Maintaining the space between the mandibular ramus segments during bilateral sagittal split osteotomy does not influence the stability
Copyright © 2021 Formosan Medical Association. Published by Elsevier B.V. All rights reserved..
BACKGROUND/PURPOSE: Three-dimensional computer-assisted orthognathic surgery allows to simulate the space between the mandibular ramus segments, i.e. intersegmental gap, for the correction of facial asymmetry. The purposes of the study were to estimate the screws- and mandible bone-related changes from the early postoperative period to the period after the debonding and to measure the association between the intersegmental gap volume and the screws- and mandible bone-related changes.
METHODS: This cone-beam computed tomography (CBCT)-assisted retrospective study assessed the stability of the bicortical positional screw fixations in maintaining the space between the mandibular ramus segments after bilateral sagittal split osteotomy in correction of 31 patients with malocclusion and facial asymmetry. The primary predictor variable was the CBCT-based intersegmental gap volume at early postoperative period (T1). The primary outcome variables were CBCT-based screws- and bone-related measurement changes between the T1 and T2 (at debonding) periods.
RESULTS: No significant differences were observed in screws-related linear and angular measurements between T1 and T2 virtual models. Some of mandible bone-related linear and angular measurements had significant differences (P < 0.05) between the T1 and T2 images, but with no clinical repercussion such as need of revisionary surgery. The gap volume and the screws- and bone-related changes had no significant correlations.
CONCLUSION: This study contributes to the multidisciplinary-related literature by demonstrating that the bicortical positional screws-based fixation technique in maintaining the three-dimensional-simulated space between the mandibular ramus segments is a stable and clinically acceptable option for correction of facial asymmetry associated with malocclusion, regardless of intersegmental gap size.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:120 |
|---|---|
| Enthalten in: |
Journal of the Formosan Medical Association = Taiwan yi zhi - 120(2021), 9 vom: 25. Sept., Seite 1768-1776 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Vamvanij, Natthacha [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Bilateral sagittal split osteotomy |
|---|
| Anmerkungen: |
Date Completed 25.08.2021 Date Revised 25.08.2021 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.jfma.2021.03.008 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM323313825 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM323313825 | ||
| 003 | DE-627 | ||
| 005 | 20231225183921.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jfma.2021.03.008 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1077.xml |
| 035 | |a (DE-627)NLM323313825 | ||
| 035 | |a (NLM)33775535 | ||
| 035 | |a (PII)S0929-6646(21)00113-3 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Vamvanij, Natthacha |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Maintaining the space between the mandibular ramus segments during bilateral sagittal split osteotomy does not influence the stability |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 25.08.2021 | ||
| 500 | |a Date Revised 25.08.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Formosan Medical Association. Published by Elsevier B.V. All rights reserved. | ||
| 520 | |a BACKGROUND/PURPOSE: Three-dimensional computer-assisted orthognathic surgery allows to simulate the space between the mandibular ramus segments, i.e. intersegmental gap, for the correction of facial asymmetry. The purposes of the study were to estimate the screws- and mandible bone-related changes from the early postoperative period to the period after the debonding and to measure the association between the intersegmental gap volume and the screws- and mandible bone-related changes | ||
| 520 | |a METHODS: This cone-beam computed tomography (CBCT)-assisted retrospective study assessed the stability of the bicortical positional screw fixations in maintaining the space between the mandibular ramus segments after bilateral sagittal split osteotomy in correction of 31 patients with malocclusion and facial asymmetry. The primary predictor variable was the CBCT-based intersegmental gap volume at early postoperative period (T1). The primary outcome variables were CBCT-based screws- and bone-related measurement changes between the T1 and T2 (at debonding) periods | ||
| 520 | |a RESULTS: No significant differences were observed in screws-related linear and angular measurements between T1 and T2 virtual models. Some of mandible bone-related linear and angular measurements had significant differences (P < 0.05) between the T1 and T2 images, but with no clinical repercussion such as need of revisionary surgery. The gap volume and the screws- and bone-related changes had no significant correlations | ||
| 520 | |a CONCLUSION: This study contributes to the multidisciplinary-related literature by demonstrating that the bicortical positional screws-based fixation technique in maintaining the three-dimensional-simulated space between the mandibular ramus segments is a stable and clinically acceptable option for correction of facial asymmetry associated with malocclusion, regardless of intersegmental gap size | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Bilateral sagittal split osteotomy | |
| 650 | 4 | |a Bone gap | |
| 650 | 4 | |a Facial asymmetry | |
| 650 | 4 | |a Orthognathic surgery | |
| 650 | 4 | |a Ramus rotation | |
| 700 | 1 | |a Chinpaisarn, Chatchawarn |e verfasserin |4 aut | |
| 700 | 1 | |a Denadai, Rafael |e verfasserin |4 aut | |
| 700 | 1 | |a Seo, Hyung Joon |e verfasserin |4 aut | |
| 700 | 1 | |a Pai, Betty C J |e verfasserin |4 aut | |
| 700 | 1 | |a Lin, Hsiu-Hsia |e verfasserin |4 aut | |
| 700 | 1 | |a Lo, Lun-Jou |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of the Formosan Medical Association = Taiwan yi zhi |d 1992 |g 120(2021), 9 vom: 25. Sept., Seite 1768-1776 |w (DE-627)NLM012627941 |x 0929-6646 |7 nnns |
| 773 | 1 | 8 | |g volume:120 |g year:2021 |g number:9 |g day:25 |g month:09 |g pages:1768-1776 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jfma.2021.03.008 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 120 |j 2021 |e 9 |b 25 |c 09 |h 1768-1776 | ||