Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 4 , Pages 809-817 , April 2009

An In Vitro Evaluation of Rigid Internal Fixation Techniques for Sagittal Split Ramus Osteotomies: Advancement Surgery

  • Bernardo Ferreira Brasileiro, DDS, MS, PhD

      Affiliations

    • Associate Professor, Division of Oral Diagnosis, Federal University of Sergipe, Department of Dentistry, Aracaju, Sergipe, Brazil
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Brasileiro: Hospital Universitário, Departamento de Odontologia, Universidade Federal de Sergipe, Rua Cláudio Batista, s/n, Bairro Sanatório, Aracaju, SE, Brazil 49060-100
    • ,
  • Rafael Grotta Grempel, DDS, MS

      Affiliations

    • Third-Year Resident of Oral and Maxillofacial Surgery, Piracicaba Dental School, State University of Campinas, São Paulo, Brazil
    • ,
  • Glaucia Maria Bovi Ambrosano, DDS, MS, PhD

      Affiliations

    • Professor, Division of Biostatistics, Piracicaba Dental School, State University of Campinas, São Paulo, Brazil
    • ,
  • Luis Augusto Passeri, DDS, MS, PhD

      Affiliations

    • Professor, Division of Oral and Maxillofacial Surgery, Piracicaba Dental School, and Division of Plastic Surgery, Faculty of Medical Sciences, State University of Campinas, São Paulo, Brazil

References 

  1. Bloomquist DS, Lee JJ. Principles of mandibular orthognathic surgery. In:  Miloro M editors. Peterson's Principles of Oral and Maxillofacial Surgery. (ed 2). Hamilton, BC: Deker Inc; 2004;p. 1135–1178
  2. Lupori JP, Kewitt GF, Van Sickels JE. Bilateral sagittal split osteotomy advancement and setback. In:  Fonseca RJ editors. Oral and Maxillofacial Surgery (Vol. 3). Philadelphia: W.B. Saunders; 2000;p. 297–310
  3. Proffit WR, Turvey TA, Phillips C. Orthognathic surgery: A hierarchy of stability. Int J Adult Orthod Orthognath Surg. 1996;11:191
  4. Proffit WR, Turvey TA, Phillips C. The hierarchy of stability and predictability in orthognathic surgery with rigid fixation: An update and extension. Head Face Med. 2007;3:21
  5. Jeter TS, Van Sickels JE, Dolwick MF. Modified techniques for internal fixation of sagittal ramus osteotomies. J Oral Maxillofac Surg. 1984;42:270
  6. Watzke IM, Tucker MR, Turvey TA. Lag screw versus position screw technique for rigid internal fixation of sagittal osteotomies: A comparison of stability. Int J Adult Orthodon Orthognath Surg. 1991;6:19
  7. Blomqvist JE, Isaksson S. Skeletal stability after mandibular advancement: A comparison of two rigid internal fixation techniques. J Oral Maxillofac Surg. 1994;52:1133
  8. Ochs MW. Bicortical screw stabilization of sagittal split osteotomies. J Oral Maxillofac Surg. 2003;61:1477
  9. Rubens BC, Stoelinga PJ, Blijdorp PA, et al. Skeletal stability following sagittal split osteotomy using monocortical miniplate internal fixation. Int J Oral Maxillofac Surg. 1988;17:371
  10. Lee J, Piecuch JF. The sagittal ramus osteotomy (Stability of fixation with internal miniplates). Int J Oral Maxillofac Surg. 1992;21:326
  11. Abeloos J, De Clerq C, Neyt L. Skeletal stability following miniplate fixation after bilateral sagittal split osteotomy for mandibular advancement. J Oral Maxillofac Surg. 1993;51:366
  12. Scheerlinck L, Stoelinga PJW, Blijdorp PA, et al. Sagittal split advancement osteotomies stabilized with miniplates (A 2-5 year follow-up). Int J Oral Maxillofac Surg. 1994;23:127
  13. Stoelinga PJW, Borstlap WA. The fixation of sagittal split osteotomies with miniplates: The versatility of a technique. J Oral Maxillofac Surg. 2003;61:1471
  14. Schwartz HC, Relle RJ. Bicortical-monocortical fixation of the sagittal mandibular osteotomy. J Oral Maxillofac Surg. 1996;54:234
  15. Obeid G, Lindquist CC. Optimal placement of bicortical screws in sagittal split-ramus osteotomy of mandible. Oral Surg Oral Med Oral Pathol. 1991;71:665
  16. Foley WL, Frost DE, Paulin WB, et al. Internal screw fixation: comparison of placement pattern and rigidity. J Oral Maxillofac Surg. 1989;47:720
  17. Foley WL, Beckmann TW. In vitro comparison of screw versus plate fixation in the sagittal split osteotomy. Int J Adult Orthodon Orthognath Surg. 1992;7:147
  18. Anucul B, Waite PD, Lemons JE. In vitro strength analysis of sagittal split osteotomy fixation: Non-compression monocortical plates versus bicortical position screws. J Oral Maxillofac Surg. 1992;50:1295
  19. Bouwman JPB, Tuinzing DB, Kostense PJ. A comparative in vitro study on fixation of sagittal split osteotomies with Würzburg screws, Champy miniplates, and Biofix (biodegradable) rods. Int J Oral Maxillofac Surg. 1994;23:46
  20. Schwimmer A, Greenberg AM, Kummer F, et al. The effect of screw size and insertion technique on the stability of the mandibular sagittal split osteotomy. J Oral Maxillofac Surg. 1994;52:45
  21. Hammer B, Ettlin D, Rahn B, et al. Stabilization of the short sagittal split osteotomy: In vitro testing of different plate and screw configurations. J Craniomaxillofac Surg. 1995;23:321
  22. Kim HC, Essaki S, Kameyama T. Comparison of screw placement patterns on the rigidity of the sagittal split ramus osteotomy: Technical note. J Craniomaxillofac Surg. 1995;23:54
  23. Kohn DH, Richmond EM, Dootz ER, et al. In vitro comparison of parameters affecting the fixation strength of sagittal split osteotomies. J Oral Maxillofac Surg. 1995;53:1374
  24. Shetty V, Freymiller E, McBrearty D, et al. Experimental analysis of functional stability of sagittal split ramus osteotomies secured by miniplates and position screws. J Oral Maxillofac Surg. 1996;54:1317
  25. Shetty V, Freymiller E, McBrearty D, et al. Functional stability of sagittal split ramus osteotomies: Effects of positional screw size and placement configuration. J Oral Maxillofac Surg. 1996;54:601
  26. Haug RH, Barber JE, Punjabi AP. An in vitro comparison of the effect of number and pattern of positional screws on load resistance. J Oral Maxillofac Surg. 1999;57:300
  27. Murphy MT, Haug RH, Barber JE. An in vitro comparison of the mechanical characteristics of three sagittal ramus osteotomy fixation techniques. J Oral Maxillofac Surg. 1997;55:489
  28. Uckan S, Schwimmer A, Kummer F, et al. Effect of the angle of the screw on the stability of the mandibular sagittal split ramus osteotomy: A study in sheep mandibles. Br J Oral Maxillofac Surg. 2001;39:266
  29. Armstrong JEA, Lapointe HJ, Hogg NJV, et al. Preliminary investigation of the biomechanics of internal fixation of sagittal split osteotomies with miniplates using a newly designed in vitro testing model. J Oral Maxillofac Surg. 2001;59:191
  30. Peterson GP, Haug RH, Van Sickels JE. A biomechanical evaluation of bilateral sagittal ramus osteotomy fixation techniques. J Oral Maxillofac Surg. 2005;63:1317
  31. Van Sickels JE, Peterson GP, Holms S, et al. An in vitro comparison of an adjustable bone fixation system. J Oral Maxillofac Surg. 2005;63:1620
  32. Erkmen E, Simsek B, Yücel E, et al. Comparison of different fixation methods following sagittal split ramus osteotomies using three-dimensional finite elements analysis (Part 1: Advancement surgery-posterior loading). Int J Oral Maxillofac Surg. 2005;34:551
  33. Özden B, Alkan A, Arici S, et al. In vitro comparison of biomechanical characteristics of sagittal split osteotomy fixation techniques. Int J Oral Maxillofac Surg. 2006;35:837
  34. Van Sickels JE, Richardson DA. Stability of orthognathic surgery: A review of rigid fixation. Br J Oral Maxillofac Surg. 1996;34:279
  35. Assael LA. Stable internal fixation of osteotomies of the facial skeleton. In:  Prein J editors. Manual of Internal Fixation in the Cranio-facial Skeleton. Berlin: Springer; 1998;p. 185–198
  36. Tucker MR, Ochs MW. Use of rigid internal fixation for management of intraoperative complications of mandibular sagittal split osteotomy. Int J Adult Orthodon Orthognath Surg. 1988;3:71
  37. Buijs GJ, Van der Houwen EB, Stegenga B, et al. Mechanical strength and stiffness of biodegradable and titanium osteofixation systems. J Oral Maxillofac Surg. 2007;65:2148
  38. Foley WL. In vitro comparison of parameters affecting the fixation strength of sagittal split osteotomies [discussion]. J Oral Maxillofac Surg. 1995;53:1383
  39. Kohn DH. Functional stability of sagittal split ramus osteotomies: Effects of positional screw size and placement configuration [discussion]. J Oral Maxillofac Surg. 1996;54:609
  40. Ellis E, Throckmorton GS, Sinn DP. Bite forces before and after surgical correction of mandibular prognathism. J Oral Maxillofac Surg. 1996;54:176
  41. Throckmorton GS, Buschang PH, Ellis E. Improvement of maximum occlusal forces after orthognathic surgery. J Oral Maxillofac Surg. 1996;54:1080
  42. Van Sickels JE, Jeter TS, Theriot BA. Management of an unfavorable lingual fracture during a sagittal split osteotomy. J Oral Maxillofac Surg. 1985;43:808

PII: S0278-2391(08)01811-9

doi: 10.1016/j.joms.2008.11.009

Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 4 , Pages 809-817 , April 2009

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