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Recovery Following Orthognathic Surgery
AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH
Pagination or Media Count:
Thirty-eight patients undergoing orthognathic surgery between May 1989 and February 1993 reported their return to full activity and to work or school following surgery. Twenty-six patients had isolated bilateral sagittal split osteotomies BSSO and twelve had isolated Le Fort I osteotomies LFI. Hemoglobin, hematocrit, weight and vital signs were determined preoperatively and for six weeks postoperatively. At 1-2 weeks post-operation, 50 of the BSSO group had returned to work or school while none of the LFI group had returned. By 3-4 weeks, 81 of the BSSO group had returned to work or school while nearly half of the LFI group still had not returned. More members of the BSSO group also returned to full activity sooner than the LFI group although the differences were not statistically significant. The LFI group had a larger mean estimated blood loss, length of operation and weight loss. None of the patients were transfused. There was no statistically significant difference between the two groups in the rate of return to preoperative hemoglobin levels.
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