title: Minimizing displacement of the proximal segment after bilateral sagittal split ramus osteotomy in asymmetric cases.
abstract: OBJECTIVE
  This study evaluated a modified sagittal split ramus osteotomy designed to minimize displacement of the proximal segmentation asymmetric cases.
  
  
  METHODS
  Nine patients with facial asymmetry were corrected with modified bilateral sagittal split ramus osteotomy from November 1992 to February 1999. Preoperative and 3-month postoperative anteroposterior (AP) radiographs were traced and compared. The angle of mandibular rotation of the proximal segments was obtained by measuring the intersection of lines passing through the upper rim of the orbit and the lateral border of the proximal segment. The condition of the temporomandibular joint (TMJ) was evaluated clinically by measuring the interincisal distance and looking for any untoward symptoms.
  
  
  RESULTS
  The data showed an average 1.94 degrees +/- 1.18 degrees difference between the preoperative and postoperative condition and no clinical signs of TMJ symptoms. These findings support the use of this procedure for treating asymmetric mandibles.
authors.affiliation: First Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University, School of Dentistry, Nagoya, Japan. kenji@dpc.aichi-gakuin.ac.jp
authors.forename: K
authors.initials: K
authors.lastname: Yoshida
authors.forename: R S
authors.initials: RS
authors.lastname: Rivera
authors.forename: M
authors.initials: M
authors.lastname: Kaneko
authors.forename: K
authors.initials: K
authors.lastname: Kurita
mesh_terms: D001860:Bone Plates; D001864:Bone Wires; D002508:Cephalometry; D005146:Facial Asymmetry / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D019248:Jaw Fixation Techniques / Q000295:instrumentation; D008334:Mandible / Q000000981:diagnostic imaging / Q000601:surgery*; D008335:Mandibular Condyle / Q000000981:diagnostic imaging; D009915:Orbit / Q000000981:diagnostic imaging; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D011859:Radiography; D012399:Rotation; D013704:Temporomandibular Joint / Q000000981:diagnostic imaging