Mandible-first sequence in bimaxillary orthognathic surgery: a systematic review

Abstract The sequencing of bimaxillary orthognathic surgery remains controversial, although the traditional maxilla-first approach is performed routinely. The goal of this study was to present a systematic review of the mandible-first sequence in bimaxillary orthognathic surgery, to provide data tha...

Full description

Saved in:
Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2016-04, Vol.45 (4), p.472-475
Main Authors: Borba, A.M, Borges, A.H, Cé, P.S, Venturi, B.A, Naclério-Homem, M.G, Miloro, M
Format: Article
Language:English
Subjects:
altered sequence
bimaxillary
Dentistry
double-jaw
Humans
Mandible - surgery
Maxilla - surgery
orthognathic surgery
Orthognathic Surgical Procedures - methods
Osteotomy
Surgery
two-jaw
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract The sequencing of bimaxillary orthognathic surgery remains controversial, although the traditional maxilla-first approach is performed routinely. The goal of this study was to present a systematic review of the mandible-first sequence in bimaxillary orthognathic surgery, to provide data that may assist in the decision as to which jaw should undergo osteotomy first in bimaxillary orthognathic surgery cases. A literature search was conducted for articles published in the English language, reporting the use of the altered sequence for bimaxillary orthognathic surgery (mandible-first), using the following descriptors: ‘orthognathic’ and ‘double-jaw’, ‘orthognathic’ and ‘two-jaw’, ‘orthognathic’ and ‘mandible-first’, ‘orthognathic’ and ‘bimaxillary’. Eight hundred eighty-seven abstracts were initially identified and were evaluated for inclusion according to the proposed inclusion criteria. After evaluation of these abstracts and relevant references, six publications met the criteria for consideration. Performing mandible-first surgery in bimaxillary orthognathic cases dates back to the 1970s; however the decision regarding the jaw to be operated on first seems to rely on accurate preoperative planning based upon the surgeon's experience and preference. While there appear to be significant theoretical advantages to support the use of the altered orthognathic sequence (mandible-first), future prospective studies on its reliability, accuracy, and short- and long-term outcomes are required.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2015.10.008