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Remodelling pattern of the ramus on submentovertex cephalographs after intraoral vertical ramus osteotomy

Authors
 Young Soo Choi  ;  Hwi-Dong Jung  ;  Sang Yoon Kim  ;  Hyung-Sik Park  ;  Young-Soo Jung 
Citation
 BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, Vol.51(8) : 259-262, 2013 
Journal Title
 BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY 
ISSN
 0266-4356 
Issue Date
2013
MeSH
Adolescent ; Adult ; Bone Remodeling/physiology* ; Cephalometry/methods* ; Facial Asymmetry/surgery ; Female ; Follow-Up Studies ; Humans ; Jaw Fixation Techniques ; Male ; Mandible/pathology* ; Mandible/surgery ; Mandibular Condyle/pathology ; Mandibular Osteotomy/methods* ; Middle Aged ; Prognathism/surgery ; Retrospective Studies ; Rotation ; Young Adult
Keywords
Condylar angle ; IVRO ; Intraoral vertical ramus osteotomy ; Remodelling process
Abstract
The aim of this study was to evaluate postoperative changes in proximal segments and condyles on the transverse plane after intraoral vertical ramus osteotomy. This is a retrospective study that included 200 subjects operated on, from 2003 to 2010, from whom we compared preoperative and postoperative (7 days, and 1, 3, 6, and 12 months) submentovertex radiographs. Postoperative positional changes in the condyles showed a mean (SD) of 15.05 (8.97)° lateral rotation, which slowly returned towards the original position. However, 4.53 (6.03)° lateral rotation remained on the postoperative radiographs at 1 year. There were no remarkable differences in intercondylar distance at any given time interval, which showed pure rotation of condyles without any bodily shift. The length of horizontal overlapping was also increased after operation, and was later decreased by 48% on postoperative radiographs at 1 year through the remodelling process. Condyles had rotated laterally without a lateral shifting movement only after intraoral vertical ramus osteotomy. Further studies to evaluate the physiological effects of rotational movement of the condyles after the operation in patients with symptoms in the temporomandibular joint are indicated.
Full Text
http://www.sciencedirect.com/science/article/pii/S0266435613003768
DOI
10.1016/j.bjoms.2013.08.003
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Hyung Sik(박형식)
Jung, Young Soo(정영수) ORCID logo https://orcid.org/0000-0001-5831-6508
Jung, Hwi Dong(정휘동) ORCID logo https://orcid.org/0000-0003-1025-8323
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88624
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