Straight Locking Miniplate Technique Achieves Submillimeter Accuracy of Condylar Positional Change During Bimaxillary Orthognathic Surgery for Patients With Skeletal Class III Malocclusion.
J Oral Maxillofac Surg
; 78(10): 1834.e1-1834.e9, 2020 Oct.
Article
in En
| MEDLINE
| ID: mdl-32428461
ABSTRACT
PURPOSE:
The straight locking miniplate (SLM) technique is a straightforward method to accurately reposition the maxilla during bimaxillary orthognathic surgery. The present study evaluated the accuracy of the SLM technique in maintaining the condylar position during surgery without the use of a cutting guide. PATIENTS ANDMETHODS:
The present prospective, single-center study was conducted at Yokohama City University between 2016 and 2017 and included patients with skeletal Class III malocclusion. The patients were divided into 2 groups according to the fixation method used for the mandibular segments. The mandibular segments were fixed with miniplates either manually (manual group) or using the SLM technique (SLM group). Computed tomography was performed before and 3 days after surgery to compare the condylar position. The bodily and rotational movements of the condyle were analyzed.RESULTS:
The subjects were 18 Japanese patients (36 condyles) who had undergone bilateral set back surgery with Le Fort I osteotomy. The amount of bodily movements in the manual and SLM groups were 1.44 and 0.62 mm, respectively. The degree of rotational movement in the sagittal plane in the manual and SLM groups was 3.33° and 0.23°, respectively. The bodily and rotational movements in the SLM group were significantly smaller than those in the manual group (P < .05 and P < .01, respectively).CONCLUSIONS:
These results suggest that use of the SLM technique reduces the risk of condylar positional changes to less than 1 mm during orthognathic surgery without the use of any complex devices or a cutting guide.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Orthognathic Surgical Procedures
/
Orthognathic Surgery
/
Malocclusion, Angle Class III
Limits:
Humans
Language:
En
Journal:
J Oral Maxillofac Surg
Year:
2020
Document type:
Article
Affiliation country:
Japón