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Early removal of mini-plate for correction of condyle position in patient of orthognathic surgery

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초록

Orthognathic surgery has recently increased in patients with maxillofacial deformity. However, it has several post-operative complications, such as neurosensory changes of the lower lip, mandibular condylar displacement, and facial asymmetry. Studies show that the condylar position often changes after bilateral sagittal split ramus osteotomy (BSSRO), due to various factors, including inadequate mandibular movement during the operation, methods used for internal fixation, and masticatory muscle function. Condylar displacement can cause abnormal condylar movement, which can induce temporomandibular disorder or relapse due to condylar resorption. This study was conducted to evaluate changes in the condyle position after removal of the mini-plate at 2 or 4 weeks after orthognathic surgery.

Abstract

Orthognathic surgery has recently increased in patients with maxillofacial deformity. However, it has several post-operative complications, such as neurosensory changes of the lower lip, mandibular condylar displacement, and facial asymmetry. Studies show that the condylar position often changes after bilateral sagittal split ramus osteotomy (BSSRO), due to various factors, including inadequate mandibular movement during the operation, methods used for internal fixation, and masticatory muscle function. Condylar displacement can cause abnormal condylar movement, which can induce temporomandibular disorder or relapse due to condylar resorption. This study was conducted to evaluate changes in the condyle position after removal of the mini-plate at 2 or 4 weeks after orthognathic surgery.

참고문헌 (20)

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  5. Akitoshi Kawamata, "Three-dimensional computed tomography evaluation of postsurgical condylar displacement after mandibular osteotomy", Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 85(4), pp.371~376 (1998), Elsevier BV[DOI]
  6. Freihofer HP Jr, "Late results after advancing the mandible by sagittal splitting of the rami", J Oral Maxillofac Surg, 3, pp.250~257 (1975)
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  9. Koichiro Ueki, "Horizontal changes in the condylar head after sagittal split ramus osteotomy with bent plate fixation", Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 106(5), pp.656~661 (2008), Elsevier BV[DOI]
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  11. Yong-Il Kim, "Cone-beam computerized tomography evaluation of condylar changes and stability following two-jaw surgery: Le Fort I osteotomy and mandibular setback surgery with rigid fixation", Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 111(6), pp.681~687 (2011), Elsevier BV[DOI]
  12. Bernardo Ferreira Brasileiro, "An In Vitro Evaluation of Rigid Internal Fixation Techniques for Sagittal Split Ramus Osteotomies: Advancement Surgery", Journal of Oral and Maxillofacial Surgery, 67(4), pp.809~817 (2009), Elsevier BV[DOI]
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  15. Larry M. Wolford, "Considerations for orthognathic surgery during growth, Part 1: Mandibular deformities", American Journal of Orthodontics and Dentofacial Orthopedics, 119(2), pp.95~101 (2001), Elsevier BV[DOI]
  16. Martin Kundert, "Condylar displacement after sagittal splitting of the mandibular rami", Journal of Maxillofacial Surgery, 8, pp.278~287 (1980), Elsevier BV[DOI]
  17. Fred L. Hackney, "Condylar displacement and temporomandibular joint dysfunction following bilateral sagittal split osteotomy and rigid fixation", Journal of Oral and Maxillofacial Surgery, 47(3), pp.223~227 (1989), Elsevier BV[DOI]
  18. Koichiro Ueki, "Condylar and disc positions after sagittal split ramus osteotomy with and without Le Fort I osteotomy", Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 103(3), pp.342~348 (2007), Elsevier BV[DOI]
  19. Luhr HG, "The significance of condylar position using rigid fixation in orthognathic surgery", Clin Plast Surg, 16, pp.147~156 (1989)
  20. Johan.P Reyneke, "Intraoperative diagnosis of condylar sag after bilateral sagittal split ramus osteotomy", British Journal of Oral and Maxillofacial Surgery, 40(4), pp.285~292 (2002), Elsevier BV[DOI]

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