Sagittal split advancement osteotomies stabilized with miniplates. A 2–5-year follow-up

Scheerlinck, Jan; Stoelinga, Paul J.W.; Blijdorp, Peter A.; Brouns, John J.A.; Nijs, Marleen L.L.

doi:10.1016/s0901-5027(05)80285-1

Cited by 177 publications

(108 citation statements)

References 17 publications

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“…However, only two authors examine the incidence the CR in all types of dysgnathias with ranges from 3% to 6% (Kerstens et al; Bouwman et al). In two studies (Scheerlinck;Cutbirth et al, 1998) only cases with patients with mandibular deficiency (low/normal mandibular plane angle) were examined showed ranges from 8% to 10%. Hoppenreijs et al include only patients with absolute mandibular deficiency (high mandibular plane angle) showed 15% with CR.…”

Section: Discussionmentioning

confidence: 99%

“…In the past, many studies on this subject have been published (Phillips & Bell;O´Ryan & Epker;Arnett & Tamborello, 1990;Arnett et al, 1996aArnett et al, , 1996bBouwman et al, 1994;Merkx & Van Damme, 1994;Scheerlinck et al, 1994 close range from 15 to 35 years, females presenting a high mandibular plane angle with mandibular hypoplasia and a small posterior-to-anterior facial height ratio (Hoppenreijs et al;Kerstens et al;Arnett et al, 1996aArnett et al, , 1996bHuang et al, 1997;Hwang et al, 2000b;Moore et al, 1991). A posterior inclined condylar neck has been considered another contributing factor (Hwang et al, 2000a(Hwang et al, , 2000bHoppenreijs et al).…”

Section: Introductionmentioning

confidence: 99%

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Condylar Resorption After Orthognathic Surgery: A Systematic Review

et al. 2012

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SUMMARY:The aim of this research was to evaluate the risk factors related to condylar resorption (CR) after orthognathic surgery. Was realized a systematic review with a search of the literature performed in the electronic databases PubMed, MedLine, Ovid, Cochrane Library for current evidence in the world literature as conducted, and relevant articles were selected in according to inclusion and exclusion criteria and the findings were compared. Eight papers, (follow-up 12 months to 69 months) were including. A sample of 2567 patient with mandible or bi maxillary surgery with an age range from 14 to 46 year old was observed. In 137 patients (5.3%) CR was observed , with a 97.6% (122) female. CR was related to 118 cases with mandibular deficiencies with high mandibular plane (advancement surgery). CR were present principally in bi maxillary surgery with a 103 cases (75.2%) and only two papers show any analysis to the relation with TMJ dysfunction. Current evidence in CR is poor but supports those female patients with mandibular deficiency and high mandibular plane angle submitted to bi maxillary surgery with change in occlusal plane (counterclockwise) are associated with condylar resorption after orthognathic surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Condylar Resorption After Orthognathic Surgery: A Systematic Review

et al. 2012

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“…28 It was showed that 7% of all BSSO advancement patients appear to undergo progressive condylar resorption. 29 Mandibular widening by symphyseal distraction osteogenesis is another approach to resolve lower incisor crowding to gain space and prevent premolar extractions. 30 Histological findings in 9 monkeys showed morphological differences within the fibrous layer, cartilage layer or bone/cartilage interface.…”

Section: Discussionmentioning

confidence: 99%

Neurosensory and functional evaluation in distraction osteogenesis of the anterior mandibular alveolar process

Joss

Triaca²,

Antonini³

et al. 2013

International Journal of Oral and Maxillofacial Surgery

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Clinical Study Orthognathic SurgeryNeurosensory and functional evaluation in distraction osteogenesis of the anterior mandibular alveolar process Abstract. Neurosensory status and craniomandibular function of 19 patients (mean age 35.2 years, range 17.8-58.8 years) treated by combined surgical orthodontic treatment with distraction osteogenesis of the mandibular anterior alveolar process (DO group) was compared with that in 41 orthodontically treated patients (mean age 22.9 years, range 15.1-49.0 years; control group). Clinical examination took place on average 5.9 years (DO group) and 5.4 years (control group) after treatment ended. Neurosensory status was determined by two-point discrimination (2-pd) and the pointed and blunt test. Lateral cephalograms evaluated advancement of the mandibular alveolar process and possible relapse. There was no significant difference in craniomandibular function and neurosensory status between the groups. Age was significantly correlated with 2-pd at the lips (DO: p = 0.01, R = 0.575; control group: p = 0.039, R = 0.324) and chin (DO: p = 0.029, R = 0.501; control group: p = 0.008, R = 0.410). Younger patients had smaller 2-pd values. Gender, age, the amount of advancement, and relapse at point B or incision inferior show no correlation with craniomandibular function and neurosensory impairment. DO of the mandibular anterior alveolar process is a valuable and safe method with minor side effects regarding neurosensory impairment.

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“…15 Swennen et al, 14 in their review of 109 articles on distraction osteogenesis, noted 86 complications occurring in 311 patients (27.7%) who had undergone mandibular lengthening. In our study of 70 patients undergoing distraction osteogenesis, a total of 28 complications (40%) were recorded (Table).…”

Section: Discussionmentioning

confidence: 99%

Complications in bilateral mandibular distraction osteogenesis using internal devices

Strijen

Breuning²,

Becking

et al. 2003

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, an

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Objective. We sought to evaluate the possibility of distraction osteogenesis as an alternative to conventional bilateral sagittal split osteotomy. Complications (intraoperative, intradistraction, and postdistraction) were evaluated retrospectively. Study design. Seventy consecutive patients (40 males and 30 females, 11.2-37.3 years old; mean, 14.2 years) underwent distraction osteogenesis to lengthen the mandible. The surgical procedure was carried out with the patient under general anesthesia. After the osteotomy was performed, 2 intraoral monodirectional distraction devices were placed on the mandibular cortex in the third molar region. The rate of distraction was 1 mm/day. The different complications encountered during all phases of the distraction procedure were recorded. Results. A total of 28 complications (40%) were recorded. In 10 patients (14.3%), the complications were techniqueor device-related, or both, and occurred early in the learning period. Five patients (7.1%) had infection occur, and 3 patients (4.3%) had prolonged sensory loss in the distribution of the alveolar nerve. Severe complications occurred in 6 patients (8.6%). Rehospitalization was necessary in 5 patients (7.1%), 4 of whom (5.7% of the series) required further surgery under general anesthesia. Conclusion. Distraction osteogenesis can be considered a safe and predictable procedure for lengthening the mandible, with a low incidence of major complications. The infection rate and the incidence of damage to the inferior alveolar nerve (2.1%) are low. Compliance of both patients and parents during the whole treatment period is of the utmost importance.

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Sagittal split advancement osteotomies stabilized with miniplates. A 2–5-year follow-up

Cited by 177 publications

References 17 publications

Condylar Resorption After Orthognathic Surgery: A Systematic Review

Condylar Resorption After Orthognathic Surgery: A Systematic Review

Neurosensory and functional evaluation in distraction osteogenesis of the anterior mandibular alveolar process

Complications in bilateral mandibular distraction osteogenesis using internal devices

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