Time-course change in temporomandibular joint space after advancement and setback mandibular osteotomy with Le Fort I osteotomy

The purpose of this study was to compare time-course changes in temporomandibular joint (TMJ) space between mandibular advancement surgery and setback surgery after sagittal split ramus osteotomy (SSRO) and Le Fort I osteotomy. The subjects were 46 patients (92 joints) who underwent bi-maxillary sur...

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Published in:Journal of cranio-maxillo-facial surgery 2018-04, Vol.46 (4), p.679-687
Main Authors: Ueki, Koichiro, Moroi, Akinori, Tsutsui, Takamitsu, Hiraide, Ryota, Takayama, Akihiro, Saito, Yuki, Sato, Momoko, Baba, Nana, Tsunoda, Tatsuya, Hotta, Asami, Yoshizawa, Kunio
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Language:English
Subjects:
Condyle
Dentistry
Le Fort I osteotomy
Sagittal split ramus osteotomy
Temporomandibular joint
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cited_by cdi_FETCH-LOGICAL-c356t-11508c2229b9dcbd4a38fb44c3caf60e337d11353310fbbbe8dc195266469c213
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container_title Journal of cranio-maxillo-facial surgery
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creator Ueki, Koichiro
Moroi, Akinori
Tsutsui, Takamitsu
Hiraide, Ryota
Takayama, Akihiro
Saito, Yuki
Sato, Momoko
Baba, Nana
Tsunoda, Tatsuya
Hotta, Asami
Yoshizawa, Kunio
description The purpose of this study was to compare time-course changes in temporomandibular joint (TMJ) space between mandibular advancement surgery and setback surgery after sagittal split ramus osteotomy (SSRO) and Le Fort I osteotomy. The subjects were 46 patients (92 joints) who underwent bi-maxillary surgery. The TMJ disc position was assessed by magnetic resonance imaging (MRI) and the anterior, superior, posterior, medial and lateral joint spaces were assessed by computed tomography (CT), preoperatively and at 1 week and 1 year postoperative. The 92 joints were divided into 2 groups, namely class II (n = 46 joints), and class III (n = 46 joints) (an advanced group vs a setback group). Next, the 92 joints were divided into 2 groups comprising 36 joints with anterior disc displacement joint (ADD group) and 56 joints without (non-ADD group). Time-course changes in the measurements were compared statistically between the advanced and setback groups, and between the ADD and non-ADD groups. There were no significant differences between the advance group and setback group regarding time-course change in all the joint spaces. However, there were significant differences between the ADD group and non-ADD group regarding time-course change in the medial, anterior, superior and posterior joint spaces (P 
doi_str_mv 10.1016/j.jcms.2018.02.001
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subjects Condyle
Dentistry
Le Fort I osteotomy
Sagittal split ramus osteotomy
Temporomandibular joint
title Time-course change in temporomandibular joint space after advancement and setback mandibular osteotomy with Le Fort I osteotomy
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