Document Detail


Evaluation of skeletal and surgical factors related to relapse of mandibular setback surgery using the bioabsorbable plate.
MedLine Citation:
PMID:  19056290     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study was to evaluate the stability of the bioabsorbable plate used in the orthognathic surgery for patients with prognathic mandibles and to evaluate the relapse tendency after surgery and the factors affecting the relapse. MATERIALS AND METHODS: The sample consisted of 30 subjects (14 males and 16 females) who underwent bilateral sagittal split ramus osteotomy (BSSRO) for mandibular setback using the poly-l/dl-lactide plate system (Biosorb FX), Linvatec Biomaterials Ltd., Tampere, Finland). The lateral cephalometric radiographs of each subject were taken pre-operatively within 1 month (T0), post-operatively within 1 month (T1), and post-operatively between 4 and 10 months (T2) and skeletal changes were analyzed with V-Ceph (CyberMed), Seoul, Korea) software. The changes between T1 and T2 were evaluated with a paired t-test to estimate the stability of the surgery. The post-operative changes of mandibular body length and ramus height were used for a K-means clustering analysis to separate subjects into either the less changed (LC), or the more changed (MC) group. The two groups were compared with T0 and the surgical changes (T1-T0) using the t-test. RESULTS: Significant relapse after surgery was shown in vertical measurements but not in the horizontal plane measurements. The MC group showed significantly more vertical operative changes than the LC group independent of horizontal measurements. CONCLUSIONS: Usage of a bioabsorbable plate in mandibular setback surgery could provide stable fixation in the horizontal dimension, but also may allow an increase of vertical relapse due to the increase in vertical dimension post-operatively.
Authors:
Young-Kyun Kim; Yoon-Ji Kim; Pil-Young Yun; Jong-Wan Kim
Publication Detail:
Type:  Journal Article     Date:  2008-12-04
Journal Detail:
Title:  Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery     Volume:  37     ISSN:  1010-5182     ISO Abbreviation:  J Craniomaxillofac Surg     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-02-06     Completed Date:  2009-06-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704309     Medline TA:  J Craniomaxillofac Surg     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  63-8     Citation Subset:  D; IM    
Affiliation:
Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, Sungnam, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Absorbable Implants
Adult
Bone Plates
Cephalometry
Female
Humans
Jaw Fixation Techniques / instrumentation*
Male
Mandible / surgery*
Oral Surgical Procedures*
Polyglactin 910
Prognathism / surgery*
Recurrence
Vertical Dimension
Chemical
Reg. No./Substance:
34346-01-5/Polyglactin 910

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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