Positional stability following intentional posterior ostectomy of the distal segment in bilateral sagittal split ramus osteotomy for correction of mandibular prognathism.
OBJECTIVE
In order to minimize post-operative relapse after mandibular setback using bilateral sagittal split ramus osteotomy, we have recently tried a technique, i.e. intentional ostectomy of the posterior part of the distal segment. The aim of this study was to evaluate the effects of this technique on the frequencies and extent of post-operative relapse.


METHODS
This study was based on 61 cases of mandibular prognathism. The traditional sagittal split was performed in 24 cases (average age: 22.0+/-3.8) as a control group and the technique of additional distal ostectomy was used in the other 37 cases (average age: 23.2+/-3.2) as a test group.


METHODS
Horizontal and vertical changes in the position of the body of the mandible were measured to determine the amount of long-term post-operative relapse. The amount of relapse was compared between groups and the statistical significance of the differences was evaluated.


RESULTS
The relapse index of the test group was significantly lower than that of the control group in the 6- and 12-month post-operative periods (p>0.005). The horizontal relapse index and facial length relapse index of the test group were lower than those of the control group 12 months post-operatively (p<0.05).


CONCLUSIONS
This method should be considered as a useful method to maximise long-term post-operative stability.
Kim
Myung-Jin
MJ
Department of the Oral and Maxillofacial Surgery, Seoul National University Hospital, Jong-ro-gu, Seoul, Korea. myungkim@plaza.snu.ac.kr
Kim
Seong-Gon
SG
Park
Young-Wook
YW
D000328:Adult; D000704:Analysis of Variance; D002508:Cephalometry; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000002:abnormalities / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods*; D010027:Osteotomy / Q000379:methods*; D011378:Prognathism / Q000601:surgery*; D055502:Secondary Prevention; D016896:Treatment Outcome