Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

THE SKELETAL STABILITY OF LE FORT I MAXILLARY ADVANCEMENT

Le Fort I 상악골전진술 후 안정성에 관한 연구

  • Seo, Min-Gyo (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University, Brain Korea 21 project) ;
  • Koo, Sung-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University, Brain Korea 21 project) ;
  • Kim, Eun-Ju (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University, Brain Korea 21 project) ;
  • Leem, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University, Brain Korea 21 project) ;
  • Shin, Hyo-Keun (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University, Brain Korea 21 project) ;
  • Ko, Seung-O (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University, Brain Korea 21 project)
  • 서민교 (전북대학교 치의학전문대학원 구강안악면외과학교실, 구강생체과학연구소, BK21사업) ;
  • 구성영 (전북대학교 치의학전문대학원 구강안악면외과학교실, 구강생체과학연구소, BK21사업) ;
  • 김은주 (전북대학교 치의학전문대학원 구강안악면외과학교실, 구강생체과학연구소, BK21사업) ;
  • 임대호 (전북대학교 치의학전문대학원 구강안악면외과학교실, 구강생체과학연구소, BK21사업) ;
  • 신효근 (전북대학교 치의학전문대학원 구강안악면외과학교실, 구강생체과학연구소, BK21사업) ;
  • 고승오 (전북대학교 치의학전문대학원 구강안악면외과학교실, 구강생체과학연구소, BK21사업)
  • Received : 2009.09.22
  • Accepted : 2010.02.22
  • Published : 2010.03.31
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Abstract

The purpose of this retrospective study was to evaluate relapse, comparing large and small maxillary advancements with four-plate rigid fixation and without bone grafting. All patients had skeletal class III malocclusion, and underwent bimaxillary surgery. Standardized cephalometric analysis by one examiner was performed on serial radiographs of 14 patients immediately before surgery, and within 1 week and at least 6 months postoperatively (mean 10 months). The group was divided into two subsets to determine whether the magnitude of relapse. In group 1 ($\leq$ 5 mm, n = 8), the average advancement was $4.0{\pm}0.9\;mm$, with a mean relapse of $0.1{\pm}0.5\;mm$. In group 2 (6-8 mm, n = 4), the average advancement was $6.8{\pm}0.9\;mm$, with a mean relapse of $0.7{\pm}0.4\;mm$. There was no statistical difference in the measured relapse among the groups. Maxillary advancement with a 1-piece Le Fort I osteotomy is a relatively stable procedure.

Keywords

References

  1. Bell WH. Scheideman GB : Correction of vertical maxillary deficiency: Stablity and soft tissue changes. J Oral Surg 39 : 666, 1981.
  2. Wolford LM, Chemello PD, Hilliard FW : Occlusal plane alteration in orthognathic surgery. J Oral Maxillofac Surg 51 : 730, 1993. https://doi.org/10.1016/S0278-2391(10)80410-0
  3. Trauner R, Obwegeser H : The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. Oral surg 10 : 677, 1957. https://doi.org/10.1016/S0030-4220(57)80063-2
  4. Turvey TA, White RP Jr : Maxillary surgery. Proffit WR, White RP: Surgical orthodontic treatment. Mosby Year Book: 281, 1991.
  5. Araujo A, Schendel SA, Wolford LM et al : Total maxillary advancement with and without bone grafting. J Oral Surg 36 : 849, 1978.
  6. Bell WH. Jacobs JD : Tridimensional planning for surgical/orthodontic treatment of mandibuar excess. Am J Orthod 80 : 263, 1981. https://doi.org/10.1016/0002-9416(81)90290-6
  7. Carlotti AE, Schendel SA : An analysis offactor influencing stability of surgical advancement of the maxilla by the LeFort I osteotomy. J Oral Maxillofac Surg 45 : 924, 1987. https://doi.org/10.1016/0278-2391(87)90442-3
  8. Epker BN, Turvey T, Fish LC : Indication for simultaneous mobilization of the maxilla and mandible for the correction of dentofacial deformities. Oral Surg 54 : 369, 1982. https://doi.org/10.1016/0030-4220(82)90381-4
  9. Proffit WR, Phillips C, Prewitt JW et al : Stability after surgical orthodontic corection of skeletal class III malocclusion. II. maxillary advancement. Int J Adult Orthod Orthognath Surg 6 : 71, 1991.
  10. Bell WH, McBride KL : Correction of the long face syndrome by Le-Fort I osteotomy. Oral Surg 44 : 493, 1977. https://doi.org/10.1016/0030-4220(77)90292-4
  11. Schendel SA, Eisenfeld JH, Bell WH et al: The long face syndrome: Vertical maxillary excess. Am J Orthod 70 : 663, 1976. https://doi.org/10.1016/0002-9416(76)90226-8
  12. Burstone CJ, James RB, Legan H et al : Cephalometries for orthognathic surgery. J Oral Surg 36 : 269, 1978.
  13. Moore JW : Variation of Sella-Nasion plane and its effect on SNA and SNB. J Oral surg 34 : 23, 1976.
  14. Houston WJB : The analysis of errors in orthodontic measurements. Am J Orthod 83 : 382, 1983. https://doi.org/10.1016/0002-9416(83)90322-6
  15. Houston WJB, Maher RE, McElroy D et al : Sources of error in measurements from cephalometric radiographs. Eur J Orthod 8 : 149, 1986. https://doi.org/10.1093/ejo/8.3.149
  16. Turvey TA : Simultaneous mobilization of the maxilla and mandible: Surgical technique and results, J Oral Maxillofac Surg 40 : 96, 1981.
  17. Moser K, Freihofer HPM : Long-term expierience with simultaneous movement of the upper and lower jaw. J Oral Maxillofac Surg 8 : 271, 1980.
  18. Proffit WR: Tx planning: The search for wisdom, Proffit WR, White RP(edi): Surgical Orthodontic Treatment, Mosby Year Book. 1991.
  19. March V, Athanasoiu AE : Sources of error in lateral cephalometry. Athanasiou AE (edi): Orthodontic cephalometry. Mosby-Wolfe, 1995.
  20. Rotter BE, Zeilter DL : Stability of the Le Fort I maxillary osteotomy after rigid internal fixation. J Oral Maxillofac Surg 5 : 1080, 1999.
  21. Egbert MA : Stability of the Le Fort I maxillary osteotomy after rigid internal fixation. J Oral Maxillofac Surg 57 : 1089, 1999. https://doi.org/10.1016/S0278-2391(99)90331-2
  22. Araujo A, Schendel SA, Wolford LM et al: Total maxillary advancement with and without bone grafting. J Oral Surg 36 : 849, 1978.
  23. Weiss MJ, Patty S, Philips C : Dental and skeletal stability following maxillary advancement. J Dent Res 68 : 259, 1989.
  24. Welch TB : Stability in the correction of dentofacial deformities. J Oral Maxillofac Surg 47 : 1142, 1989. https://doi.org/10.1016/0278-2391(89)90003-7
  25. Hoppenrejis TJ, Freihofer HP : Skeletal and dento-alveolar stability of Le-Fort I intrusion osteotomies and bimaxillary osteotomies in anterior open bite deformities. lnt J Oral Maxillofac Surg 26 : 161, 1997.