Abstract
Primarily, steroids are used routinely in orthognathic surgery to reduce swelling,
but there is no nationally accepted regimen for the use of glucocorticoids in the
UK. This article examines the evidence base for the use of steroids to reduce swelling,
nausea, vomiting, and pain, and looks at evidence of the ratio of risks:benefits in
orthognathic surgery and related publications. Evidence supports their use preoperatively,
but the timing of this and their postoperative use may be contentious. The current
regimens are associated with little morbidity and low cost. A well designed multi-centre
study whose design would allow objective measures of swelling is required to resolve
the areas of debate.
Keywords
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Article info
Publication history
Published online: February 14, 2011
Accepted:
November 4,
2010
Identification
Copyright
© 2010 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
