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Related Experiment Videos

Skeletal stability following sagittal split osteotomy using monocortical miniplate internal fixation.

B C Rubens1, P J Stoelinga, P A Blijdorp

  • 1Municipal Hospital Arnhem, The Netherlands.

International Journal of Oral and Maxillofacial Surgery
|December 1, 1988
PubMed
Summary

This study on mandibular hypoplasia treatment found that bilateral sagittal split osteotomies achieved significant advancement but had a relapse rate of up to 18.7%. Some patients experienced temporomandibular joint (TMJ) dysfunction or neurosensory deficits post-surgery.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics
  • Biomedical Engineering

Background:

  • Mandibular hypoplasia presents challenges in facial skeletal reconstruction.
  • Surgical advancement of the mandible is a common treatment modality.
  • Assessing skeletal stability and functional outcomes is crucial post-surgery.

Purpose of the Study:

  • To evaluate the skeletal stability and functional outcomes following mandibular advancement via bilateral sagittal split osteotomies.
  • To assess relapse rates, temporomandibular joint (TMJ) function, and neurosensory deficits after surgery.

Main Methods:

  • Retrospective analysis of 20 patients with mandibular hypoplasia.
  • Treatment involved bilateral sagittal split osteotomies with miniplate and screw fixation.

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  • Evaluation of skeletal relapse, mandibular range of motion, TMJ status, and neurosensory function.
  • Main Results:

    • Average B-point advancement was 6.07 mm and Pogonion advancement was 5.39 mm.
    • Relapse rates were 10.7% at B-point and 18.7% at Pogonion.
    • TMJ dysfunction resolved in 8 patients; 3 developed new TMJ issues. Neurosensory deficits were noted in 9 patients.

    Conclusions:

    • Bilateral sagittal split osteotomies provide significant mandibular advancement for hypoplasia.
    • Skeletal relapse is a notable concern, requiring careful monitoring.
    • Potential for TMJ dysfunction and neurosensory deficits necessitates thorough patient evaluation and management.