Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Jun;44(6):745-51.
doi: 10.1016/j.ijom.2015.01.006. Epub 2015 Feb 2.

Postoperative nausea and vomiting following orthognathic surgery

C Phillips  1 , C D Brookes  2 , J Rich  3 , J Arbon  4 , T A Turvey  2
Affiliations

Postoperative nausea and vomiting following orthognathic surgery

C Phillips et al. Int J Oral Maxillofac Surg. 2015 Jun.

Abstract

The purpose of this study was to assess the incidence and risk factors associated with postoperative nausea (PON) and vomiting (POV) after orthognathic surgery. A review of the clinical records of consecutively enrolled subjects (2008-2012) at a single academic institution was conducted between 9/2013 and 3/2014. Data on the occurrence of PON and POV and potential patient-related, intraoperative, and postoperative explanatory factors were extracted from the medical records. Logistic models were used for the presence/absence of postoperative nausea and vomiting separately. Data from 204 subjects were analyzed: 63% were female, 72% Caucasian, and the median age was 19 years. Thirty-three percent had a mandibular osteotomy alone, 27% a maxillary osteotomy alone, and 40% had bimaxillary osteotomies. Sixty-seven percent experienced PON and 27% experienced POV. The most important risk factors for PON in this series were female gender, increased intravenous fluids, and the use of nitrous oxide, and for POV were race, additional procedures, and morphine administration. The incidence of PON and POV following orthognathic surgery in the current cohort of patients, after the introduction of the updated 2007 consensus guidelines for the management of postoperative nausea and vomiting, has not decreased substantially from that reported in 2003-2004.

Keywords: orthognathic surgery; postoperative nausea; postoperative vomiting.

PubMed Disclaimer

Conflict of interest statement

Competing interests

The authors have no conflict of interest disclosures.

Figures

Fig. 1
Fig. 1
Frequency of occurrence of postoperative nausea and postoperative vomiting while in the hospital.
See this image and copyright information in PMC

References

    1. Chung F, Un V, Su J. Postoperative symptoms 24 hours after ambulatory anesthesia. Can J Anaesth. 1996;43:1121–1127. - PubMed
    1. Koivuranta M, Läärä E, Snåre L, Alahuhta S. A survey of postoperative nausea and vomiting. Anaesthesia. 1997;52:443–449. - PubMed
    1. Macario A, Weinger M, Carney S, Kim A. Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesth Analg. 1999;89:652–658. - PubMed
    1. Gan T, Sloan F, de Dear GL, El-Moalem HE, Lubarsky DA. How much are patients willing to pay to avoid postoperative nausea and vomiting? Anesth Analg. 2001;92:393–400. - PubMed
    1. Lehmann M, Monte K, Barach P, Kindler CH. Postoperative patient complaints: a prospective interview study of 12,276 patients. J Clin Anesth. 2010;22:13–21. - PubMed

Publication types