Analysis of mortality cases related to jaw surgery reported in the mass media: a secondary publication

4. In their study, media reports of serious complications such as vegetative state and death after orthog-nathic surgery were searched through the internet. The cause of complications was analyzed, and the prevention methods were described. However, that study had several limitations because some media reports are no longer available online. Also, some references had low reliability because of the absence of the exact date or the time of the accident. Some data were even double-counted because they were analyzed according to the time of press release. To overcome the double-counting problem of the study by Inha University Hospital, the complication cases were analyzed based on the time of the accidents, and not on the time of the press release. Media reports of serious complication cases such as vegetative state or death related to jaw surgery were searched from January 1, 2000 to March 31, 2016. The type of surgery included orthognathic surgery and facial con-touring surgery, since the media has a tendency to confuse the two terms. Search keywords were " two jaw surgery, " " jaw surgery, " " contouring surgery, " " plastic surgery, " " death, " " side effect, " and " complication. " The titles of reports were checked first, and then the articles were reviewed to determine whether they were related to complications of surgery. In order to increase the reliability of information, the cases that included concise information on the accident (date and time of accident/death), patient (name, sex, age, etc.), and hospital were included in this study. A total of 14 cases were included in our study.(Table 1, Appendix 1) Among the 14 cases, 10 occurred during facial contouring surgery and 4 occurred during orthognathic surgery. The causes of death were bleeding (2 cases), respiratory problems (4 cases; 2 cases of airway obstruction and 2 cases Orthognathic surgery has been one of the most common treatments for skeletal deformities of the jaw, such as prog-nathism or facial asymmetry. Due to the media, this procedure is known to the Korean general public as " two-jaw surgery. " Although orthognathic surgery is recommended by professionals as the safe gold standard of treatment for jaw deformities, the social perspective of orthognathic surgery is not good. " Two-jaw surgery " is considered dangerous and associated with adverse side effects. This erroneous negative perception of orthognathic surgery was established due to the many media reports of serious …