Can Patients with Epilepsy Undergo Orthognathic Surgery?

Can a person with epilepsy undergo orthognathic surgery?

Is there an absolute prohibition against performing orthognathic surgery on patients with epilepsy who have been stable on medication for many years?

Ya Ruo, 20~29 year old female. Ask Date: 2016/12/01

Dr. Huang Tingfang reply Dentistry

Dear Miss Ya-Ruo,
Hello! As mentioned, if anesthesia is feasible, patients with epilepsy can undergo orthognathic surgery! Please communicate more with the physician.
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2016/12/01

More Info

Patients with epilepsy can generally undergo orthognathic surgery, especially if their condition is well-controlled with medication. However, there are several factors to consider before proceeding with such a surgical intervention.

Firstly, the stability of the patient's epilepsy is crucial. If a patient has been seizure-free for several years, as mentioned in your case, this significantly reduces the risks associated with surgery. The anesthetic management of patients with epilepsy is a critical aspect to discuss with the surgical team. Anesthetics can potentially interact with antiepileptic medications, and certain anesthetic agents may lower the seizure threshold. Therefore, it is essential for the anesthesiologist to be aware of the patient's epilepsy history and current medication regimen.

Moreover, the type of surgery being performed and the overall health of the patient are also important considerations. Orthognathic surgery is often performed to correct jaw alignment and improve function and aesthetics. If the surgery is deemed necessary for the patient's health and quality of life, and if the risks are manageable, it can be performed safely.

Communication with the healthcare team is vital. The patient should have thorough discussions with both the oral surgeon and the neurologist to ensure that all aspects of the patient's health are taken into account. This includes reviewing the patient's seizure history, current medications, and any potential risks associated with the surgery and anesthesia.

In some cases, additional precautions may be taken, such as having a neurologist present during the surgery or ensuring that the patient is monitored closely postoperatively for any signs of seizure activity.
It is also worth noting that while there are no absolute contraindications for patients with epilepsy undergoing orthognathic surgery, each case is unique. Factors such as the severity of the epilepsy, the patient's overall health, and the complexity of the surgical procedure will influence the decision-making process.

In conclusion, patients with well-controlled epilepsy can undergo orthognathic surgery, but it is essential to have a comprehensive evaluation and a collaborative approach among the healthcare providers involved. This ensures that the patient's safety is prioritized and that any potential risks are managed effectively. Always consult with your healthcare providers to make an informed decision tailored to your specific situation.

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