MRI changes in the temporomandibular joint following mandibular setback surgery using sagittal split ramus osteotomy with rigid fixation

• Published in: Cranio 2017-01, Vol.35 (1), p.38-45
• Main Authors: Takahara, Namiaki, Kabasawa, Yuji, Sato, Masaru, Tetsumura, Akemi, Kurabayashi, Tohru, Omura, Ken
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Asian Continental Ancestry Group; Dentistry; Female; Humans; Joint Dislocations - diagnostic imaging; Joint Dislocations - surgery; Magnetic resonance imaging; Magnetic Resonance Imaging - methods; Male; Malocclusion, Angle Class III - complications; Mandible - physiopathology; Mandible - surgery; Mandibular Condyle - physiopathology; Mandibular setback; Masticatory Muscles; Middle Aged; Osteotomy - methods; Osteotomy, Sagittal Split Ramus - methods; Sagittal split ramus osteotomy; Temporomandibular joint; Temporomandibular Joint Disc - physiopathology; Temporomandibular Joint Disorders - complications; Temporomandibular Joint Disorders - diagnostic imaging; Temporomandibular Joint Disorders - physiopathology; Temporomandibular Joint Disorders - surgery; Young Adult
• ISSN: 0886-9634; 2151-0903
• DOI: 10.1080/08869634.2016.1143167

Objectives: This study examined the changes in temporomandibular joint dysfunction (TMD) symptoms and investigated the variations in the disc position, disc and condylar morphology following sagittal split ramus osteotomy (SSRO) with rigid fixation in patients with mandibular prognathism. Furthermore, the authors examined the correlation between mandibular setback and TMD symptoms. Methods: The study included 24 Japanese patients with jaw deformities who were treated using bilateral SSRO and Le Fort I osteotomy. The clinical and magnetic resonance imaging findings in the temporomandibular joint were evaluated preoperatively and at three and six months postoperatively. Results: The preoperative TMD symptoms were significantly associated with the prevalence of TMD symptoms at six months postoperatively. Anterior disc displacement improved in four joints with slight displacement and with no morphological change. There were no postoperative changes in condylar morphology. There was no significant correlation between mandibular setback and the postoperative TMD symptoms. Conclusion: Postoperative TMD symptoms may be influenced mainly by preoperative TMD symptoms rather than mandibular setback using SSRO with rigid fixation. Therefore, patients with TMD symptoms require physical examination and MRI for appropriate diagnosis preoperatively.