Short-term changes of condylar position after sagittal split osteotomy for mandibular advancement

• Published in: Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 1999-02, Vol.87 (2), p.159-165
• Main Authors: Alder, Marden E., Deahl, S.Thomas, Matteson, Stephen R., Van Sickels, Joseph E., Tiner, Billy D., Rugh, John D.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Biological and medical sciences; Dentistry; Female; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics; Humans; Jaw Fixation Techniques; Male; Mandibular Advancement - adverse effects; Mandibular Condyle - diagnostic imaging; Mandibular Condyle - physiopathology; Maxillofacial surgery. Dental surgery. Orthodontics; Medical sciences; Middle Aged; Movement; Osteotomy - adverse effects; Osteotomy - methods; Outcome Assessment (Health Care); Rotation; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Temporomandibular Joint Disorders - diagnostic imaging; Temporomandibular Joint Disorders - etiology; Tomography, X-Ray Computed
• ISSN: 1079-2104; 1528-395X
• DOI: 10.1016/S1079-2104(99)70266-0

Objective. The goal of this study was to quantify condylar position changes after mandibular advancement surgery with rigid fixation (screws). Radiographic changes in condylar position were determined in all planes (X, Y, and Z). Computed tomography with image reconstruction was used. Study Design. A consecutive population of patients who elected to have rigid fixation for surgical stabilization method were studied (n = 21). Computed tomography data were acquired in the axial plane through use of abutting 1.5-mm–thick slices. Data acquisition occurred 1 week preoperatively and 8 weeks postoperatively. Measurements were made from 2-dimensional reconstructions. Results. The averages were as follows: lateral displacement from midline, 1.2 mm (55% of patients); medial displacement from midline, 1.5 mm (45% of patients; range, 3.2 mm); condyle angle increase from coronal plane, 3.5 degrees (60% of patients); condyle angle decrease from coronal, 4.3 degrees (40% of patients; range, 8.5 degrees); superior rotation of proximal segment, 3.2 degrees (39% of patients); inferior rotation of proximal segment, 8.6 degrees (61% of patients; range, 15.6 degrees); superior displacement, 1.2 mm (60% of patients); inferior displacement, 1.0 mm (40% of patients; range, 2.5 mm); anterior displacement, 1.6 mm (33% of patients); posterior displacement, 1.6 mm (67% of patients; range, 2.8 mm). Conclusions. Changes occurred in all planes, but the most common postoperative condyle position was more lateral; with increased angle, the coronoid process was higher and the condyle was more superior and posterior in the fossa. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87:159-65)