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Intra- and early postoperative complications of the Le Fort I osteotomy. A retrospective study on 410 cases.

The results of a retrospective study of the complications that occurred in 410 Le Fort I osteotomies performed in the Department of Oral and Maxillofacial Surgery of the Free University Hospital, Amsterdam, the Netherlands, are presented. The complication rate was 9.0%. In the discussion, our results are compared with the literature.--Suggestions are made on how to avoid these complications.

Fistula↗

Reversion to fetal circulation in congenital diaphragmatic hernia: a preventable postoperative complication.

A review of 26 patients with congenital diaphragmatic hernia, diagnosed in the first 24 hours of life, supports the hypothesis that the postoperative fetal circulation syndrome is an iatrogenic complication, due to the rapid expansion of both lungs, when they are severely hypoplastic. This complication is preventable, when no aspiration of air from the chest cavity is done, and when no tube attached to an underwater seal is inserted. When assisted ventilation is necessary, small volumes at a rapid rate allows satisfactory gaseous exchanges, without pulmonary overinflation.

Female↗