Journal of Oral and Maxillofacial Surgery
Volume 61, Issue 12 , Pages 1423-1431 , December 2003

Proximal segment positioning in bilateral sagittal split osteotomy: intraoperative controlled positioning by a positioning splint1

  • Constantin A Landes, MD, DMD

      Affiliations

    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Landes: Klinik für Kiefer- und plastische Gesichtschirurgie, der Johann Wolfgang Goethe Universität Frankfurt, Theodor-Stern-Kai 7, Frankfurt am Main 60596, Germany
    • Consultant, Germany
    • ,
  • Marcus Sterz, DMD

      Affiliations

    • Resident, Germany

References 

  1. Dautrey J. Le clivage saggital des branches horizontales ou montantes de la mandibule (Réflexions à la suite de 1000 cas). Rev Stomatol. 1980;88:147
  2. Campos AA, Nathanson D, Rose L. Reproducibility and condylar position of a physiologic maxillomandibular centric relation in upright and supine body position. J Prosthet Dent. 1997;76:282
  3. O’Ryan F, Epker BN. Surgical orthodontics and the temporomandibular joint. Am J Orthod. 1983;83:408
  4. Rotskoff KS, Herbosa EG, Nickels B. Correction of condylar displacement following intraoral vertical ramus osteotomy. J Oral Maxillofac Surg. 1991;49:366
  5. Rotskoff KS, Herbosa EG, Villa P. Maintenance of condyle-proximal segment position in orthognathic surgery. J Oral Maxillofac Surg. 1991;49:2
  6. Arnett GW, Tamborello JA, Rathbone JA. Temporomandibular joint ramification of orthognathic surgery. In:  Bell WH editors. Modern Practice in Orthognathic Surgery. Philadelphia, PA: Saunders; 1992;p. 578
  7. Schwestka-Polly R, Engelke D, Kubein-Meesenburg D. Application of the condylar positioning appliance in mandibular sagittal split osteotomies with rigid skeletal fixation. Int J Adult Orthod Orthognath Surg. 1992;7:15
  8. Arnett GW. A redefinition of bilateral sagittal osteotomy (BSO) advancement relapse. Am J Orthod Dentofac Orthop. 1993;104:506
  9. Umstadt HE, Lalyko G, Hochban W, et al.  Function and morphology of the temporomandibular joint after mandibular translocation osteotomies with and without positioning plates. Mund Kiefer Gesichtschir. 1998;2(suppl 1):177
  10. Reuther J. Orthognathic surgery (Corrective bone operations). Mund Kiefer Gesichtschir. 2000;4(suppl 1):237
  11. Freihofer HP, Petresevic D. Late results after advancing the mandible by sagittal splitting of the rami. J Maxillofac Surg. 1975;3:250
  12. Isaacson R, Kopytov O, Bevis R, et al.  Movement of the proximal and distal segments after mandibular ramus osteotomies. J Oral Surg. 1978;36:263
  13. Neff A, Horch HH. Axiographic functional parameters after dysgnathia operations with special reference to the position of the temporomandibular joint. Mund Kiefer Gesichtschir. 1997;1:202
  14. Schendel SA, Epker BN. Results after mandibular advancement surgery (An analysis of 87 cases). J Oral Surg. 1980;38:265
  15. Hiatt WR, Schelkun PM, Moore DL. Condylar positioning in orthognathic surgery. J Oral Maxillofac Surg. 1988;46:1110
  16. Simonis A, Krämer A, Benzing U, et al.  Functional status of patients prior to and after orthognathic surgery. Dtsch Zahnarztl Z. 1990;45:67
  17. Ellis E. Condylar positioning devices for orthognathic surgery (Are they necessary?). J Oral Maxillofac Surg. 1994;52:536
  18. Leonard MS. Maintenance of the condylar position after saggital split osteotomy of the mandible. J Oral Maxillofac Surg. 1985;43:391
  19. Epker BN, Wylie GA. Control of the condylar-proximal mandibular segments after saggital split osteotomies to advance the mandible. Oral Surg Oral Med Oral Pathol. 1986;62:613
  20. Luhr HG, Schauer W, Jager A, et al.  Changes in the shape of the mandible by orthodontic surgical techniques with stable fixation of the segments. Fortschr Kieferorthop. 1986;47:39
  21. Luhr HG. The significance of condylar position using rigid fixation in orthognathic surgery. Clin Plast Surg. 1989;16:147
  22. Gassmann CJ, Van Sickels JE, Thrash WJ. Causes, location and timing of relapse following rigid fixation after mandibular advancement. J Oral Maxillofac Surg. 1990;48:450
  23. Merten HA, Halling F. A new condylar positioning technique in orthognathic surgery (Technical note). J Craniomaxillofac Surg. 1992;20:310
  24. Harada K, Ono J, Okada Y, et al.  Postoperative stability after sagittal split ramus osteotomy with condylar positioning appliance and screw fixation (Asymmetric versus symmetric cases). Oral Surg Oral Med Oral Pathol Oral Radio Endod. 1997;83:532
  25. Nishimura A, Sakurada S, Iwase M, et al.  Positional changes in the mandibular condyle and amount of mouth opening after sagittal split ramus osteotomy with rigid or nonrigid osteosynthesis. J Oral Maxillofac Surg. 1997;55:672
  26. Zimmer B, Kubein-Meesenburg D. A comparison of axiographic tracings before and after orthodontic-oral surgical interventions. Fortschr Kieferorthop. 1989;50:301
  27. Zimmer B, Heinrichs E, Kubein-Meesenburg D. Longitudinal changes in the acoustic temporomandibular symptoms due to different procedures of orthognathic surgery. Fortschr Kieferorthop. 1991;52:346
  28. Zimmer B, Schwestka R, Kubein-Meesenburg D. Changes in mandibular mobility after different procedures of orthognathic surgery. Eur J Orthod. 1992;14:188
  29. Leonard M. Preventing rotation of the proximal fragment in the sagittal ramus split operation. J Oral Surg. 1976;34:942
  30. Lindqvist C, Soderholm AL. A simple method for establishing the position of the condylar segment in sagittal split osteotomy of the mandible. Plast Reconstr Surg. 1988;82:707
  31. Bettega G, Dessenne V, Raphael B, et al.  Computer-assisted mandibular condyle positioning in orthognathic surgery. J Oral Maxillofac Surg. 1996;54:553
  32. Helkimo M. Epidemiological surveys of dysfunction of the masticatory system. Oral Sci Rev. 1976;7:54
  33. Landes C, Walendzik W, Klein C. Sonography of the temporomandibular joint from 60 examinations and comparison with MRI and axiography. J Craniomaxillofac Surg. 2000;28:352
  34. Landes CA, Sterz M. Evaluation of condylar translation by sonography versus axiography in orthognathic surgery patients. J Oral Maxillofac Surg. 2003;61:1410
  35. Lindorf HH. Surgical-cephalometric bite reconstruction (double splint method). Dtsch Zahnarztl Z. 1977;32:260
  36. Brady AP, McDevitt L, Stack JP, et al.  A technique for magnetic resonance imaging of the temporomandibular joint. Clin Radiol. 1993;47:127
  37. Tasaki MM, Westesson PL. Temporomandibular joint (Diagnostic accuracy with sagittal and coronal MR images). Radiology. 1993;186:723
  38. Dahlberg G, Petersson A, Westesson PL, et al.  Disk displacement and temporomandibular joint symptoms in orthognathic surgery patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79:273
  39. Emshoff R, Bertram S, Rudisch A, et al.  The diagnostic value of ultrasonography to determine the temporomandibular joint disc position. Oral Surg Oral Med Oral Pathol. 1997;84:688
  40. Hayashi T, Jusuke I, Koyama JI, et al.  The accuracy of sonography for evaluation of internal derangement of the TMJ in asymptomatic elementary school children (Comparison with MR and CT). AJNR Am J Neuroradiol. 2001;22:728
  41. Emshoff R, Jank S, Bertram S, et al.  Disk displacement of the temporomandibular joint (Sonography versus MR Imaging). AJR Am J Roentgenol. 2002;178:1557
  42. Parlett K, Paesani D, Tallents RH, et al.  Temporomandibular joint axiography and MRI findings (A comparative study). J Prosthet Dent. 1993;70:521
  43. Helm G, Stepke M. Maintenance of the preoperative condyle position in orthognathic surgery. J Craniomaxillofac Surg. 1997;25:34
  44. Emshoff R, Jank S, Rudisch A, et al.  Are high-resolution ultrasonographic signs of disc displacement valid?. J Oral Maxillofac Surg. 2002;60:623
  45. Uysaol S, Kansu H, Akhan O, et al.  Comparison of ultrasonography with magnetic resonance imaging in the diagnosis of temporomandibular joint internal derangements (A preliminary investigation). Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:115
  46. Ahlgren J, Ingervall B, Thilander B. Muscle activity in normal and postnormal occlusion. Am J Orthod. 1973;64:445
  47. Ingervall B, Thilander B. Relation between facial morphology and activity of masticatory muscles. J Oral Rehab. 1974;1:131
  48. O’Ryan F, Epker BN. Temporomandibular joint function and morphology (Observation on the spectra of normalcy). Oral Surg Oral Med Oral Pathol. 1984;58:272
  49. Harper RP, deBruin H, Burcea I. Lateral pterygoid muscle activity in mandibular retrognathism and response to mandibular advancement surgery. Am J Orthod Dentofac Orthop. 1987;91:70
  50. Zimmer B, Jager A, Kubein-Meesenburg D. Comparison of normal TMJ-function in class I, II and III individuals. Eur J Orthod. 1991;13:27
  51. Schneider S, Witt E. The functional findings before and after a combined orthodontic and oral surgical treatment of Angle class III patients. Fortschr Kieferorthop. 1991;52:51
  52. Artun J, Hollender LG, Truelove EL. Relationship between orthodontic treatment, condylar position, and internal derangement in the temporomandibular joint. Am J Orthod Dentofac Orthop. 1993;101:48
  53. Arat ZM, Gokalp H, Erdem D, et al.  Changes in the TMJ disc-condyle-fossa relationship following functional treatment of skeletal class II division 1 malocclusion (A magnetic resonance imaging study). Am J Orthod Dentofac Orthop. 2001;119:316
  54. Will LA, Joondelph DR, Hohl TH, et al.  Condylar position following mandibular advancement (Its relationship to relapse). J Oral Maxillofac Surg. 1984;42:578
  55. Aragon SB, VanSickles JE, Dolwick MF, et al.  The effects of orthognathic surgery on mandibular range of motion. J Oral Maxillofac Surg. 1985;43:938
  56. Hackney FL, VanSickels JE, Nummikoski PV. Condylar displacement and temporomandibular joint dysfunction following bilateral sagittal split osteotomy and rigid fixation. J Oral Maxillofac Surg. 1989;47:223
  57. Pepersack WJ, Chausse JM. Long-term follow-up of the sagittal splitting technique for correction of mandibular prognathism. J Oral Maxillofac Surg. 1978;6:117
  58. Boyd SD, Karas ND, Sinn DP. Recovery of mandibular mobility following orthognathic surgery. J Oral Maxillofac Surg. 1991;49:924
  59. Moyers RE, Bookstein FL. The inappropriateness of conventional cephalometrics. Am J Orthod. 1979;75:599
  60. Landes CA, Zachar R, Diehl T, et al.  Introduction of a three-dimensional anthropometry of the viscerocranium, Part II (Evaluating osseous and soft tissue changes following orthognathic surgery). J Craniomaxillofac Surg. 2002;30:25
  61. Johanson B, Kahnberg KE, Lilja J, et al.  Surgical correction of mandibular prognathism by the oblique sliding osteotomy. Scand J Plast Reconstr Surg. 1979;13:453
  62. Storum KA, Bell WH. Hypomobility after maxillary and mandibular osteotomies. Oral Surg Oral Med Oral Pathol. 1984;57:7
  63. Wolford LM, Karras S, Mehra P. Concomitant temporomandibular joint and orthognathic surgery (A preliminary report). J Oral Maxillofac Surg. 2002;60:356

PII: S0278-2391(03)00842-5

doi: 10.1016/j.joms.2003.08.002

Journal of Oral and Maxillofacial Surgery
Volume 61, Issue 12 , Pages 1423-1431 , December 2003

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