Dysphagia Requiring Nasogastric Feeding Following Orthognathic Surgery: An Unusual Complication, Case Report ,Literature Review and Recommendations

Orthognathic surgery has several known complications including neurosensory disturbances, postoperative nausea and vomiting, relapse, malocclusion, non-union, infection, and depression, among others.1-6 Persistent dysphagia following orthognathic surgery is an uncommon complication. Lemke et al studied 116 patients 6 months following a bilateral sagittal split osteotomy and found a significant relationship between hypoesthesia of the mental nerve and oral functions.7 While chewing and kissing were the most commonly affected, slightly less than 2% of these patients reported difficulty swallowing food postoperatively.

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