骨格性下顎前突症に対する下顎枝矢状分割術(SSRO)と下顎枝垂直骨切り術(IVRO)の比較検討について

  • 山内 健介
    九州歯科大学口腔顎顔面外科学講座形態機能再建学分野
  • 金氏 毅
    九州歯科大学口腔顎顔面外科学講座形態機能再建学分野
  • 野上 晋ノ介
    九州歯科大学口腔顎顔面外科学講座形態機能再建学分野
  • 山下 善弘
    九州歯科大学口腔顎顔面外科学講座形態機能再建学分野
  • 高橋 哲
    九州歯科大学口腔顎顔面外科学講座形態機能再建学分野
  • 永山 純一郎
    ながやま矯正歯科クリニック(北九州市)
  • 酒井 香織
    エンゼル矯正歯科(大分市)
  • 酒井 昭行
    エンゼル矯正歯科(大分市)

書誌事項

タイトル別名
  • Clinical Comparative Study between Sagittal Split Ramus Osteotomy and Intraoral Vertical Ramus Osteotomy for Mandibular Setback
公開日
2010
DOI
  • 10.5927/jjjd.20.205
公開者
特定非営利活動法人 日本顎変形症学会

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説明

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.

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