Orthognathic surgery treatment injuries reported to the Danish Patient Compensation Association: A 25-year retrospective observational study

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
Søren Hillerup

Abstract

The aim of this study was to describe and classify indemnity claims of treatment injuries in orthognathic surgery received by the Danish Patient Compensation Association (DPCA) during a 25-year time span from 1993 to 2018 in order to illustrate the wide scope of treatment injuries, patient's complaints, suffering, and compensation. All indemnity claims associated with orthognathic surgery were reviewed accessing the DPCA database including osteotomies performed in association with orthodontic treatment only, thus excluding access osteotomies for tumor surgery, osseodistraction cases, etc. RESULTS: A total of 237 indemnity claims were received for injury associated with orthognathic surgery, including anesthesia. One-hundred sixteen claims (49 %) were approved and patients accordingly compensated with a total of 23.2 million, average 200.000 Danish kroner per patient. In US dollars, 3.5 million, and 30 thousand, respectively. Most claims (45.5 %) were associated with neurological issues, neurosensory disturbances of all kinds including pain and loss of neural function. Others were associated with airway, breathing and circulation (2.1 %), temporomandibular joint issues (8.9 %), jaw malposition (9.3 %), malocclusion (11.0 %), fac...Continue Reading

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