The stability of intraoral vertical ramus osteotomy and factors related to skeletal relapse.
BACKGROUND
Intraoral vertical ramus osteotomy (IVRO) and sagittal split ramus osteotomy (SSRO) have been advocated as two major procedures for the correction of mandibular prognathism. However, only a few reports with at least a 2-year follow-up period describe the long-term stability especially of the IVRO method. This study aimed to identify factors contributing to skeletal relapse after a 2-year postoperative follow-up period.


METHODS
A set of three standardized lateral cephalograms were obtained from each subject, taken preoperatively (T1), immediately postoperatively (T2), and 2 years postoperatively (T3). Relapse was defined as forward movement of the menton (Me) after a 2-year follow-up period. Two angular measurements (SNB and SN-occlusal plane angle) and five linear measurements (horizontal Me, vertical Me, overbite, anterior facial height, and mandibular length) were compared immediately after the operation and at the 2-year follow-up visit.


RESULTS
The mean setback of the menton was 12.8 mm, and the mean relapse was 1.3 mm (10.2% = 1.3/12.8). The magnitude of the setback was not significantly accounted for in the relapse. There were weak correlations between the relapse and the concerned factors, namely, overbite, anterior facial height, mandibular length SNB, and SN-occlusal plane angle).


CONCLUSIONS
The current study confirmed the stability of IVRO in the treatment of mandibular prognathism.
Chen
Chun-Ming
CM
Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan.
Lai
Steven Sheng-Tsung
SS
Wang
Chau-Hsiang
CH
Wu
Ju-Hui
JH
Lee
Kun-Tsung
KT
Lee
Huey-Er
HE
D000293:Adolescent; D000328:Adult; D002508:Cephalometry / Q000379:methods; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods; D010027:Osteotomy / Q000379:methods*; D011183:Postoperative Complications / Q000503:physiopathology; D011378:Prognathism / Q000000981:diagnostic imaging* / Q000601:surgery*; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D055502:Secondary Prevention; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult