{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T17:14:15Z","timestamp":1793726055392,"version":"4.6.1"},"reference-count":30,"publisher":"SAGE Publications","issue":"3_suppl","license":[{"start":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T00:00:00Z","timestamp":1722384000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>Objectives: The aim of this article is to review safer orthognathic surgery. Methods: The literature survey was performed in PubMed, EBSCO, UpToDate, ProQuest Central databases of K\u0131r\u0131kkale University, and Google and Google Scholar databases. Results: Patients with dentofacial skeletal defects may benefit from orthognathic surgery, which entails surgically modifying parts of the facial skeleton to restore the right anatomic and functional relationship. Careful investigation of the soft tissue via clinical examination and supporting pictures, evaluation of the structure via standardized radiographs, and evaluation of the dental via study dental casts are all necessary to successfully correct maxillofacial abnormalities. Orthognathic surgery can involve either the maxilla, the mandible, or both. Improving the dynamics of nasal airflow may necessitate simultaneous intranasal surgery consisting of septoplasty and reduction of the inferior turbinate. In some patients, a genioplasty and neck liposuction may be recommended to enhance the final result. Le Fort I osteotomy, Le Fort II osteotomy, Le Fort III osteotomy, maxillary segmental osteotomies, sagittal split osteotomy of the mandibular ramus, vertical Ramal osteotomy, inverted L and C osteotomies, and mandibular body segmental osteotomies are all examples of well-established osteotomies that can be used to reposition facial skeletal elements and redefine the face. Conclusion: Preventative strategies for risk-free orthognathic surgery include maintaining blood flow, shielding teeth, bone, and neurovascular systems, and bolstering the patient\u2019s diet.<\/jats:p>","DOI":"10.1177\/01455613241266747","type":"journal-article","created":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T15:09:36Z","timestamp":1722438576000},"page":"99S-105S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Preventive Measures for Safer Orthognathic Surgery: Key Points"],"prefix":"10.1177","volume":"103","author":[{"given":"Kemal Devrim","family":"Isci","sequence":"first","affiliation":[{"name":"Faculty of Dentistry, Department of Orthodontics, Istanbul Galata University, Istanbul, Turkey"},{"name":"Private Practice, Eskisehir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3602-9289","authenticated-orcid":false,"given":"Nuray","family":"Bayar Muluk","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Otorhinolaryngology, K\u0131r\u0131kkale University, K\u0131r\u0131kkale, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enes","family":"Gungor","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Otorhinolaryngology, Eskisehir Osmangazi University, Eskisehir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cemal","family":"Cingi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Otorhinolaryngology, Eskisehir Osmangazi University, Eskisehir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,31]]},"reference":[{"key":"bibr1-01455613241266747","doi-asserted-by":"publisher","DOI":"10.1016\/S0011-8532(22)00324-X"},{"key":"bibr2-01455613241266747","unstructured":"Patel PK. Orthognathic surgery. Medscape. 2022. Updated 2022. Accessed October 17, 2023. https:\/\/emedicine.medscape.com\/article\/1279747-overview"},{"key":"bibr3-01455613241266747","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-8341-0"},{"key":"bibr4-01455613241266747","volume-title":"Orthognathic Surgery: Principles, Planning and Practice","author":"Naini FB","year":"2017"},{"key":"bibr5-01455613241266747","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1357109"},{"key":"bibr6-01455613241266747","unstructured":"Moorhead A, Serra M. Le Fort Osteotomy. In: StatPearls [Internet]. StatPearls Publishing; 2023. 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