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Article: Volume 45 Number 2 Page 164 - February 2018

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  Dent Update 2018; 45: 164-170

Maxillofacial Surgery/ Orthodontics:  A Case Report of Horner’s Syndrome Presenting Post Bimaxillary Osteotomy

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Abstract: Bimaxillary osteotomy is a surgical procedure used to correct dentofacial deformity. Although the complication rates are low, there are some rare but serious complications of this procedure.1 This article looks at the recognized complications of orthognathic surgery and describes a previously undocumented incident of a patient who developed Horner’s syndrome post bimaxillary osteotomy.

Clinical relevance: Although the general incidence of Horner’s syndrome is low it can occur as an uncommon but serious complication of a variety of invasive surgical procedures. Its development can also be the sign of serious underlying disease, therefore it is important for all clinicians to be aware of the clinical signs of the syndrome and the appropriate management.

Author notes: Melanie Kidner, BDS FDS RCS(Eng), Dental Officer, Oxford Health NHS Trust, Omar Hussain, FDS RCS, FFD RCSI, MRCSI, FRCSI, Consultant in Oral and Maxillofacial Surgery, Doncaster and Bassetlaw NHS Trust, Andrew Shelton, BDS, MFDS RCS(Ed), MDentSci, MOrth RCS(Ed), FDS RCS(Eng), Consultant Orthodontist, Doncaster and Bassetlaw NHS Trust and Paul Scott, BChD, MFGDP(UK), MFDS RCS(Eng), MSc, MOrth RCS(Ed), FDS RCS(Eng), Consultant Orthodontist, Doncaster and Bassetlaw NHS Trust, Armthorpe Road, Doncaster, South Yorkshire DN2 5LT, UK.

Objective: To recognize the clinical signs of Horner’s syndrome and arrange appropriate referral for management. Enhanced CPD DO C