Case Report

Orthognathic Surgery - Surgery-First Approach in Humanitarian Missions

by Thinley Wangmo1, Fernando Almas Carvalho2-4*, Prakriti Rai5

1General Duty Dental Surgeon, Eastern Regional Referral Hospital, Ministry of Health, Bhutan

2Maxillofacial and Reconstructive Surgeon, Facial Deformities, Fellow of the International College of Surgeons, Surgical Director of Saint Jude Hospital, Goiânia, Goiás, Brazil

3Faculty & staff of Craniofacial Surgery Residency Program, Consultant Surgeon, Project HARAR, London, UK

4Surgeon, Operation International, New York, USA

5Prosthodontist, Eastern Regional Referral Hospital, Ministry of Health, Bhutan

*Corresponding author: Fernando Almas Carvalho, Maxillofacial and Reconstructive Surgeon, Facial Deformities, Fellow of the International College of Surgeons, Surgical Director of Saint Jude Hospital, Goiânia, Goiás, Brazil

Received Date: 01 September, 2023

Accepted Date: 04 September, 2023

Published Date: 06 September, 2023

Citation: Wangmo T, Carvalho FA, Rai P (2023) Orthognathic Surgery - Surgery-First Approach in Humanitarian Missions. J Surg 8: 1883 https://doi.org/10.29011/2575-9760.001883

Abstract

This article addresses the issue of inadequate access to oral and Maxillofacial Surgery (OMS) in low and middle-income countries (LMICs), particularly emphasizing the role of humanitarian surgical missions in bridging the gap between developed and developing countries. Bhutan, one of the low-income countries greatly benefitted from such philanthropic surgical missions that involve Orthognathic surgery using the surgery-first approach (SFA). It involves performing orthognathic surgery before to the orthodontic treatment, which offers benefits such as shorter treatment duration and immediate aesthetic improvement. The case report presents the successful utilization of the surgery-first approach in orthognathic surgery for a 24-year-old female patient in Bhutan. The surgical procedure involved bilateral sagittal osteotomies, sliding genioplasty, and coronoidectomy to address micrognathia, restricted mouth opening, and obstructive sleep apnea. The outcomes included improved facial aesthetics, increased mouth opening, and resolution of sleep apnea symptoms. This article emphasizes that Humanitarian surgical missions have a profound effect on the health and well-being of the populations they serve, alleviating the economic and financial benefits for people living in LMICs.

Keywords: Humanitarian missions; Oral and maxillofacial surgery; Orthognathic surgery; Low-and middle-income countries; Surgery first approach

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Journal of Surgery

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