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Hybrid fixation in the bilateral sagittal split osteotomy for lower jaw advancement
Miniplate and screw fixation has been widely used in bilateral sagittal split osteotomy, but some issues remain unclear concerning its lack of rigidity when compared to Spiessl's bicortical technique. This paper demonstrates the hybrid fixation technique in a case report. A 34-year-old female p...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Faculdade de Odontologia de Bauru da Universidade de São
Paulo
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349032/ https://www.ncbi.nlm.nih.gov/pubmed/20379687 http://dx.doi.org/10.1590/S1678-77572010000100015 |
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author | PEREIRA, Felipe Ladeira JANSON, Marcos SANT'ANA, Eduardo |
author_facet | PEREIRA, Felipe Ladeira JANSON, Marcos SANT'ANA, Eduardo |
author_sort | PEREIRA, Felipe Ladeira |
collection | PubMed |
description | Miniplate and screw fixation has been widely used in bilateral sagittal split osteotomy, but some issues remain unclear concerning its lack of rigidity when compared to Spiessl's bicortical technique. This paper demonstrates the hybrid fixation technique in a case report. A 34-year-old female patient underwent a double jaw surgery with counter-clockwise rotation of the mandible fixed using the hybrid fixation technique. The patient evolved well in the postoperative period and is still under follow up after 14 months, reporting satisfaction with the results and no significant deviation from the treatment plan up to now. No damage to tooth roots was done, maxillomandibular range of motion was within normality and regression of the inferior alveolar nerve paresthesia was observed bilaterally. The hybrid mandibular fixation is clearly visible in the panoramic and cephalometric control radiographs. It seems that the hybrid fixation can sum the advantages of both monocortical and bicortical techniques in lower jaw advancement, increasing fixation stability without significant damage to the mandibular articulation and the inferior alveolar nerve. A statistical investigation seems necessary to prove its efficacy. |
format | Online Article Text |
id | pubmed-5349032 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Faculdade de Odontologia de Bauru da Universidade de São
Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-53490322017-03-17 Hybrid fixation in the bilateral sagittal split osteotomy for lower jaw advancement PEREIRA, Felipe Ladeira JANSON, Marcos SANT'ANA, Eduardo J Appl Oral Sci Case Report Miniplate and screw fixation has been widely used in bilateral sagittal split osteotomy, but some issues remain unclear concerning its lack of rigidity when compared to Spiessl's bicortical technique. This paper demonstrates the hybrid fixation technique in a case report. A 34-year-old female patient underwent a double jaw surgery with counter-clockwise rotation of the mandible fixed using the hybrid fixation technique. The patient evolved well in the postoperative period and is still under follow up after 14 months, reporting satisfaction with the results and no significant deviation from the treatment plan up to now. No damage to tooth roots was done, maxillomandibular range of motion was within normality and regression of the inferior alveolar nerve paresthesia was observed bilaterally. The hybrid mandibular fixation is clearly visible in the panoramic and cephalometric control radiographs. It seems that the hybrid fixation can sum the advantages of both monocortical and bicortical techniques in lower jaw advancement, increasing fixation stability without significant damage to the mandibular articulation and the inferior alveolar nerve. A statistical investigation seems necessary to prove its efficacy. Faculdade de Odontologia de Bauru da Universidade de São Paulo 2010 /pmc/articles/PMC5349032/ /pubmed/20379687 http://dx.doi.org/10.1590/S1678-77572010000100015 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report PEREIRA, Felipe Ladeira JANSON, Marcos SANT'ANA, Eduardo Hybrid fixation in the bilateral sagittal split osteotomy for lower jaw advancement |
title | Hybrid fixation in the bilateral sagittal split osteotomy for lower jaw
advancement |
title_full | Hybrid fixation in the bilateral sagittal split osteotomy for lower jaw
advancement |
title_fullStr | Hybrid fixation in the bilateral sagittal split osteotomy for lower jaw
advancement |
title_full_unstemmed | Hybrid fixation in the bilateral sagittal split osteotomy for lower jaw
advancement |
title_short | Hybrid fixation in the bilateral sagittal split osteotomy for lower jaw
advancement |
title_sort | hybrid fixation in the bilateral sagittal split osteotomy for lower jaw
advancement |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349032/ https://www.ncbi.nlm.nih.gov/pubmed/20379687 http://dx.doi.org/10.1590/S1678-77572010000100015 |
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