J Korean Assoc Oral Maxillofac Surg.
2001 Apr;27(2):184-188.
Horner's Syndrome after Orthognathic Surgery
- Affiliations
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- 1Department of Oral & Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University.
Abstract
- Horner's syndrome as a complication of orthognathic surgery is given little attention of head and neck surgery and is a relatively benign and transient condition. A 18-year-old male referred to our department with long and anteriorly projected chin. The cephalometric evaluation revealed a skeletal Class III relationship. A 10-mm setback of the mandible to eliminate Class III relationship and 4-mm vertical reduction genioplasty were performed. Three weeks after operation, the patient was recognized anhidrosis in left face and the head, and ptosis of left eye. The trauma to cervical sympathetic nerve during left sagittal split ramus osteotomy was thought to be the cause of Horner's syndrome. Patient was treated by dermatologic and opthalmologic care. Follow-up examination 8 months later, he was recovery of horner's symptom.
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