Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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A STUDY OF BONE RESORPTION AT THE POSTERIOR BORDER OF DISTAL SEGMENT AFTER BILATERAL SAGITTAL SPLIT RAMUS OSTEOTOMY OF MANIBULAR PROGNATHIC PATIENTS

하악전돌환자의 하악지시상분할골절단술 후의 원심골편의 후방경계의 골흡수에 대한 연구

  • Lee, Yong-In (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lim, Jong-Hwan (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Noh, Kwang-Seob (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hong, Jong-Rak (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jun, Ju-Hong (Kangnam Samsung Dental Clinic) ;
  • Kim, Chang-Soo (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 이용인 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 임종환 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 노광섭 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 홍종락 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 전주홍 (강남삼성치과의원) ;
  • 김창수 (성균관대학교 의과대학 삼성서울병원 구강악안면외과)
  • Published : 2005.02.28
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Abstract

Purpose : This study is to predict the changes of the distal segment by investing the resorption of the excessive distal segment regarding the amount of setback after BSSRO. Material and Methods : 20 patients with Mandible prognathism treated by Obwegeser-Dal Pont method during the years 2000 to 2002 were selected for this study. Group A consisted of 5 males & 5 females with a setback amount of 10mm and above(Mean $10.80mm{\pm}1.03$, n=20) and Group B consisted of 2 males & 8 females with a setback amount of below 10mm.(Mean $6.10mm{\pm}1.10$, n=20) Panorama X-ray was taken at day 1, 1month, 3months, 6months, and 12months after the surgery. Resorption areas of excessive distal segment were measured on these panorama X-rays and compared. Results : There was bone resorption in both groups. Group A showed more bone resorption than Group B. Group B showed slightly higher resorption rate than Group A. However, there was no statistically significant difference between the resorption rates of Group A and Group B. (P>0.05). Conclusion : More bone resorption occurred with a larger amount of setback and about one third of the excessive distal segment underwent resorption, irrespective of the amount of setback.

Keywords

References

  1. Schuchardt K: Ein Beitrag zur chirurgichen Kieferorthopadie unter Beruechsichtigung iher Bedeutung feur die Behabdlung angeborener and erworbener kieferde formitaeten bie Soldaten. Dt. ZahnMund- Kieferheilk 1942;9:73
  2. Trauner R, Obwegeser H: The surgical correction of mandibular prognathism and retrognathia and consideration of genioplasty. Surgical procedures to correct mandibular prognathism and reshaping of the chin. Oral Surg Oral Med Oral Pathol 1957;10:677 https://doi.org/10.1016/S0030-4220(57)80063-2
  3. Dal Pont G: Retromolar osteotomy for correction of prognathism. J Oral Surg 1962;19:42
  4. Hunsuck EE: A modified intraoral sagittal splitting technique for correction of mandibular prognathism. J Oral Surg 1968;26:249
  5. Epker BN: Modifications in the sagittal osteotomy of the mandible. J Oral Surg 1977;35:157
  6. Gallo WJ, Moss M, Gaul JV, Shapiro D: Modification of the sagittal ramus-split osteotomy for retrognathia. J Oral Surg 1976;34:178-179 https://doi.org/10.1016/0030-4220(72)90404-5
  7. Rowe NL: The a etiology, clinical features and treatment of mandibular deformity. Br Dent J 1960;108:41-64
  8. Yoshinao Kajikawa: Changes in soft tissue profile after surgical correction of skeletal class III malocclusion. J Oral Surg 1979;37:167-74
  9. Lines PA, Steinhauser EW: Soft tissue changes in relationship to movement of hard structure in orthognathic surgery : a preliminary report. J Oral Surg 1974;32:891-96 https://doi.org/10.1016/0030-4220(71)90175-7
  10. Tselnik M, Pogrel MA: Assessment of the pharyngeal airway space after mandibular setback surgery. J Oral Maxillofac Surg 2000; 58:282-285 https://doi.org/10.1016/S0278-2391(00)90053-3
  11. Epker Bn, Wolford LM: Dentofacial deformities. CV Mosby :1980
  12. Schendel SA, Epker BN: Results after mandibular advancement surgery : Analysis of 87 cases. J Oral Surgery 1980;38:265-282
  13. Yellich GM, Mcnamara JA, Ungerleider JC: Muscular and mandibular adaptation after lengthening, detachment and reattachment of the masseter muscle. J Oral Surg 1981;39:656-665
  14. 권영호, 장현중, 이상한: 하악전돌증환자의 악교정수술후 하악각 변화에 관한 임상적 분석 : 대한구강악안면성형재건외과학회지 2000;22(2):206-216
  15. Vries KD, Devrieses PP, Hovinga J, Van den Akker HP: Facial palsy after sagittal split osteotomies. J Cranio Maxillofac Surg 1993;21:50- 53 https://doi.org/10.1016/S1010-5182(05)80147-7
  16. Cristos SM: Complication after mandibular sagittal split osteotomy. J Oral Maxillofac Surg 1984;42:101-7 https://doi.org/10.1016/0278-2391(84)90320-3
  17. 이장열, 유형석, 유영규: 제 III 급 부정교합자의 악교정수술후 골 격적재발양상에 관한 연구. 대한치과교정학회지 1998;28(3):461- 77
  18. 이상철, 김여갑, 류동목, 이완기: 하악골전돌증의 악교정수술후 연조직변화에 관한 연구. 대한악안면성형재건외과학회지 1992;14(3):217-27
  19. Kim MJ, Kim SG, Park YW: Positional stability following intentional posterior ostectomy of the distal segment in bilateral sagittal split ramus osteotomy for correction of mandibular prognathism. J Craniomaxillofac Surg 2002;30:35-40 https://doi.org/10.1054/jcms.2001.0272
  20. Obwegeser H: Der offene biss in chirurgischer sicht. Schweigz Mschr Zahnhk 1975;33:412-426
  21. 이근호, 권대근, 장도근, 이상한: 심한 하악골 전돌증 환자의 외과 적 치험례. 대한악안면성형재건외과학회지 1994;16(1):33-42