Hybrid fixation in the bilateral sagittal split osteotomy for lower jaw advancement
| Autor: | Marcos Janson, Eduardo Sant’Ana, Felipe Ladeira Pereira |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Rotation Jaw Surgery Mandibular Nerve medicine.medical_treatment Radiography Bone Screws Orthognathic surgery Dentistry Case Report Mandible Monocortical fixation Mandibular advancement Inferior alveolar nerve Osteotomy Fixation (surgical) Postoperative Complications Bone plate Maxilla Humans Osteotomy Le Fort Medicine Paresthesia Range of Motion Articular General Dentistry Orthognathic Surgical Procedures business.industry AVANÇO MANDIBULAR lcsh:RK1-715 Treatment Outcome Patient Satisfaction lcsh:Dentistry Condylar torque Female Bilateral sagittal split osteotomy business Range of motion Bone Plates Follow-Up Studies Bicortical fixation |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Journal of Applied Oral Science, Vol 18, Iss 1, Pp 92-99 (2010) Journal of Applied Oral Science |
| ISSN: | 1678-7757 |
| DOI: | 10.1590/s1678-77572010000100015 |
| Popis: | Miniplate and screw fixation has been widely used in bilateral sagittal split osteotomy, but some issues remain unclear concerning its lack of rigidity when compared to Spiessl's bicortical technique. This paper demonstrates the hybrid fixation technique in a case report. A 34-year-old female patient underwent a double jaw surgery with counter-clockwise rotation of the mandible fixed using the hybrid fixation technique. The patient evolved well in the postoperative period and is still under follow up after 14 months, reporting satisfaction with the results and no significant deviation from the treatment plan up to now. No damage to tooth roots was done, maxillomandibular range of motion was within normality and regression of the inferior alveolar nerve paresthesia was observed bilaterally. The hybrid mandibular fixation is clearly visible in the panoramic and cephalometric control radiographs. It seems that the hybrid fixation can sum the advantages of both monocortical and bicortical techniques in lower jaw advancement, increasing fixation stability without significant damage to the mandibular articulation and the inferior alveolar nerve. A statistical investigation seems necessary to prove its efficacy. |
| Databáze: | OpenAIRE |
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