Skeletal stability following sagittal split osteotomy using monocortical miniplate internal fixation
Skeletal stability was evaluated in 20 patients with mandibular hypoplasia, treated with bilateral sagittal split osteotomies to advance the mandible. Stable internal fixation was obtained using osseous miniplates and monocortical screws. Intermaxillary fixation was released after 5.15 days (range 1...
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| Veröffentlicht in: | International journal of oral and maxillofacial surgery 1988-12, Vol.17 (6), p.371-376 |
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| container_title | International journal of oral and maxillofacial surgery |
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| creator | Rubens, Brian C. Stoelinga, Paul J.W. Blijdorp, Peter A. Schoenaers, Joseph H.A. Politis, Constantinus |
| description | Skeletal stability was evaluated in 20 patients with mandibular hypoplasia, treated with bilateral sagittal split osteotomies to advance the mandible. Stable internal fixation was obtained using osseous miniplates and monocortical screws. Intermaxillary fixation was released after 5.15 days (range 1 to 11 days). The average B-point advancement was 6.07 mm (range 2.25 to 17.5 mm) and the average Pogonion-point advancement was 5.39 mm (range 1.75 to 14 mm). Mandibular range of motion, TMJ dysfunction and neurosensory deficits were also evaluated. The follow-up period averaged 8.85 months (range 6 to 14 months) and final evaluations were made after completion of orthodontics. Relapse measured at B-point was 10.7% and at Pogonion was 18.7%. Maximal opening decreased an average of 0.47 mm. Symptoms in 8 patients with TMJ dysfunction resolved, while 3 others developed TMJ dysfunction following surgery. Neurosensory deficits were subjectively identified in 9 patients (10 sides) and were objectively measured in 5 patients (5 sides). |
| doi_str_mv | 10.1016/S0901-5027(88)80066-3 |
| format | Article |
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Stable internal fixation was obtained using osseous miniplates and monocortical screws. Intermaxillary fixation was released after 5.15 days (range 1 to 11 days). The average B-point advancement was 6.07 mm (range 2.25 to 17.5 mm) and the average Pogonion-point advancement was 5.39 mm (range 1.75 to 14 mm). Mandibular range of motion, TMJ dysfunction and neurosensory deficits were also evaluated. The follow-up period averaged 8.85 months (range 6 to 14 months) and final evaluations were made after completion of orthodontics. Relapse measured at B-point was 10.7% and at Pogonion was 18.7%. Maximal opening decreased an average of 0.47 mm. Symptoms in 8 patients with TMJ dysfunction resolved, while 3 others developed TMJ dysfunction following surgery. Neurosensory deficits were subjectively identified in 9 patients (10 sides) and were objectively measured in 5 patients (5 sides).</description><identifier>ISSN: 0901-5027</identifier><identifier>EISSN: 1399-0020</identifier><identifier>DOI: 10.1016/S0901-5027(88)80066-3</identifier><identifier>PMID: 3145953</identifier><identifier>CODEN: IJOSE9</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Biological and medical sciences ; Bone Plates ; Bone Screws ; Dentistry ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Immobilization ; Mandible - abnormalities ; Mandible - physiopathology ; Mandible - surgery ; mandibular osteotomy ; Maxillofacial surgery. Dental surgery. Orthodontics ; Medical sciences ; monocortical plates ; Osteotomy - methods ; Prospective Studies ; rigid fixation ; skeletal relapse ; Space life sciences ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Temporomandibular Joint - physiopathology</subject><ispartof>International journal of oral and maxillofacial surgery, 1988-12, Vol.17 (6), p.371-376</ispartof><rights>1988 Munksgaard International Publishers Ltd.</rights><rights>1989 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-48515b30551881b5951e9169c7ddf129840c98efe562c0ad9b8a4360e7f31ca93</citedby><cites>FETCH-LOGICAL-c389t-48515b30551881b5951e9169c7ddf129840c98efe562c0ad9b8a4360e7f31ca93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0901502788800663$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7069358$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3145953$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rubens, Brian C.</creatorcontrib><creatorcontrib>Stoelinga, Paul J.W.</creatorcontrib><creatorcontrib>Blijdorp, Peter A.</creatorcontrib><creatorcontrib>Schoenaers, Joseph H.A.</creatorcontrib><creatorcontrib>Politis, Constantinus</creatorcontrib><title>Skeletal stability following sagittal split osteotomy using monocortical miniplate internal fixation</title><title>International journal of oral and maxillofacial surgery</title><addtitle>Int J Oral Maxillofac Surg</addtitle><description>Skeletal stability was evaluated in 20 patients with mandibular hypoplasia, treated with bilateral sagittal split osteotomies to advance the mandible. Stable internal fixation was obtained using osseous miniplates and monocortical screws. Intermaxillary fixation was released after 5.15 days (range 1 to 11 days). The average B-point advancement was 6.07 mm (range 2.25 to 17.5 mm) and the average Pogonion-point advancement was 5.39 mm (range 1.75 to 14 mm). Mandibular range of motion, TMJ dysfunction and neurosensory deficits were also evaluated. The follow-up period averaged 8.85 months (range 6 to 14 months) and final evaluations were made after completion of orthodontics. Relapse measured at B-point was 10.7% and at Pogonion was 18.7%. Maximal opening decreased an average of 0.47 mm. Symptoms in 8 patients with TMJ dysfunction resolved, while 3 others developed TMJ dysfunction following surgery. Neurosensory deficits were subjectively identified in 9 patients (10 sides) and were objectively measured in 5 patients (5 sides).</description><subject>Biological and medical sciences</subject><subject>Bone Plates</subject><subject>Bone Screws</subject><subject>Dentistry</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Immobilization</subject><subject>Mandible - abnormalities</subject><subject>Mandible - physiopathology</subject><subject>Mandible - surgery</subject><subject>mandibular osteotomy</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>monocortical plates</subject><subject>Osteotomy - methods</subject><subject>Prospective Studies</subject><subject>rigid fixation</subject><subject>skeletal relapse</subject><subject>Space life sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Temporomandibular Joint - physiopathology</subject><issn>0901-5027</issn><issn>1399-0020</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM9vFCEUgInR1G31T2gyB2PsYfSxLDNwMk3TVpMmHqpnwjBvmqcMrMBW97-X_ZG9eiLh-x68fIxdcvjIgXefHkEDbyUs-w9KXSmArmvFC7bgQusWYAkv2eKkvGbnOf8EAC1Uf8bOBF9JLcWCjY-_0GOxvsnFDuSpbJspeh__UHhqsn2isofrSpqYC8YS522zyTs8xxBdTIVcVWYKtPa2YEOhYAr1aqK_tlAMb9iryfqMb4_nBftxd_v95kv78O3-6831Q-uE0qVdKcnlIEBKrhQf6oIcNe-068dx4kutVuC0wgllt3RgRz0ouxIdYD8J7qwWF-z94d11ir83mIuZKTv03gaMm2x61QkQSlZRHkSXYs4JJ7NONNu0NRzMrq7Z1zW7dEYps69rRJ27PH6wGWYcT1PHnJW_O3Kba5Mp2eAon7QeOi2kqtrng4Y1xjNhMtkRBocjJXTFjJH-s8g_jjyYSg</recordid><startdate>19881201</startdate><enddate>19881201</enddate><creator>Rubens, Brian C.</creator><creator>Stoelinga, Paul J.W.</creator><creator>Blijdorp, Peter A.</creator><creator>Schoenaers, Joseph H.A.</creator><creator>Politis, Constantinus</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19881201</creationdate><title>Skeletal stability following sagittal split osteotomy using monocortical miniplate internal fixation</title><author>Rubens, Brian C. ; Stoelinga, Paul J.W. ; Blijdorp, Peter A. ; Schoenaers, Joseph H.A. ; Politis, Constantinus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-48515b30551881b5951e9169c7ddf129840c98efe562c0ad9b8a4360e7f31ca93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Biological and medical sciences</topic><topic>Bone Plates</topic><topic>Bone Screws</topic><topic>Dentistry</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Immobilization</topic><topic>Mandible - abnormalities</topic><topic>Mandible - physiopathology</topic><topic>Mandible - surgery</topic><topic>mandibular osteotomy</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>monocortical plates</topic><topic>Osteotomy - methods</topic><topic>Prospective Studies</topic><topic>rigid fixation</topic><topic>skeletal relapse</topic><topic>Space life sciences</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Temporomandibular Joint - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rubens, Brian C.</creatorcontrib><creatorcontrib>Stoelinga, Paul J.W.</creatorcontrib><creatorcontrib>Blijdorp, Peter A.</creatorcontrib><creatorcontrib>Schoenaers, Joseph H.A.</creatorcontrib><creatorcontrib>Politis, Constantinus</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rubens, Brian C.</au><au>Stoelinga, Paul J.W.</au><au>Blijdorp, Peter A.</au><au>Schoenaers, Joseph H.A.</au><au>Politis, Constantinus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Skeletal stability following sagittal split osteotomy using monocortical miniplate internal fixation</atitle><jtitle>International journal of oral and maxillofacial surgery</jtitle><addtitle>Int J Oral Maxillofac Surg</addtitle><date>1988-12-01</date><risdate>1988</risdate><volume>17</volume><issue>6</issue><spage>371</spage><epage>376</epage><pages>371-376</pages><issn>0901-5027</issn><eissn>1399-0020</eissn><coden>IJOSE9</coden><abstract>Skeletal stability was evaluated in 20 patients with mandibular hypoplasia, treated with bilateral sagittal split osteotomies to advance the mandible. Stable internal fixation was obtained using osseous miniplates and monocortical screws. Intermaxillary fixation was released after 5.15 days (range 1 to 11 days). The average B-point advancement was 6.07 mm (range 2.25 to 17.5 mm) and the average Pogonion-point advancement was 5.39 mm (range 1.75 to 14 mm). Mandibular range of motion, TMJ dysfunction and neurosensory deficits were also evaluated. The follow-up period averaged 8.85 months (range 6 to 14 months) and final evaluations were made after completion of orthodontics. Relapse measured at B-point was 10.7% and at Pogonion was 18.7%. Maximal opening decreased an average of 0.47 mm. Symptoms in 8 patients with TMJ dysfunction resolved, while 3 others developed TMJ dysfunction following surgery. Neurosensory deficits were subjectively identified in 9 patients (10 sides) and were objectively measured in 5 patients (5 sides).</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>3145953</pmid><doi>10.1016/S0901-5027(88)80066-3</doi><tpages>6</tpages></addata></record> |
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| ispartof | International journal of oral and maxillofacial surgery, 1988-12, Vol.17 (6), p.371-376 |
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| language | eng |
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| subjects | Biological and medical sciences Bone Plates Bone Screws Dentistry Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Immobilization Mandible - abnormalities Mandible - physiopathology Mandible - surgery mandibular osteotomy Maxillofacial surgery. Dental surgery. Orthodontics Medical sciences monocortical plates Osteotomy - methods Prospective Studies rigid fixation skeletal relapse Space life sciences Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Temporomandibular Joint - physiopathology |
| title | Skeletal stability following sagittal split osteotomy using monocortical miniplate internal fixation |
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