Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

The study of stability of absorbable internal fixation after mandibular bilateral sagittal split ramal osteotomy

하악골 양측 하악지 시상분할 골절단술 후 흡수성 고정의 안정성에 관한 연구

  • Choi, Byoung-Hwan (Department of Oral and Maxillofacial Surgery, College of Medicine, Ulsan University Hospital, Ulsan University) ;
  • Park, Su-Won (Department of Oral and Maxillofacial Surgery, College of Medicine, Ulsan University Hospital, Ulsan University) ;
  • Jang, Soo-Mi (Department of Oral and Maxillofacial Surgery, College of Medicine, Ulsan University Hospital, Ulsan University) ;
  • Son, Han-Na (Department of Oral and Maxillofacial Surgery, College of Medicine, Ulsan University Hospital, Ulsan University) ;
  • Park, Bong-Chan (Department of Oral and Maxillofacial Surgery, College of Medicine, Ulsan University Hospital, Ulsan University) ;
  • Son, Jang-Ho (Department of Oral and Maxillofacial Surgery, College of Medicine, Ulsan University Hospital, Ulsan University) ;
  • Cho, Yeong-Cheol (Department of Oral and Maxillofacial Surgery, College of Medicine, Ulsan University Hospital, Ulsan University) ;
  • Sung, Iel-Yong (Department of Oral and Maxillofacial Surgery, College of Medicine, Ulsan University Hospital, Ulsan University)
  • 최병환 (울산대학교 의과대학 울산대학교병원 구강악안면외과학교실) ;
  • 박수원 (울산대학교 의과대학 울산대학교병원 구강악안면외과학교실) ;
  • 장수미 (울산대학교 의과대학 울산대학교병원 구강악안면외과학교실) ;
  • 손한나 (울산대학교 의과대학 울산대학교병원 구강악안면외과학교실) ;
  • 박봉찬 (울산대학교 의과대학 울산대학교병원 구강악안면외과학교실) ;
  • 손장호 (울산대학교 의과대학 울산대학교병원 구강악안면외과학교실) ;
  • 조영철 (울산대학교 의과대학 울산대학교병원 구강악안면외과학교실) ;
  • 성일용 (울산대학교 의과대학 울산대학교병원 구강악안면외과학교실)
  • Received : 2010.04.27
  • Accepted : 2010.07.08
  • Published : 2010.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Introduction: To evaluate the skeletal stability after a bilateral sagittal split osteotomy (BSSO) setback of the mandible fixed with a biodegradable internal fixation device or metal internal fixation device. Materials and Methods: Thirty consecutive patients underwent mandibular setback via BSSO. Fifteen patients were fixed with a biodegradable internal fixation device or metal internal fixation device respectively. Posteroanterior (PA) and lateral cephalograms were taken preoperatively and at two days, 5.5 months and 14.5 months postoperatively. The relevant skeletal points were traced and digitized to evaluate the skeletal changes postoperatively. The relapse rates were analyzed and compared statistically. Results: There was no statistically significant differences in postoperative stability between the two groups.(P<0.05) Conclusion: The biodegradable internal fixation device may make an effective device alternative to a metal internal fixation device for setback BSSO.

Keywords

References

  1. Becktor JP, Rebellato J, Sollenius O, Vedtofte P, Isaksson S. Transverse displacement of the proximal segment after bilateral sagittal osteotomy: a comparison of lag screw fixation versus miniplates with monocortical screw technique. J Oral Maxillofac Surg 2008;66:104-11.
  2. Joss CU, Vassalli IM. Stability after bilateral sagittal split osteotomy advancement surgery with rigid internal fixation: a systematic review. J Oral Maxillofac Surg 2009;67:301-13. https://doi.org/10.1016/j.joms.2008.06.060
  3. Burstone CJ, James RB, Legan H, Murphy GA, Norton LA. Cephalometrics for orthognathic surgery. J Oral Surg 1978;36:269-77.
  4. Blomqvist JE, Ahlborg G, Isaksson S, Svartz K. A comparison of skeletal stability after mandibular advancement and use of two rigid internal fixation techniques. J Oral Maxillofac Surg 1997;55:568-74. https://doi.org/10.1016/S0278-2391(97)90486-9
  5. Borstlap WA, Stoelinga PJ, Hoppenreijs TJ, van't Hof MA. Stabilisation of sagittal split advancement osteotomies with miniplates: a prospective, multicentre study with two-year follow-up Part II. Radiographic parameters. Int J Oral Maxilofac Surg 2004;33:535-42. https://doi.org/10.1016/j.ijom.2004.01.015
  6. Joss CU, Vassalli IM, Thuer UW. Stability of soft tissue profile after mandibular setback in sagittal split osteotomies: a longitudinal and long-term follow-up study. J Oral Maxillofac Surg 2008;66:1610-6. https://doi.org/10.1016/j.joms.2007.11.036
  7. Kulkarni RK, Moore EG, Hegyeli AF, Leonard F. Biodegradable poly (lactic acid) polymers. J Biomed Mater Res 1971;5:169-81.
  8. Suuronen R, Haers PE, Lindqvist C, Sailer HF. Update on bioresorbable plates in maxillofacial surgery. Facial plast Surg 1999;15:61-72. https://doi.org/10.1055/s-2008-1064301
  9. Cutright DE, Hunsuck EE, Beasley JD. Fracture reduction using a biodegradable material, polylactic acid. J Oral Surg 1971;29:393-7.
  10. Cutright DE, Hunsuck EE. The repair of fractures of the orbital floor using biodegradable polylactic acid. Oral Surg Oral Med Oral Pathol 1972 ;33:28-34. https://doi.org/10.1016/0030-4220(72)90204-6
  11. Getter L, Cutright DE, Bhaskar SN, Augsburg JK. A biodegradable intraosseus appliance in the treatment of mandibular fractures. J Oral Surg 1972;30:344-8.
  12. Turvey TA, Bell RB, Phillips C, Proffit WR. Self-reinforced biodegradable screw fixation compared with titanium screw fixation in mandibular advancement. J Oral Maxillofac Surg 2006;64:40-6.
  13. Suuronen R, Pohjonan T, Hietanen J, Lindqvist C. A 5-year in vitro and in vivo study of the biodegradation of polylactide plates. J Oral Maxillofac Surg 1998;56:604-14. https://doi.org/10.1016/S0278-2391(98)90461-X
  14. Kallella I, Laine P, Suuronen R, Ranta P, Iizuka T, Lindqvist C. Osteotomy site healing following mandibular sagittal split osteotomy and rigid fixation with polylactide biodegradable screws. Int J Oral Maxillofac Surg 1999;28:166-70.
  15. Turvey TA, Bell RB, Tejera TJ, Proffit WR. The use of self-reinforced biodegradable bone plates and screws in orthognathic surgery. J Oral Maxillofac Surg 2002;60:59-65. https://doi.org/10.1053/joms.2002.28274
  16. Ueki K, Nakagawa K, Marukawa K, Takazakura D, Shimada M, Takatsuka S et al. Changes in condylar long axis and skeletal stabillity after bilateral sagittal split ramus osteotomy with poly-Llactic acid or titanium plate fixation. Int J Oral Maxillofac surg 2005;34:627-34. https://doi.org/10.1016/j.ijom.2005.02.013
  17. Ferretti C, Reyneke JP. Mandibular sagittal split osteotomies fixed with biodegradable or titanium screws: a prospective, comparative study of postoperative stability. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:534-7. https://doi.org/10.1067/moe.2002.124091
  18. Wood GD. Inion biodegradable plates : the first century. Br J Oral Maxillofac Surg 2006;44:38-41. https://doi.org/10.1016/j.bjoms.2005.07.026
  19. Kim IH, Han CH, Ryu SY. Changes in gonial angle and mandibular width after orthognathic surgery in mandibular prognathic patients. J Korean Assoc Oral Maxillofac Surg 2006;32:129-37.
  20. Costa F, Robiony M, Politi M. Stability of sagittal split ramus osteotomy used to correct Class III malocclusion: review of the literature. Int J Adult Orthodon Orthognath Surg 2001;16:121-9.
  21. Joss CU, Vassalli IM. Stability after bilateral sagittal split osteotomy setback surgery with rigid internal fixation: a systematic review. J Oral Maxillofac Surg 2008;66:1634-43. https://doi.org/10.1016/j.joms.2008.01.046
  22. Proffit WR, Phillips C, Dann C 4th, Turvey TA. Stability after surgical orthodontic correction of skeletal Class III malocclusion. I. Mandibular setback. Int J Adult Orthodon Orthognath Surg 1991;6:7-18.
  23. Harada K, Enomoto S. Stability after surgical correction of mandibular prognathism using the sagittal split osteotomy and fixation with poly-L-lactic acid (PLLA) screws. J Oral Maxillofac Surg 1997;55:464-8. https://doi.org/10.1016/S0278-2391(97)90691-1
  24. Choi BH, Zhu SJ, Han SG, Huh JY, Kim BY, Jung JH. The need for intermaxillary fixation in sagittal split osteotomy setbacks with bicortical screw fixation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;100:292-5. https://doi.org/10.1016/j.tripleo.2005.01.004

Cited by

  1. Efficacy and morbidity of biodegradable versus titanium osteosyntheses in orthognathic surgery: A systematic review with meta‐analysis and trial sequential analysis vol.129, pp.5, 2010, https://doi.org/10.1111/eos.12800