Document Detail


Midline mandibular osteotomy: an analysis of functional outcomes.
MedLine Citation:
PMID:  9217126     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although the oncologic validity and perioperative complications of midline mandibular osteotomy are well described, little attention has been directed toward the long-term functional problems that may be associated with its use. Thirty-one patients who had undergone this procedure were examined to assess postoperative sensation, temporomandibular joint (TMJ) function, occlusion, and cosmesis. The majority (27 of 31) patients had some sequelae but these were minor in nature. Twenty of 31 patients had abnormal sensation, 24 of 31 noted a changed occlusion, and 15 of 31 had signs or symptoms of TMJ myofascial pain. Although patients should be advised of the potential for functional problems with this procedure, they can be reassured that these are likely to be relatively minor in significance. If technically feasible and if an exact restoration of occlusion is a priority, a prefabricated lingual splint should be used.
Authors:
S A Riddle; P E Andersen; E C Everts; J I Cohen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  107     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1997-08-06     Completed Date:  1997-08-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  893-6     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University, Portland 97201-3098, USA.
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MeSH Terms
Descriptor/Qualifier:
Dental Occlusion
Esthetics, Dental
Follow-Up Studies
Humans
Longitudinal Studies
Malocclusion / etiology
Mandible / physiopathology,  surgery*
Middle Aged
Mouth Neoplasms / surgery
Occlusal Splints
Oropharyngeal Neoplasms / surgery
Osteotomy / adverse effects,  methods*
Paresthesia / etiology
Patient Satisfaction
Pharyngeal Neoplasms / surgery
Range of Motion, Articular
Retrospective Studies
Sensation
Sensation Disorders / etiology
Temporomandibular Joint Disorders / etiology
Temporomandibular Joint Dysfunction Syndrome / etiology
Treatment Outcome

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


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