surgery, 47(12), 1855–1860.
Zotti, F., Capocasale, G., Lonardi, F., Zambotti, T., Nocini, R., & Albanese, M. (2019). Trigeminal trophic syndrome: Strange evolution of maxillofacial surgery. EXCLI Journal, 18, 931–935.
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