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Transverse Changes in Mandible Following Bilateral Sagittal Split Ramus Osteotomy Advancement
1Oral and Maxillofacial Surgery, 8 AFDC, Kanpur, India.
Journal of Maxillofacial and Oral Surgery
|August 3, 2019
Summary
Bilateral Sagittal Split Ramus Osteotomy (BSSRO) for mandibular advancement causes significant transverse width changes in the mandible. However, these radiographic changes in proximal segments lack clinical implication during follow-up.
Area of Science:
- Orthodontics and Maxillofacial Surgery
- Dental and Craniofacial Research
- Skeletal Deformity Correction
Background:
- Bilateral Sagittal Split Ramus Osteotomy (BSSRO) is a common surgical procedure for mandibular advancement.
- The impact of BSSRO on the proximal segment's transverse dimensions remains incompletely understood.
Purpose of the Study:
- To radiographically assess transverse changes in the mandible after BSSRO.
- To compare proximal segment transverse displacement with the extent of surgical advancement.
Main Methods:
- Twelve patients with skeletal Class II deformities underwent BSSRO.
- Pre- and post-operative panoramic radiography (OPG) and posteroanterior cephalograms (PA ceph) were used.
- Linear measurements of mandibular transverse dimensions were analyzed.
Main Results:
- Average mandibular advancement was 6.5 mm.
- Statistically significant transverse changes were observed in Go-Me, Go-Go, Co-Co, Rp-Rp, and Co-Me measurements.
- No significant correlation was found between advancement amount and transverse changes.
Conclusions:
- BSSRO significantly alters mandibular transverse dimensions, evident on PA ceph and OPG.
- Observed transverse changes following BSSRO have no apparent clinical significance in post-operative follow-up.
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