Maxillary stability after Le Fort I osteotomy with self-setting α-tricalcium phosphate and an absorbable plate

Autor: Aya Mukozawa, Katsuhiko Okabe, Kohei Marukawa, Akinori Moroi, Yuri Ishihara, Koichiro Ueki, Mao Miyazaki, Megumi Sotobori, Shuichi Kawashiri, Kazuhiro Ooi, Kunio Yoshizawa
Rok vydání: 2013
Předmět:
Zdroj: International Journal of Oral and Maxillofacial Surgery. 42:597-603
ISSN: 0901-5027
DOI: 10.1016/j.ijom.2012.10.026
Popis: The purpose of this study was to compare retrospectively postoperative differences in maxillary stability after Le Fort I osteotomy and fixation with an unsintered hydroxyapatite (u-HA)/poly-l-lactic acid (PLLA) plate with or without self-setting α-tricalcium phosphate (Biopex ®) as interpositional material. Subjects comprised 45 patients diagnosed with mandibular prognathism with maxillary retrognathism and mandibular prognathism with bimaxillary asymmetry. All patients underwent Le Fort I osteotomy and bilateral sagittal split ramus osteotomy with fixation by uHA/PLLA plates. Patients were divided into 4 groups consisting of 9 maxillary impaction cases with Biopex ® (group 1) to fill the gap between the bone segments, 14 maxillary advancement cases with Biopex ® (group 2), 8 maxillary impaction cases without Biopex ® (group 3) and 14 maxillary advancement cases without Biopex ® (group 4). Changes in cepahalometric parameters at time intervals (1, 3 and 12 months) between the groups were compared. Results showed that stability did not depend on the use or otherwise of Biopex ®. © 2012 International Association of Oral and Maxillofacial Surgeons.
Databáze: OpenAIRE