The influence of the sagittal split osteotomy on the condylar cartilage structure and the subchondral vascularization of the temporomandibular joint: a preliminary study in goats.
OBJECTIVE
The concern that a sagittal split osteotomy of the mandibular ramus could compromise the subchondral vascularization and especially the venous outflow in the condylar area, which in turn could influence the structure of the condylar cartilage, prompted this preliminary study on goats.


METHODS
A sagittal split osteotomy was performed in the mandibular ramus at 1 side in each of 6 young adult goats. The contralateral side served as control. The animals were killed after different postoperative periods, ranging from 1 to 15 days. Histomorphometric analyses were performed after perfusion of the vascular system with India ink.


CONCLUSIONS
Based on the observed cartilage thickening, the sagittal split osteotomy may influence the condylar cartilage in the first days postoperatively through a disturbance of the vascular supply.
Borstlap
Wilfred A
WA
Department of Oral and Maxillofacial Surgery, Radboud University, Nijmegen, The Netherlands.
Maltha
Jaap C
JC
Stoelinga
Paul J W
PJ
von den Hoff
Johannes W
JW
D000818:Animals; D002358:Cartilage, Articular / Q000098:blood supply*; D005260:Female; D006041:Goats; D007511:Ischemia / Q000209:etiology; D016014:Linear Models; D008334:Mandible / Q000601:surgery*; D008335:Mandibular Condyle / Q000098:blood supply*; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D010027:Osteotomy / Q000009:adverse effects; D018709:Statistics, Nonparametric; D013704:Temporomandibular Joint / Q000098:blood supply*