Akademik Veri Yönetim Sistemi
ACBİD 15.Uluslararası Kongresi, Antalya, Türkiye, 11 - 15 Mayıs 2022, ss.61-62
Objective: Orthognathic surgery is performed to correct maxillomandibular deformities.
Postoperative pain and edema caused by the inflammatory process significantly affect patient
comfort. The aim of this study is the menstrual cycle may affect postoperative morbidity in
female patients after orthognathic surgery.
Materials-Methods: This clinical study was planned as a single-center, controlled, prospective,
double-blind,randomized. Twenty-four patients(18-35) with class III anomalies were included
with regular menstrual cycles and divided into two groups(Group I follicular phase (n = 12),and
Group II luteal phase (n = 12)).The pain assessment evaluated on VAS scales, and edema
assessment was done by using a program called 3dMD Vultus software.
Results: The 9th-hour VAS mean values were significantly higher in group I compared to
group II (p<0.001). The mean VAS values for the first 72hours and total (7days) were found
to be significantly lower in luteal phase patients than in follicular phase patients (p=0.033).
A statistically significant difference was found between the groups in terms of the mean
values of postoperative edema on the 7th, 14th,and 21st days (p<0.05). Although an average
of 370(350.0-485.0) cc of intraoperative bleeding was observed, there was no significant
difference between the groups (p=0.068).
Conclusion: This is the first study to examine the effect of the menstrual cycle on postoperative
morbidity in orthognathic surgery. According to the results of this study, it may be preferable to
perform surgery in the luteal phase of the menstrual cycle in female patients who are planned
for orthognathic surgery to reduce postoperative morbidity.
Keywords: Orthognathic surgery, menstrual cycle, postoperative morbidity