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Article: Skeletal Stability and Complications of Bilateral Sagittal Split Osteotomies and Mandibular Distraction Osteogenesis: An Evidence-Based Review

TitleSkeletal Stability and Complications of Bilateral Sagittal Split Osteotomies and Mandibular Distraction Osteogenesis: An Evidence-Based Review
Authors
Issue Date2009
PublisherWB 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?
AbstractPurpose: 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 Identifierhttp://hdl.handle.net/10722/154589
ISSN
2015 Impact Factor: 1.631
2015 SCImago Journal Rankings: 0.824
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorOw, Aen_US
dc.contributor.authorCheung, LKen_US
dc.date.accessioned2012-08-08T08:26:21Z-
dc.date.available2012-08-08T08:26:21Z-
dc.date.issued2009en_US
dc.identifier.citationJournal Of Oral And Maxillofacial Surgery, 2009, v. 67 n. 11, p. 2344-2353en_US
dc.identifier.issn0278-2391en_US
dc.identifier.urihttp://hdl.handle.net/10722/154589-
dc.description.abstractPurpose: 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.languageengen_US
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jomsen_US
dc.relation.ispartofJournal of Oral and Maxillofacial Surgeryen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshChilden_US
dc.subject.meshEvidence-Based Dentistryen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMandible - Abnormalities - Growth & Development - Surgeryen_US
dc.subject.meshMandibular Advancement - Adverse Effects - Methodsen_US
dc.subject.meshMicrognathism - Surgeryen_US
dc.subject.meshOral Surgical Procedures - Methodsen_US
dc.subject.meshOsteogenesis, Distraction - Adverse Effects - Methodsen_US
dc.subject.meshOsteotomy - Adverse Effects - Methodsen_US
dc.subject.meshPostoperative Complications - Classification - Etiologyen_US
dc.subject.meshTreatment Failureen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshYoung Adulten_US
dc.titleSkeletal Stability and Complications of Bilateral Sagittal Split Osteotomies and Mandibular Distraction Osteogenesis: An Evidence-Based Reviewen_US
dc.typeArticleen_US
dc.identifier.emailCheung, LK:lkcheung@hkucc.hku.hken_US
dc.identifier.authorityCheung, LK=rp00013en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.joms.2008.07.003en_US
dc.identifier.pmid19837301en_US
dc.identifier.scopuseid_2-s2.0-70349979253en_US
dc.identifier.hkuros167930-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-70349979253&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume67en_US
dc.identifier.issue11en_US
dc.identifier.spage2344en_US
dc.identifier.epage2353en_US
dc.identifier.isiWOS:000271243100005-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridOw, A=23973480300en_US
dc.identifier.scopusauthoridCheung, LK=7102302747en_US

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