The role of cone beam computed tomography in the management of unfavourable fractures following sagittal split mandibular osteotomy
Cone beam computed tomography (CBCT) has been at the forefront of recent technological advances within the maxillofacial region. CBCT is useful in the accurate assessment and planning of patients undergoing orthognathic surgery. We propose that it also has a role in the post-operative evaluation of...
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| Veröffentlicht in: | Journal of orthodontics 2011-03, Vol.38 (1), p.48-54 |
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| container_title | Journal of orthodontics |
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| creator | Lloyd, Timothy E Drage, Nicholas A Cronin, Andrew J |
| description | Cone beam computed tomography (CBCT) has been at the forefront of recent technological advances within the maxillofacial region. CBCT is useful in the accurate assessment and planning of patients undergoing orthognathic surgery. We propose that it also has a role in the post-operative evaluation of a subgroup of patients who have suffered complications at the time of surgery. We present two cases where unfavourable splits occurred during a bilateral sagittal split osteotomy (BSSO) of the mandible. Both cases were investigated post-operatively with CBCT with the aim of identifying the potential cause of the unfavourable split and to establish accurate localization of the condyle in the glenoid fossa following intra-operative attempts at proximal segment control. CBCT should be considered for evaluation of the mandible following an unfavourable split where it is deemed that plain radiographs would not provide adequate information. |
| doi_str_mv | 10.1179/14653121141236 |
| format | Article |
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CBCT is useful in the accurate assessment and planning of patients undergoing orthognathic surgery. We propose that it also has a role in the post-operative evaluation of a subgroup of patients who have suffered complications at the time of surgery. We present two cases where unfavourable splits occurred during a bilateral sagittal split osteotomy (BSSO) of the mandible. Both cases were investigated post-operatively with CBCT with the aim of identifying the potential cause of the unfavourable split and to establish accurate localization of the condyle in the glenoid fossa following intra-operative attempts at proximal segment control. CBCT should be considered for evaluation of the mandible following an unfavourable split where it is deemed that plain radiographs would not provide adequate information.</description><identifier>ISSN: 1465-3125</identifier><identifier>EISSN: 1465-3133</identifier><identifier>DOI: 10.1179/14653121141236</identifier><identifier>PMID: 21367828</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Adult ; Bone Plates ; Bone Screws ; complications ; Cone beam computed tomography ; Cone-Beam Computed Tomography - methods ; Dentistry ; Female ; Follow-Up Studies ; Fractures, Comminuted - etiology ; Humans ; Image Processing, Computer-Assisted - methods ; Imaging, Three-Dimensional - methods ; Intraoperative Complications - diagnostic imaging ; Jaw Fixation Techniques ; Male ; Malocclusion, Angle Class III - surgery ; Mandible - surgery ; Mandibular Condyle - diagnostic imaging ; Mandibular Fractures - diagnostic imaging ; Mandibular Fractures - etiology ; Orthognathic Surgical Procedures - adverse effects ; Osteotomy - adverse effects ; post-operative investigation ; Prognathism - surgery ; sagittal split osteotomy ; Temporal Bone - diagnostic imaging ; Treatment Outcome ; unfavourable split ; Young Adult</subject><ispartof>Journal of orthodontics, 2011-03, Vol.38 (1), p.48-54</ispartof><rights>2011 British Orthodontic Society 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-f2da690b397f8e3a6b48af80b21ef91cad22d83c1ba356477d5cb53202bdd793</citedby><cites>FETCH-LOGICAL-c376t-f2da690b397f8e3a6b48af80b21ef91cad22d83c1ba356477d5cb53202bdd793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27933,27934</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21367828$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lloyd, Timothy E</creatorcontrib><creatorcontrib>Drage, Nicholas A</creatorcontrib><creatorcontrib>Cronin, Andrew J</creatorcontrib><title>The role of cone beam computed tomography in the management of unfavourable fractures following sagittal split mandibular osteotomy</title><title>Journal of orthodontics</title><addtitle>J Orthod</addtitle><description>Cone beam computed tomography (CBCT) has been at the forefront of recent technological advances within the maxillofacial region. CBCT is useful in the accurate assessment and planning of patients undergoing orthognathic surgery. We propose that it also has a role in the post-operative evaluation of a subgroup of patients who have suffered complications at the time of surgery. We present two cases where unfavourable splits occurred during a bilateral sagittal split osteotomy (BSSO) of the mandible. Both cases were investigated post-operatively with CBCT with the aim of identifying the potential cause of the unfavourable split and to establish accurate localization of the condyle in the glenoid fossa following intra-operative attempts at proximal segment control. CBCT should be considered for evaluation of the mandible following an unfavourable split where it is deemed that plain radiographs would not provide adequate information.</description><subject>Adult</subject><subject>Bone Plates</subject><subject>Bone Screws</subject><subject>complications</subject><subject>Cone beam computed tomography</subject><subject>Cone-Beam Computed Tomography - methods</subject><subject>Dentistry</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fractures, Comminuted - etiology</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Intraoperative Complications - diagnostic imaging</subject><subject>Jaw Fixation Techniques</subject><subject>Male</subject><subject>Malocclusion, Angle Class III - surgery</subject><subject>Mandible - surgery</subject><subject>Mandibular Condyle - diagnostic imaging</subject><subject>Mandibular Fractures - diagnostic imaging</subject><subject>Mandibular Fractures - etiology</subject><subject>Orthognathic Surgical Procedures - adverse effects</subject><subject>Osteotomy - adverse effects</subject><subject>post-operative investigation</subject><subject>Prognathism - surgery</subject><subject>sagittal split osteotomy</subject><subject>Temporal Bone - diagnostic imaging</subject><subject>Treatment Outcome</subject><subject>unfavourable split</subject><subject>Young Adult</subject><issn>1465-3125</issn><issn>1465-3133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkTtvFTEQRi0EIiFJmxK5o7rBj117t0QRAaRINLdfjV83jvxYbC_Rrfnj7OqGSBSIakaj851iPoSuKbmhVI4faSd6ThmlHWVcvELn22HHKeevX3bWn6F3tT4SQgdG5Vt0xigXcmDDOfq1f7C45GBxdljnZLGyENctzkuzBrcc86HA_HDEPuG2whESHGy0qW2RJTn4mZcCalW4ArotxVbscgj5yacDrnDwrUHAdQ6-bWnj1RKg4Fybzav_eIneOAjVXj3PC7S_-7y__bq7__7l2-2n-53mUrSdYwbESBQfpRssB6G6AdxAFKPWjVSDYcwMXFMFvBedlKbXqueMMGWMHPkF-nDSziX_WGxtU_RV2xAg2bzUaSRdJ6QY-v-SQ98zQti4kTcnUpdca7FumouPUI4TJdNW0PR3QWvg_bN6UdGaF_xPIyswngCfXC4RnnIJZmpwDLms_03a14n_Q_4bw2KgDA</recordid><startdate>201103</startdate><enddate>201103</enddate><creator>Lloyd, Timothy E</creator><creator>Drage, Nicholas A</creator><creator>Cronin, Andrew J</creator><general>Taylor & Francis</general><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><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>201103</creationdate><title>The role of cone beam computed tomography in the management of unfavourable fractures following sagittal split mandibular osteotomy</title><author>Lloyd, Timothy E ; 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CBCT is useful in the accurate assessment and planning of patients undergoing orthognathic surgery. We propose that it also has a role in the post-operative evaluation of a subgroup of patients who have suffered complications at the time of surgery. We present two cases where unfavourable splits occurred during a bilateral sagittal split osteotomy (BSSO) of the mandible. Both cases were investigated post-operatively with CBCT with the aim of identifying the potential cause of the unfavourable split and to establish accurate localization of the condyle in the glenoid fossa following intra-operative attempts at proximal segment control. CBCT should be considered for evaluation of the mandible following an unfavourable split where it is deemed that plain radiographs would not provide adequate information.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>21367828</pmid><doi>10.1179/14653121141236</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of orthodontics, 2011-03, Vol.38 (1), p.48-54 |
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| source | Access via SAGE; MEDLINE |
| subjects | Adult Bone Plates Bone Screws complications Cone beam computed tomography Cone-Beam Computed Tomography - methods Dentistry Female Follow-Up Studies Fractures, Comminuted - etiology Humans Image Processing, Computer-Assisted - methods Imaging, Three-Dimensional - methods Intraoperative Complications - diagnostic imaging Jaw Fixation Techniques Male Malocclusion, Angle Class III - surgery Mandible - surgery Mandibular Condyle - diagnostic imaging Mandibular Fractures - diagnostic imaging Mandibular Fractures - etiology Orthognathic Surgical Procedures - adverse effects Osteotomy - adverse effects post-operative investigation Prognathism - surgery sagittal split osteotomy Temporal Bone - diagnostic imaging Treatment Outcome unfavourable split Young Adult |
| title | The role of cone beam computed tomography in the management of unfavourable fractures following sagittal split mandibular osteotomy |
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