Stability associated with mandibular advancement treated by rigid osseous fixation |
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Authors: | J E Van Sickels C M Flanary |
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Affiliation: | Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center at San Antonio, USA |
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Abstract: | Relapse after a mandibular sagittal ramus split osteotomy (SSO) fixed by transosseous wire has been shown to occur. Authors who use rigid screw fixation claim a lesser incidence of such relapse. Nine subjects with horizontal mandibular deficiency treated by an SSO and fixed with bone screws were prospectively studied. Serial cephalometric radiographs were traced and superimposed on the sella-nasion line and anterior cranial base structures. A markedly reduced horizontal movement during the first six weeks at both points B and Pg, followed by a slight advancement at six months, was observed. Concomitantly, the surgically increased facial height was shown to subsequently decrease during both those time intervals. The stability of this procedure warrants further investigation. |
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Keywords: | Address correspondence and reprint requests to Dr. Van Sickels: Department of Oral and Maxillofacial Surgery University of Texas Health Science Center at San Antonio 7703 Floyd Curl Drive San Antonio TX 78284. |
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