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- Publisher Website: 10.1016/j.joms.2008.07.003
- Scopus: eid_2-s2.0-70349979253
- PMID: 19837301
- WOS: WOS:000271243100005
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Article: Skeletal Stability and Complications of Bilateral Sagittal Split Osteotomies and Mandibular Distraction Osteogenesis: An Evidence-Based Review
Title | Skeletal Stability and Complications of Bilateral Sagittal Split Osteotomies and Mandibular Distraction Osteogenesis: An Evidence-Based Review |
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Authors | |
Issue Date | 2009 |
Publisher | WB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/joms |
Citation | Journal Of Oral And Maxillofacial Surgery, 2009, v. 67 n. 11, p. 2344-2353 How to Cite? |
Abstract | Purpose: To provide an evidence-based review comparing the skeletal stability and complications of bilateral sagittal split osteotomies (BSSOs) and mandibular distraction osteogenesis (MDO) in the treatment of mandibular hypoplasia. Materials and Methods: A Medline search from January 1957 to December 2007 was performed wherein articles were retrieved on the basis of a set of inclusion and exclusion criteria. Data on mean skeletal stability and complications for the 2 techniques were retrieved from these articles. Results: Based on the articles about stability, patients undergoing BSSO or MDO with an advancement or lengthening between 6 and 10 mm showed a similar mean skeletal relapse of 15.0% and 17.1%, respectively, within postoperative months 6 to 12. Greater skeletal relapse was reported for BSSO patients with high mandibular plane angles compared with normal mandibular plane angle patients (29.6% vs 11.3%). Based on the articles about complications, patients who underwent MDO showed a lower incidence of persistent inferior alveolar nerve disturbance (2.9%) and condylar resorption (1.4%) compared with BSSO patients, in whom the incidence of these conditions was 27.8% and 6.1%, respectively. Conclusion: Both BSSO and MDO showed similar relapse rates for mandibular advancements between 6 and 10 mm. Both techniques may also share similar risk factors for skeletal relapse. BSSO has a higher incidence of persistent neurosensory disturbances and condylar resorption than MDO. Randomized controlled trials of these 2 techniques are still lacking. © 2009 American Association of Oral and Maxillofacial Surgeons. |
Persistent Identifier | http://hdl.handle.net/10722/154589 |
ISSN | 2023 Impact Factor: 2.3 2023 SCImago Journal Rankings: 0.684 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Ow, A | en_US |
dc.contributor.author | Cheung, LK | en_US |
dc.date.accessioned | 2012-08-08T08:26:21Z | - |
dc.date.available | 2012-08-08T08:26:21Z | - |
dc.date.issued | 2009 | en_US |
dc.identifier.citation | Journal Of Oral And Maxillofacial Surgery, 2009, v. 67 n. 11, p. 2344-2353 | en_US |
dc.identifier.issn | 0278-2391 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/154589 | - |
dc.description.abstract | Purpose: To provide an evidence-based review comparing the skeletal stability and complications of bilateral sagittal split osteotomies (BSSOs) and mandibular distraction osteogenesis (MDO) in the treatment of mandibular hypoplasia. Materials and Methods: A Medline search from January 1957 to December 2007 was performed wherein articles were retrieved on the basis of a set of inclusion and exclusion criteria. Data on mean skeletal stability and complications for the 2 techniques were retrieved from these articles. Results: Based on the articles about stability, patients undergoing BSSO or MDO with an advancement or lengthening between 6 and 10 mm showed a similar mean skeletal relapse of 15.0% and 17.1%, respectively, within postoperative months 6 to 12. Greater skeletal relapse was reported for BSSO patients with high mandibular plane angles compared with normal mandibular plane angle patients (29.6% vs 11.3%). Based on the articles about complications, patients who underwent MDO showed a lower incidence of persistent inferior alveolar nerve disturbance (2.9%) and condylar resorption (1.4%) compared with BSSO patients, in whom the incidence of these conditions was 27.8% and 6.1%, respectively. Conclusion: Both BSSO and MDO showed similar relapse rates for mandibular advancements between 6 and 10 mm. Both techniques may also share similar risk factors for skeletal relapse. BSSO has a higher incidence of persistent neurosensory disturbances and condylar resorption than MDO. Randomized controlled trials of these 2 techniques are still lacking. © 2009 American Association of Oral and Maxillofacial Surgeons. | en_US |
dc.language | eng | en_US |
dc.publisher | WB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/joms | en_US |
dc.relation.ispartof | Journal of Oral and Maxillofacial Surgery | en_US |
dc.subject.mesh | Adolescent | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Child | en_US |
dc.subject.mesh | Evidence-Based Dentistry | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Mandible - Abnormalities - Growth & Development - Surgery | en_US |
dc.subject.mesh | Mandibular Advancement - Adverse Effects - Methods | en_US |
dc.subject.mesh | Micrognathism - Surgery | en_US |
dc.subject.mesh | Oral Surgical Procedures - Methods | en_US |
dc.subject.mesh | Osteogenesis, Distraction - Adverse Effects - Methods | en_US |
dc.subject.mesh | Osteotomy - Adverse Effects - Methods | en_US |
dc.subject.mesh | Postoperative Complications - Classification - Etiology | en_US |
dc.subject.mesh | Treatment Failure | en_US |
dc.subject.mesh | Treatment Outcome | en_US |
dc.subject.mesh | Young Adult | en_US |
dc.title | Skeletal Stability and Complications of Bilateral Sagittal Split Osteotomies and Mandibular Distraction Osteogenesis: An Evidence-Based Review | en_US |
dc.type | Article | en_US |
dc.identifier.email | Cheung, LK:lkcheung@hkucc.hku.hk | en_US |
dc.identifier.authority | Cheung, LK=rp00013 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1016/j.joms.2008.07.003 | en_US |
dc.identifier.pmid | 19837301 | en_US |
dc.identifier.scopus | eid_2-s2.0-70349979253 | en_US |
dc.identifier.hkuros | 167930 | - |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-70349979253&selection=ref&src=s&origin=recordpage | en_US |
dc.identifier.volume | 67 | en_US |
dc.identifier.issue | 11 | en_US |
dc.identifier.spage | 2344 | en_US |
dc.identifier.epage | 2353 | en_US |
dc.identifier.isi | WOS:000271243100005 | - |
dc.publisher.place | United States | en_US |
dc.identifier.scopusauthorid | Ow, A=23973480300 | en_US |
dc.identifier.scopusauthorid | Cheung, LK=7102302747 | en_US |
dc.identifier.issnl | 0278-2391 | - |