Mandibular osteotomy in a patient with eisenmenger syndrome: case report

Abstract

Actuality of the topic. The presence of abnormalities of jaw bones causes a significant cosmetic and psychological discomfort to a person with such a problem. Currently, the planning and surgical treatment of malocclusion in patients without concomitant diseases is a routine process. The situation is a completely different when a patient has serious diseases of the respiratory or cardiovascular system, which may be a contraindication to such treatment. Aim. Presentation of our own experience of a multidisciplinary approach to the orthognathic treatment of patient with malformation of the maxillofacial area with severe concomitant pathology. Materials and methods. A 30-year-old patient, with the presence of Eisenmenger syndrome, progeny and open bite - a class III skeletal defect with a significant cosmetic and functional defect was chosen as a clinical case. The DDS-Pro software was selected to plan the operation. A bilateral sagittal split osteotomy of the mandible was selected as a method of surgery.