著者

野上 晋之介 山内 健介 金氏 毅 山本 哲彰 宮本 郁也 山下 善弘 高橋 哲

出版者

THE JAPANESE SOCIETY FOR JAW DEFORMITIES

雑誌

日本顎変形症学会雑誌 (ISSN:09167048)

巻号頁・発行日

vol.21, no.3, pp.190-194, 2011-08-15 (Released:2012-01-24)

参考文献数

11

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The amount of postoperative bone resorption after genioplasty was studied in 13 patients. The subjects of this study were 4 patients who underwent genioplasty alone, and 5 who underwent genioplasty combined with other techniques for correcting skeletal Class II and Class III deformities.Large advancement genioplasties were performed on 13 patients by horizontal osteotomy of the inferior border of the mandible, with preservation of a musculoperiosteal pedicle to the advanced genial segment. Preoperative, immediate postoperative, and long-term follow-up lateral cephalometric radiographs were retrospectively analyzed to evaluate the osseous changes of the chin. We examined the correlation between bone resorption and the degree of advancement, the degree of mandible movement, the height of the genial segment, and the distance from the existing bone to the genial segment. The results showed a correlation between bone resorption and the distance from existing bone to the genial segment. This suggests that the supply of blood between existing bone and the genial segment has an influence on bone resorption.

著者

山内 健介 金氏 毅 野上 晋ノ介 山下 善弘 高橋 哲 永山 純一郎 酒井 香織 酒井 昭行

出版者

THE JAPANESE SOCIETY FOR JAW DEFORMITIES

雑誌

日本顎変形症学会雑誌 (ISSN:09167048)

巻号頁・発行日

vol.20, no.3, pp.205-210, 2010-08-15 (Released:2012-03-16)

参考文献数

20

被引用文献数

1 4

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The most frequently used techniques for correcting skeletal Class III deformity are sagittal split ramus osteotomy (SSRO) and intraoral vertical ramus osteotomy (IVRO). The purpose of this study was to compare the clinical outcome including skeletal stability after SSRO with semirigid fixation and IVRO. The subjects of this study were 23 patients who underwent SSRO for mandibular setback with semirigid fixation by titanium miniplate and 20 patients who underwent IVRO for mandibular setback without interosseous fixation. The mean period of maxillo-mandibular fixation was 5.1 days in the SSRO group and 7.3 days in the IVRO group. The evaluation items were skeletal changes, operation time, blood loss, sensory disturbance, temporomandibular joint (TMJ) sound and mandibular range of motion (ROM). Compared with the SSRO group, the B-point and pogonion moved significantly posteriorly in the IVRO at more than 6 months after surgery. Operation time, blood loss and occurrence of sensory disturbance were also less than those in the SSRO group. There were no significant differences in TMJ sound and ROM. The results of this study showed that both methods had minimal relapse and no significant difference in comparison by measurement of B-point and pogonion. In conclusion, both methods are effective for correcting skeletal Class III malocclusion, and the surgical method should be selected in consideration of each clinical distinction.