title: Interferences between mandibular proximal and distal segments in orthognathic surgery for patients with asymmetric mandibular prognathism depending on different osteotomy techniques.
abstract: OBJECTIVE
  The aim of this study was to evaluate, using computer simulation, the amount of interference between the proximal and distal segments of the mandible incurred by 3 different osteotomy methods.
  
  
  METHODS
  With the 3-dimensional facial computerized tomography data of 20 patients showing mandibular prognathism with asymmetry, simulation surgeries of conventional sagittal split ramus osteotomy (SSRO), intraoral vertical ramus osteotomy (IVRO), or short lingual osteotomy (SLO) was performed. The distal segments were moved backward (3, 6, or 9 mm) and rotated (2 degrees, 4 degrees, or 6 degrees). The amounts of interference between the proximal and distal segments of the mandible were measured and statistically analyzed.
  
  
  RESULTS
  Conventional SSRO demonstrated the greatest interference between the proximal and distal segments of the mandibles (P < .01), followed by IVRO and SLO. SLO showed less interference than IVRO in mild asymmetry cases (P < .05), but no difference was noted in severe prognathism and asymmetry cases.
  
  
  CONCLUSIONS
  SLO is the most favorable osteotomy method for reducing displacement of the proximal segment in mandibular prognathism with asymmetry.
authors.affiliation: Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.
authors.forename: Hoon Joo
authors.initials: HJ
authors.lastname: Yang
authors.forename: Woo Jin
authors.initials: WJ
authors.lastname: Lee
authors.forename: Won Jin
authors.initials: WJ
authors.lastname: Yi
authors.forename: Soon Jung
authors.initials: SJ
authors.lastname: Hwang
mesh_terms: D002508:Cephalometry / Q000379:methods; D003198:Computer Simulation; D003724:Dental Arch / Q000473:pathology / Q000601:surgery; D005146:Facial Asymmetry / Q000601:surgery*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D021621:Imaging, Three-Dimensional / Q000379:methods; D008297:Male; D008334:Mandible / Q000473:pathology / Q000601:surgery*; D008335:Mandibular Condyle / Q000473:pathology; D008953:Models, Anatomic; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D010027:Osteotomy / Q000145:classification / Q000379:methods*; D010347:Patient Care Planning; D011378:Prognathism / Q000601:surgery*; D012399:Rotation; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014584:User-Computer Interface