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Research Article| Volume 135, ISSUE 3, P347-354, March 2023

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Changes in nutritional status of patients with jaw deformities due to orthognathic surgery

  • Yoshinori Inaba
    Affiliations
    Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Niigata University Graduate School of Medical and Dental Sciences, Gakkocho-Dori, Niigata, Japan
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  • Daichi Hasebe
    Correspondence
    Corresponding author.
    Affiliations
    Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Niigata University Graduate School of Medical and Dental Sciences, Gakkocho-Dori, Niigata, Japan
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  • Kosuke Hashizume
    Affiliations
    Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Niigata University Graduate School of Medical and Dental Sciences, Gakkocho-Dori, Niigata, Japan
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  • Daisuke Suda
    Affiliations
    Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Niigata University Graduate School of Medical and Dental Sciences, Gakkocho-Dori, Niigata, Japan
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  • Naoaki Saito
    Affiliations
    Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Niigata University Graduate School of Medical and Dental Sciences, Gakkocho-Dori, Niigata, Japan
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  • Daisuke Saito
    Affiliations
    Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Niigata University Graduate School of Medical and Dental Sciences, Gakkocho-Dori, Niigata, Japan
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  • Hidenobu Sakuma
    Affiliations
    Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Niigata University Graduate School of Medical and Dental Sciences, Gakkocho-Dori, Niigata, Japan
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  • Akinori Funayama
    Affiliations
    Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Niigata University Graduate School of Medical and Dental Sciences, Gakkocho-Dori, Niigata, Japan
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  • Tadaharu Kobayashi
    Affiliations
    Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Niigata University Graduate School of Medical and Dental Sciences, Gakkocho-Dori, Niigata, Japan
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      Objective

      In orthognathic surgery, it is important to carefully manage peri-operative nutrition because maxillomandibular fixation and problems such as swelling and pain after surgery may make it difficult to eat normally and may prevent adequate nutrition. This study investigated the changes in nutritional status of patients with jaw deformities due to orthognathic surgery.

      Study Design

      The subjects were 155 jaw deformity patients, who underwent orthognathic surgery. The nutritional status was evaluated using anthropometry immediately before and 10 days after surgery and clinical laboratory results and the controlling nutritional status (CONUT) score before surgery and immediately, 1 week and >6 months after surgery. We investigated the relationship among the nutritional status, surgical procedures, and dietary intake in patients who underwent orthognathic surgery.

      Results

      The surgical procedure time and amount of bleeding were significantly greater as the surgical procedure became more complex. All of the laboratory values and CONUT scores were significantly decreased immediately after surgery and then increased over time, recovering to the same level as before surgery except for serum albumin at >6 months after surgery.

      Conclusions

      Nutritional management is considered as one of the key factors for the better and faster recovery after the orthognathic surgery.
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