Intraoral vertical ramus osteotomy for correction of mandibular prognathism: long-term stability.

Abstract:

:Various techniques and modifications have been introduced in the treatment of mandibular prognathism. However, there are still few reports concerning long-term stability, especially using the intraoral vertical ramus osteotomy (IVRO) method. The purpose of this study was to investigate the long-term stability for correction of mandibular prognathism using IVRO. Twenty-five mandibular prognathism patients were treated by bilateral IVRO, and were evaluated cephalometrically by reference to the menton. A set of 3 standardized lateral cephalograms were obtained from each subject preoperatively (T1), immediately postoperatively (T2), and after 2 years postoperatively (T3). Relapse was defined as forward movement of menton after the 2-year follow-up. The mean setback of the menton was 12.8 mm in horizontal direction and 0.9 mm downward in vertical direction. The average follow-up was 33.9 months. The mean relapse was 1.3 mm (10.2% = 1.3 of 12.8) in forward direction and 0.6 mm in upward direction. There was no significant movement in the vertical direction. However, significant relapse was shown in the horizontal direction, even though the amount was small. The long-term stability of our present study suggested that IVRO is useful for correction of mandibular prognathism.

journal_name

Ann Plast Surg

authors

Chen CM,Lee HE,Yang CF,Shen YS,Huang IY,Tseng YC,Lai ST

doi

10.1097/SAP.0b013e318153f3ee

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

52-5

issue

1

eissn

0148-7043

issn

1536-3708

pii

00000637-200807000-00011

journal_volume

61

pub_type

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