Fracture patterns in cleft orthognathic surgery. a cross-sectional study

Fracture patterns in cleft orthognathic surgery. a cross-sectional study

This study aims to identify fracture patterns on the lingual aspect of the mandible following Bilateral Sagittal Osteotomy of the Mandibular Ramus and correlate these patterns with mandibular anatomical characteristics in patients with cleft lip and palate. Two hundred cone beam CT scans were analyz...

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Veröffentlicht in:Revista Científica Odontológica 2024-04, Vol.12 (2), p.e194
Hauptverfasser: Montenegro de Andrade, Ércio Júnior, Toledo Teixeira da Silveira, Isabela, Marinho Barcellos, Bhárbara, Reis de Araújo Carvalho, Luciano, Faria Yaedú, Renato Yassutaka
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creator Montenegro de Andrade, Ércio Júnior
Toledo Teixeira da Silveira, Isabela
Marinho Barcellos, Bhárbara
Reis de Araújo Carvalho, Luciano
Faria Yaedú, Renato Yassutaka
description This study aims to identify fracture patterns on the lingual aspect of the mandible following Bilateral Sagittal Osteotomy of the Mandibular Ramus and correlate these patterns with mandibular anatomical characteristics in patients with cleft lip and palate. Two hundred cone beam CT scans were analyzed, with 100 scans in the preoperative period to assess mandibular anatomy and 100 in the postoperative period to evaluate the course of fractures on the lingual surface after surgery. Statistical analysis revealed no correlation between the depth of the mandibular fossa and the type of fracture after bilateral sagittal osteotomy. Similarly, there was no association between the height and angle of the mandibular body and the type of fracture. The most common fracture type observed was the type 3 pattern, characterized by a line running through the mandibular canal. Furthermore, no relationship was identified between the studied anatomical aspects and the occurrence of undesired fractures. The anatomical data presented in this study can assist surgeons in selecting the safest surgical techniques and optimal osteotomy sites, particularly in patients with cleft lip and palate.
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title Fracture patterns in cleft orthognathic surgery. a cross-sectional study
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