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The International Journal of Adult Orthodontics & Orthogathic Surgery
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International Journal of Adult Orthodontics and Orthognathic Surgery

Year 1992
Volume 7 , Issue 4

Pages: 221 - 228

Recovery following orthognathic surgery and autologous blood transfusion

Neuwirth/White, Jr./Collins/Phillips

Patients undergoing maxillary surgery, with or without mandibular surgery, were divided into two groups. One surgeon's patients served as controls and did not receive blood unless hemodynamically indicated. The remaining surgeons' patients were transfused regardless of their hemoglobin levels following surgery. An attempt was made to identify benefits or complications associated with the reinfusion of autologous blood, particularly in patients with low blood loss. Patients were asked to record when they returned to their presurgical level of activity. Of the 46 patients in the study 14 (12 nontransfused, two transfu sed) wre not bask to full activity 6 weeks after srugery. Of the 32 patients that reported a return to full activity within the study period, transfused patients reported a significantly quicker return to full activity at 2 weeks, 3 weeks, and 4 weeks postoperatively than did their nontransfused counterparts, even when blood loss at surgery was minimal. No complications have occurred with this practice.


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