مجله جهانی جراحی پلاستیک
مجله جهانی جراحی پلاستیک
پنجشنبه 30 فروردین 1403
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دوره 10، شماره 3 - ( 1400 )
جلد 10 شماره 3 صفحات 33-25 |
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Zeynalzadeh F, Shooshtari Z, Eshghpour M, Hosein Hoseini Zarch S, Tohidi E, Samieirad S. Dal Pont vs Hunsuck: Which Technique Can Lead to a Lower Incidence of Bad Split during Bilateral Sagittal Split Osteotomy? A Triple-blind Randomized Clinical Trial. WJPS 2021; 10 (3) :25-33
URL: http://wjps.ir/article-1-855-fa.html
URL: http://wjps.ir/article-1-855-fa.html
Dal Pont vs Hunsuck: Which Technique Can Lead to a Lower Incidence of Bad Split during Bilateral Sagittal Split Osteotomy? A Triple-blind Randomized Clinical Trial. مجله جهانی جراحی پلاستیک. 1400; 10 (3) :25-33
چکیده: (2434 مشاهده)
BACKGROUND
We aimed to assess the incidence of bad split fractures during Bilateral Sagittal Split Osteotomy (BSSO) mandibular setback surgery using Dal Pont and Hunsuck techniques.
METHODS
All healthy adults with skeletal class III discrepancy, who were candidates for mandibular setback surgery were enrolled in this randomized clinical trial in the Maxillofacial Surgery Department of Qaem Hospital, Mashhad, Iran; from 2018-2020. These patients were randomly divided into two equal groups; one group underwent BSSO using Dal Pont osteotomy while the Hunsuck osteotomy was employed for the other group. A bad split fracture which identified through intra-operative clinical and postoperative radiographic examination was the outcome variable. The significance level was set at 0.05 using SPSS 16.
RESULTS
Overall, 104 consecutive patients, comprising of 52 (50%) males with an average age of 23.09±3.08 were recruited. The average duration of osteotomy and splitting was reported to be 22.74±3.06 min. 10 bad split fractures (9.62%) were observed; 7 of which occurred in the Dal Pont group and 3 in the Hunsuck group. However, this difference was not significant. In 80% of the cases, bad split osteotomy occurred in the proximal segment, while this finding was identified in the distal segment in 20% of cases. The average duration of osteotomy and splitting was significantly longer in the Dal Pont group (P<0.001).
CONCLUSION
The duration of osteotomy and splitting is much shorter when the Hunsuck technique is employed, and the incidence of unfavorable fractures is also less compared to the Dal Pont osteotomy technique.
We aimed to assess the incidence of bad split fractures during Bilateral Sagittal Split Osteotomy (BSSO) mandibular setback surgery using Dal Pont and Hunsuck techniques.
METHODS
All healthy adults with skeletal class III discrepancy, who were candidates for mandibular setback surgery were enrolled in this randomized clinical trial in the Maxillofacial Surgery Department of Qaem Hospital, Mashhad, Iran; from 2018-2020. These patients were randomly divided into two equal groups; one group underwent BSSO using Dal Pont osteotomy while the Hunsuck osteotomy was employed for the other group. A bad split fracture which identified through intra-operative clinical and postoperative radiographic examination was the outcome variable. The significance level was set at 0.05 using SPSS 16.
RESULTS
Overall, 104 consecutive patients, comprising of 52 (50%) males with an average age of 23.09±3.08 were recruited. The average duration of osteotomy and splitting was reported to be 22.74±3.06 min. 10 bad split fractures (9.62%) were observed; 7 of which occurred in the Dal Pont group and 3 in the Hunsuck group. However, this difference was not significant. In 80% of the cases, bad split osteotomy occurred in the proximal segment, while this finding was identified in the distal segment in 20% of cases. The average duration of osteotomy and splitting was significantly longer in the Dal Pont group (P<0.001).
CONCLUSION
The duration of osteotomy and splitting is much shorter when the Hunsuck technique is employed, and the incidence of unfavorable fractures is also less compared to the Dal Pont osteotomy technique.
فهرست منابع
1. Aarabi M, Tabrizi R, Hekmat M, Shahidi S, Puzesh A. Relationship between mandibular anatomy and the occurrence of a bad split upon sagittal split osteotomy. J Oral Maxillofac Surg 2014;72(12):2508-13. [DOI:10.1016/j.joms.2014.05.008]
2. Panula K, Finne K, Oikarinen K. Incidence of complications and problems related to orthognathic surgery: a review of 655 patients. J Oral Maxillofac Surg 2001;59(10):1128-36; discussion 37. [DOI:10.1053/joms.2001.26704]
3. Zamiri B, Tabrizi R, Shahidi S, Pouzesh A. Medial cortex fracture patterns after sagittal split osteotomy using short versus long medial cuts: can we obviate bad splits? Int J Oral Maxillofac Surg 2015;44(7):809-15. [DOI:10.1016/j.ijom.2015.03.017]
4. Eshghpour M, Labafchi A, Samieirad S, Abrishami MH, Nodehi E, Javan AR. Does the Presence of Impacted Mandibular Third Molars Increase the Risk of Bad Split Incidence During Bilateral Sagittal Split Osteotomy? WJPS. 2021;10(1):37. [DOI:10.29252/wjps.10.1.37]
5. Posnick J, Choi E, Liu S. Occurrence of a 'bad'split and success of initial mandibular healing: a review of 524 sagittal ramus osteotomies in 262 patients. Int J Oral Maxillofac Surg 2016;45(10):1187-94. [DOI:10.1016/j.ijom.2016.05.003]
6. Steenen S, van Wijk A, Becking A. Bad splits in bilateral sagittal split osteotomy: systematic review and meta-analysis of reported risk factors. Int J Oral Maxillofac Surg 2016;45(8):971-9. [DOI:10.1016/j.ijom.2016.02.011]
7. Steenen SA, Becking AG. Bad splits in bilateral sagittal split osteotomy: systematic review of fracture patterns. Int J Oral Maxillofac Surg 2016;45(7):887-97. [DOI:10.1016/j.ijom.2016.02.001]
8. Verweij JP, Houppermans PN, Gooris P, Mensink G, van Merkesteyn JP. Risk factors for common complications associated with bilateral sagittal split osteotomy: A literature review and meta-analysis. J Craniomaxillofac Surg 2016;44(9):1170-80. [DOI:10.1016/j.jcms.2016.04.023]
9. Epker BN. Modifications in the sagittal osteotomy of the mandible. J Oral Surg 1977;35(2):157-9.
10. Hunsuck EE. A modified intraoral sagittal splitting technic for correction of mandibular prognathism. J Oral Surg 1968;26(4):250-3.
11. Trauner R, Obwegeser H. The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. I. Surgical procedures to correct mandibular prognathism and reshaping of the chin. Oral Surg Oral Med Oral Pathol 1957;10(7):677-89; contd. [DOI:10.1016/S0030-4220(57)80063-2]
12. Böckmann R, Meyns J, Dik E, Kessler P. The modifications of the sagittal ramus split osteotomy: a literature review. Plast Reconstr Surg Glob Open 2014;2(12). [DOI:10.1097/GOX.0000000000000127]
13. Möhlhenrich SC, Kniha K, Peters F, et al. Fracture patterns after bilateral sagittal split osteotomy of the mandibular ramus according to the Obwegeser/Dal Pont and Hunsuck/Epker modifications. J Craniomaxillofac Surg 2017;45(5):762-7. [DOI:10.1016/j.jcms.2017.02.012]
14. Reyneke JP, Tsakiris P, Becker P. Age as a factor in the complication rate after removal of unerupted/impacted third molars at the time of mandibular sagittal split osteotomy. J Oral Maxillofac Surg 2002;60(6):654-9. [DOI:10.1053/joms.2002.33114]
15. Camargo IB, Van Sickels JE, Cunningham LL. Simultaneous removal of third molars and completion of a sagittal split osteotomy: effects of age and presence of third molars. Oral Surg Oral Med Oral Pathol Oral Radiol 2016;121(5):468-73. [DOI:10.1016/j.oooo.2015.11.018]
16. Camargo IB, Van Sickels JE, Curtis WJ. Simultaneous Removal of Third Molars During a Sagittal Split Does Not Increase the Incidence of Bad Splits in Patients Aged 30 Years or Older. J Oral Maxillofac Surg 2015;73(7):1350-9. [DOI:10.1016/j.joms.2015.01.023]
17. Chrcanovic BR, Freire-Maia B. Risk factors and prevention of bad splits during sagittal split osteotomy. Oral Maxillofac Surg 2012;16(1):19-27. [DOI:10.1007/s10006-011-0287-4]
18. Kriwalsky MS, Maurer P, Veras RB, Eckert AW, Schubert J. Risk factors for a bad split during sagittal split osteotomy. Br J Oral Maxillofac Surg 2008;46(3):177-9. [DOI:10.1016/j.bjoms.2007.09.011]
19. Mensink G, Verweij JP, Frank MD, Eelco Bergsma J, Richard van Merkesteyn JP. Bad split during bilateral sagittal split osteotomy of the mandible with separators: a retrospective study of 427 patients. Br J Oral Maxillofac Surg 2013;51(6):525-9. [DOI:10.1016/j.bjoms.2012.10.009]
20. Dal Pont G. Retromolar osteotomy for the correction of prognathism. J Oral Surg Anesth Hosp Dent Serv 1961;19:42-7.
21. Mehra P, Castro V, Freitas RZ, Wolford LM. Complications of the mandibular sagittal split ramus osteotomy associated with the presence or absence of third molars. J Oral Maxillofac Surg 2001;59(8):854-8; discussion 9. [DOI:10.1053/joms.2001.25013]
22. Safdar N, Meechan J. Relationship between fractures of the mandibular angle and the presence and state of eruption of the lower third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79(6):680-4. [DOI:10.1016/S1079-2104(05)80299-9]
23. Verweij JP, Mensink G, Fiocco M, van Merkesteyn JPR. Presence of mandibular third molars during bilateral sagittal split osteotomy increases the possibility of bad split but not the risk of other post-operative complications. J Craniomaxillofac Surg 2014;42(7):e359-e63. [DOI:10.1016/j.jcms.2014.03.019]
24. Wang T, Han JJ, Oh HK, et al. Evaluation of Mandibular Anatomy Associated With Bad Splits in Sagittal Split Ramus Osteotomy of Mandible. J Craniofac Surg 2016;27(5):e500-4. [DOI:10.1097/SCS.0000000000002798]
25. Lee S-Y, Yang HJ, Han J-J, Hwang SJ. Effect of perioperative buccal fracture of the proximal segment on postoperative stability after sagittal split ramus osteotomy. J Korean Assoc Oral Maxillofac Surg 2013;39(5):217. [DOI:10.5125/jkaoms.2013.39.5.217]
26. Falter B, Schepers S, Vrielinck L, Lambrichts I, Thijs H, Politis C. Occurrence of bad splits during sagittal split osteotomy. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2010;110(4):430-5. [DOI:10.1016/j.tripleo.2010.02.003]
27. Hou M, Yu T-P, Wang J-G. Evaluation of the mandibular split patterns in sagittal split ramus osteotomy. J Oral Maxillofac Surg 2015;73(5):985-93. [DOI:10.1016/j.joms.2014.07.007]
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