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Verfasst von:Seeberger, Robin [VerfasserIn]   i
 Asi, Yamen [VerfasserIn]   i
 Thiele, Oliver Christian [VerfasserIn]   i
 Hoffmann, Jürgen [VerfasserIn]   i
 Stucke, Kathrin [VerfasserIn]   i
 Engel, Michael [VerfasserIn]   i
Titel:Neurosensory alterations and function of the temporomandibular joint after high oblique sagittal split osteotomy
Titelzusatz:an alternative technique in orthognathic surgery
Verf.angabe:Robin Seeberger, Yamen Asi, Oliver C. Thiele, Juergen Hoffmann, Kathrin Stucke, Michael Engel
Jahr:2013
Jahr des Originals:2012
Umfang:5 S.
Fussnoten:Available online 20 December 2012 ; Gesehen am 26.06.2018
Titel Quelle:Enthalten in: The British journal of oral & maxillofacial surgery
Ort Quelle:Amsterdam [u.a.] : Elsevier, 1984
Jahr Quelle:2013
Band/Heft Quelle:51(2013), 6, Seite 536-540
ISSN Quelle:1532-1940
Abstract:The current most common technique for repositioning of the mandible, bilateral sagittal split osteotomy (BSSO), was first described by Obwegeser and Dal Pont in the early1960s, and has since been modified several times. However, there is always a risk of damaging the inferior alveolar nerve. We have studied 50 consecutive patients who had high oblique sagittal split osteotomy (HSSO) as an alternative to avoid damage to the nerve. The patients were evaluated for sensory alterations and function of the temporomandibular joint (TMJ). Healing of both wound and bone were complete and uneventful in all 50 patients. Mean (SD) sagittal movement of the mandible was 6.6 (2.9)mm and length of the osteotomy line was 11.0 (3.1)mm. No patient had either temporary or permanent alteration in sensitivity. Pinprick tests showed no significant changes between the preoperative and postoperative readings (p>0.16) or in the chronological results (p>0.23). No disorders of the TMJ developed. Mean (SD) mouth opening 6months postoperatively was 41.6 (8.6)mm. The lateral excursion increased postoperatively by 1.86mm to the left and by 0.76mm to the right. Protrusion increased by 0.66mm. HSSO is therefore a suitable alternative to BSSO as it avoids injury to the inferior alveolar nerve without compromising the TMJ. Ossification was uneventful though bony attachment was less than with the classic BSSO.
DOI:doi:10.1016/j.bjoms.2012.11.016
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

: Volltext ; Verlag: http://dx.doi.org/10.1016/j.bjoms.2012.11.016
 : Volltext: http://www.sciencedirect.com/science/article/pii/S0266435612006201
 : : https://doi.org/10.1016/j.bjoms.2012.11.016
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Inferior alveolar nerve
 Mandible
 Orthognathic
 Osteotomy
K10plus-PPN:157686863X
Verknüpfungen:→ Zeitschrift

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