Browse > Article
http://dx.doi.org/10.4041/kjod.2022.52.1.29

Incidence and management of condylar resorption after orthognathic surgery: An overview  

Barone, Selene (Department of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro)
Cosentini, Giorgio (Department of Health Sciences, Magna Graecia University of Catanzaro)
Bennardo, Francesco (Department of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro)
Antonelli, Alessandro (Department of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro)
Giudice, Amerigo (Department of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro)
Publication Information
The korean journal of orthodontics / v.52, no.1, 2022 , pp. 29-41 More about this Journal
Abstract
Objective: Condylar resorption (CR) is one of the major post-surgical complications of orthognathic surgery. This systematic review (SR) aimed to evaluate epidemiological data, risk factors, and therapeutical management of CR. Methods: Six databases were screened by two investigators until September 2020 to obtain all SRs. After reading the titles and abstracts, eligible SRs were determined and data extraction was performed. Using the latest version of A Measurement Tool to Assess Systematic Reviews, the methodological quality of the included SRs was determined. Results: Ten SRs with low or critically-low methodological quality were included in this review. Mandibular hypoplasia on the sagittal plane and hyperdivergent growth pattern on the vertical plane were the most common skeletal alterations in which CR could occur after orthognathic surgery. Post-operative condylar changes were analyzed both on two-dimensional and three-dimensional (3D) radiographic examinations. The incidence of CR was not related to the fixation method. Based on the severity of the pathological conditions, management of CR can include conservative or surgical therapy. Conclusions: Despite the limited evidence in literature, CR is considered a consequence of orthognathic surgery. However, an accurate diagnosis of CR and a better orthognathic surgical planning must include 3D radiographic examinations to improve pre- and post-surgical comparison. Well-designed studies with long-term follow-up and 3D data are needed to clarify the findings of this analysis..
Keywords
Three-dimensional diagnosis and treatment planning; Class III orthognathic surgery; Temporomandibular joint; Condylar resorption;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 NiNo-Sandoval TC, Almeida RAC, Vasconcelos BCDE. Incidence of condylar resorption after bimaxillary, Lefort I, and mandibular surgery: an overview. Braz Oral Res 2021;35:e27.   DOI
2 Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ 2017;358:j4008.   DOI
3 Amarista FJ, Mercuri LG, Perez D. Temporomandibular joint prosthesis revision and/or replacement survey and review of the literature. J Oral Maxillofac Surg 2020;78:1692-703.   DOI
4 Nunes de Lima V, Faverani LP, Santiago JF Jr, Palmieri C Jr, Magro Filho O, Pellizzer EP. Evaluation of condylar resorption rates after orthognathic surgery in class II and III dentofacial deformities: a systematic review. J Craniomaxillofac Surg 2018;46:668-73.   DOI
5 Lee JY, Lee SM, Kim SH, Kim YI. Long-term follow-up of intersegmental displacement after orthognathic surgery using cone-beam computed tomographic superimposition. Angle Orthod 2020;90:548-55.   DOI
6 Xi T, Schreurs R, van Loon B, de Koning M, Berge S, Hoppenreijs T, et al. 3D analysis of condylar remodelling and skeletal relapse following bilateral sagittal split advancement osteotomies. J Craniomaxillofac Surg 2015;43:462-8.   DOI
7 Ha MH, Kim YI, Park SB, Kim SS, Son WS. Conebeam computed tomographic evaluation of the condylar remodeling occurring after mandibular setback by bilateral sagittal split ramus osteotomy and rigid fixation. Korean J Orthod 2013;43:263-70.   DOI
8 Catherine Z, Breton P, Bouletreau P. Management of dentoskeletal deformity due to condylar resorption: literature review. Oral Surg Oral Med Oral Pathol Oral Radiol 2016;121:126-32.   DOI
9 Ji YD, Resnick CM, Peacock ZS. Idiopathic condylar resorption: a systematic review of etiology and management. Oral Surg Oral Med Oral Pathol Oral Radiol 2020;130:632-9.   DOI
10 Mousoulea S, Kloukos D, Sampaziotis D, Vogiatzi T, Eliades T. Condylar resorption in orthognathic patients after mandibular bilateral sagittal split osteotomy: a systematic review. Eur J Orthod 2017;39:294-309.   DOI
11 Pelo S, Saponaro G, Patini R, Staderini E, Giordano A, Gasparini G, et al. Risks in surgery-first orthognathic approach: complications of segmental osteotomies of the jaws. A systematic review. Eur Rev Med Pharmacol Sci 2017;21:4-12.
12 Te Veldhuis EC, Te Veldhuis AH, Bramer WM, Wolvius EB, Koudstaal MJ. The effect of orthognathic surgery on the temporomandibular joint and oral function: a systematic review. Int J Oral Maxillofac Surg 2017;46:554-63.   DOI
13 Ma RH, Li G, Yin S, Sun Y, Li ZL, Ma XC. Quantitative assessment of condyle positional changes before and after orthognathic surgery based on fused 3D images from cone beam computed tomography. Clin Oral Investig 2020;24:2663-72.   DOI
14 Giudice A, Barone S, Belhous K, Morice A, Soupre V, Bennardo F, et al. Pierre Robin sequence: a comprehensive narrative review of the literature over time. J Stomatol Oral Maxillofac Surg 2018;119:419-28.   DOI
15 Nicolielo LFP, Jacobs R, Ali Albdour E, Hoste X, Abeloos J, Politis C, et al. Is oestrogen associated with mandibular condylar resorption? A systematic review. Int J Oral Maxillofac Surg 2017;46:1394-402.   DOI
16 Jung S, Choi Y, Park JH, Jung YS, Baik HS. Positional changes in the mandibular proximal segment after intraoral vertical ramus osteotomy: surgery-first approach versus conventional approach. Korean J Orthod 2020;50:324-35.   DOI
17 Gunson MJ, Arnett GW, Milam SB. Pathophysiology and pharmacologic control of osseous mandibular condylar resorption. J Oral Maxillofac Surg 2012;70:1918-34.   DOI
18 Hsu LF, Liu YJ, Kok SH, Chen YJ, Chen YJ, Chen MH, et al. Differences of condylar changes after orthognathic surgery among Class II and Class III patients. J Formos Med Assoc 2021. doi: 10.1016/j.jfma.2021.01.018. [Epub ahead of print]   DOI
19 Francisco I, Guimaraes A, Lopes M, Lucas A, Caramelo F, Vale F. Condylar form alteration on skeletal class II patients that underwent orthognathic surgery: an overview of systematic reviews. J Clin Exp Dent 2020;12:e695-703.
20 Aneja V, Raval R, Aneja P, Rai KK, Agarwal S, Chuadhary S. Evaluation of mandibular condylar changes in patients following orthognathic surgery: a retrospective study. Niger J Surg 2017;23:37-41.   DOI
21 Wolford LM. Idiopathic condylar resorption of the temporomandibular joint in teenage girls (cheer-leaders syndrome). Proc (Bayl Univ Med Cent) 2001;14:246-52.
22 He Z, Ji H, Du W, Xu C, Luo E. Management of condylar resorption before or after orthognathic surgery: a systematic review. J Craniomaxillofac Surg 2019;47:1007-14.   DOI
23 Claus JDP, Koerich L, Weissheimer A, Almeida MS, Belle de Oliveira R. Assessment of condylar changes after orthognathic surgery using computed tomography regional superimposition. Int J Oral Maxillofac Surg 2019;48:1201-8.   DOI
24 Haas Junior OL, Guijarro-Martinez R, de Sousa Gil AP, da Silva Meirelles L, Scolari N, Munoz-Pereira ME, et al. Hierarchy of surgical stability in orthognathic surgery: overview of systematic reviews. Int J Oral Maxillofac Surg 2019;48:1415-33.   DOI
25 Bermell-Baviera A, Bellot-Arcis C, Montiel-Company JM, Almerich-Silla JM. Effects of mandibular advancement surgery on the temporomandibular joint and muscular and articular adaptive changes--a systematic review. Int J Oral Maxillofac Surg 2016;45:545-52.   DOI
26 Vandeput AS, Verhelst PJ, Jacobs R, Shaheen E, Swennen G, Politis C. Condylar changes after orthognathic surgery for class III dentofacial deformity: a systematic review. Int J Oral Maxillofac Surg 2019;48:193-202.
27 Catherine Z, Breton P, Bouletreau P. Condylar resorption after orthognathic surgery: a systematic review. Rev Stomatol Chir Maxillofac Chir Orale 2016;117:3-10.
28 de Moraes PH, Rizzati-Barbosa CM, Olate S, Moreira RW, de Moraes M. Condylar resorption after orthognathic surgery: a systematic review. Int J Morphol 2012;30:1023-8.   DOI
29 Gill DS, El Maaytah M, Naini FB. Risk factors for post-orthognathic condylar resorption: a review. World J Orthod 2008;9:21-5.
30 Jedrzejewski M, Smektala T, Sporniak-Tutak K, Olszewski R. Preoperative, intraoperative, and postoperative complications in orthognathic surgery: a systematic review. Clin Oral Investig 2015;19:969-77.   DOI