著者

小島 拓 芳澤 享子 小野 由起子 倉部 華奈 加納 浩之 齊藤 力 小林 正治

出版者

特定非営利活動法人 日本顎変形症学会

雑誌

日本顎変形症学会雑誌 (ISSN:09167048)

巻号頁・発行日

vol.25, no.3, pp.234-240, 2015-08-15 (Released:2015-09-12)

参考文献数

21

被引用文献数

3

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We present three cases in whom mental disorders appeared after orthognathic surgery.The first case was a 35-year-old female who had a history of depression. After the operation, a manic state appeared and she was diagnosed with bipolar disorder. Her medicine was changed from an antidepressant to a mood stabilizer, after which her mental condition stabilized.The second case was a 34-year-old male. He could not accept the appearance of his postoperative face, and it took about three months for him to finally accept his new appearance.The final case was a 37-year-old female. She could not accept the appearance of her postoperative face because it was not what she had expected. She began to complain about her face and became depressive, and was finally diagnosed with major depressive disorder. After administration of an antidepressant, her mental condition gradually improved.We must take into consideration the possibility that patients will develop mental disorders after orthognathic surgery, and adequate explanation and patient assessment before the operation are therefore important.

著者

小島 拓 長谷部 大地 加藤 祐介 倉部 華奈 船山 昭典 新美 奏恵 加納 浩之 齊藤 力 小林 正治

出版者

特定非営利活動法人 日本顎変形症学会

雑誌

日本顎変形症学会雑誌 (ISSN:09167048)

巻号頁・発行日

vol.26, no.3, pp.237-242, 2016-08-15 (Released:2016-09-14)

参考文献数

22

被引用文献数

2 2

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Peripheral facial nerve palsy following orthognathic surgery is a rare complication. We discuss the incidence of this complication, its possible causes, subsequent treatment and ultimate outcomes.A total of 910 patients underwent orthognathic surgery in our department during the period from 2001 to 2015. Five (0.55%) of those patients had peripheral facial nerve palsy postoperatively. The postoperative day when facial nerve palsy occurred ranged from day 1 to day 13. All of the cases were unilateral and included lip motility disturbance, difficulty in closing the eyes and inability to wrinkle the forehead. All of the patients received medication with an adrenocortical steroid and vitamin B12. Stellate ganglion block and physical therapy were also used for the patients who had moderate to severe facial nerve palsy. Complete recovery was achieved in all but one of the patients, in whom slight palsy remained. There were several possible causes of facial nerve palsy including abnormal bleeding, postoperative swelling, and handling of operating instruments.In conclusion, peripheral facial nerve palsy after orthognathic surgery is relatively rare. If it occurs, however, complete recovery can be expected in most cases.

著者

倉部 華奈 隅田 好美 小島 拓 加藤 祐介 齋藤 功 小林 正治

出版者

公益社団法人 日本口腔外科学会

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.66, no.4, pp.178-187, 2020-04-20 (Released:2020-06-22)

参考文献数

23

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Patients with jaw deformities frequently have psychological and social problems. There have been many reports on psychological status and satisfaction following orthognathic surgery as determined by quantitative methods. However, only limited information can be obtained by using a quantitative method because the patient’s psychological problems are complex. On the other hand, qualitative studies are suitable for clarifying the hypothetical construction of the phenomenon and patients’ experiences and processes. The purpose of this study was to examine the process by which patient’s psychological and social problems change from pre-treatment to post-treatment. The subjects were 6 female patients who had undergone orthognathic surgery 18 months ago. We conducted semi-structured interviews and performed analysis by a grounded theory approach. The patient’s anxiety started from the period of adolescence and was affected by the patient’s friends. Information on orthognathic surgery gave the patients hope and reduced their anxiety. The processes of psychological and social changes during and after treatment were affected by friends, family, and patients with the same disease. Patients had feelings of accomplishment, happiness, and confidence because they overcame various hardships, and they acquired active attitudes in social life.