PriMera Scientific Surgical Research and Practice (ISSN: 2836-0028)

Review Article

Volume 5 Issue 3

Surgeries during Growth: Systematic Review and Meta Analysis

Varun Goyal*, Deepankar Bhatnagar, Gunjan Gupta, Raj Singh and Divya Lohia

February 28, 2025

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Abstract

Orthognathic surgery during growth is a contentious yet critical area of craniofacial management, particularly for severe dentofacial deformities that impair function and esthetics. This review examines the considerations, challenges, and benefits of orthognathic surgery in growing patients, with a focus on optimizing outcomes while managing growth-related risks.

Mandibular and maxillary deformities often necessitate surgical intervention to improve facial harmony, occlusion, and psychosocial well-being. However, performing surgery during growth carries risks such as relapse, unpredictable outcomes, and interference with skeletal development. Delaying surgery, on the other hand, may exacerbate functional difficulties and psychological distress, particularly in cases of bullying or social stigma linked to facial appearance.

Advancements in growth modulation techniques, such as condylar repositioning and early surgical interventions, offer new possibilities for managing complex cases. Research indicates that procedures for mandibular retrognathism and vertical maxillary excess, when carefully timed, can balance growth dynamics and long-term stability.

Psychological and social factors also play a significant role in decision-making. Early intervention may improve self-esteem and social confidence, but it must be carefully weighed against the risk of additional procedures due to ongoing growth.

This review underscores the importance of individualized treatment planning, integrating growth assessments, surgical timing, and multidisciplinary care. By addressing functional and psychosocial needs, early orthognathic surgery can significantly enhance quality of life for growing patients when guided by evidence-based practices.

Keywords: Surgeries; Growth; relapse; stability

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