Maintaining the space between the mandibular ramus segments during bilateral sagittal split osteotomy does not influence the stability

Autor: Natthacha Vamvanij, Chatchawarn Chinpaisarn, Rafael Denadai, Hyung Joon Seo, Betty C.J. Pai, Hsiu-Hsia Lin, Lun-Jou Lo
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of the Formosan Medical Association, Vol 120, Iss 9, Pp 1768-1776 (2021)
Druh dokumentu: article
ISSN: 0929-6646
DOI: 10.1016/j.jfma.2021.03.008
Popis: 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
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