The Clinical and Radiographic Changes of Temporomandibular Joint (TMJ) Following Mandibular Set Back Surgery by Bilateral Sagittal Split Osteotomy (BSSO)

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KAZEMIAN MOZHGAN; Ghadiri Moghaddam Nafiseh; ANBIAEE NAJMEH; KERMANI HAMED; Samiee Rad Sahand

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Journal Paper

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Journal: WORLD JOURNAL OF PLASTIC SURGERY Year:2022 | Volume:11 | Issue:2 Page(s): 110-116

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Title

The Clinical and Radiographic Changes of Temporomandibular Joint (TMJ) Following Mandibular Set Back Surgery by Bilateral Sagittal Split Osteotomy (BSSO)

Author(s)

Keywords

Temporomandibular joint

Orthognathic surgery

Sagittal split osteotomy

Cone beam computed tomography

Abstract

Background Bilateral Sagittal split osteotomy (BSSO) is one of the treatment options for Class III maxillary deficiency which may affect the condylar position and the patient’, s occlusion. We aimed to evaluate the clinical and radiographic changes of Temporomandibular joint (TMJ) following mandibular set back surgery by BSSO. Methods In this retrospective study, All Class III patients, aged between 18-30 years old who underwent bimaxillary Orthognathic surgery in the Oral and Maxillofacial Surgery Ward of Ghaem Hospital, Mashhad, Iran from January 2018-January 2020 were enrolled. Radiographic changes of joint space, condylar position and clinical changes for maximal mouth opening and joint sound were examined before and 6 months after surgery. Data were analyzed by SPSS16 software and the significance level of the data was set at P-value < 0. 05. Results Twenty-five patients were recruited. The axial angle of the left and right condyle and condylar inclination on both sides reduced but this reduction was not statistically significant. While the anterior joint space was reduced and posterior joint space was increased in both sides, the changes on the right side were only significant (P = 0. 039). In clinical examinations maximum mouth opening, lateral and protrusive movements were also decreased but this reduction was not statistically significant. Conclusion The mandibular set back with BSSO surgery in class III skeletal patients had no significant effect on the position of the condyle in the glenoid fossa as well as clinical symptoms.

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APA: Copy

KAZEMIAN, MOZHGAN, Ghadiri Moghaddam, Nafiseh, ANBIAEE, NAJMEH, KERMANI, HAMED, & Samiee Rad, Sahand. (2022). The Clinical and Radiographic Changes of Temporomandibular Joint (TMJ) Following Mandibular Set Back Surgery by Bilateral Sagittal Split Osteotomy (BSSO). WORLD JOURNAL OF PLASTIC SURGERY, 11(2), 110-116. SID. https://sid.ir/paper/1023985/en

Vancouver: Copy

KAZEMIAN MOZHGAN, Ghadiri Moghaddam Nafiseh, ANBIAEE NAJMEH, KERMANI HAMED, Samiee Rad Sahand. The Clinical and Radiographic Changes of Temporomandibular Joint (TMJ) Following Mandibular Set Back Surgery by Bilateral Sagittal Split Osteotomy (BSSO). WORLD JOURNAL OF PLASTIC SURGERY[Internet]. 2022;11(2):110-116. Available from: https://sid.ir/paper/1023985/en

IEEE: Copy

MOZHGAN KAZEMIAN, Nafiseh Ghadiri Moghaddam, NAJMEH ANBIAEE, HAMED KERMANI, and Sahand Samiee Rad, “The Clinical and Radiographic Changes of Temporomandibular Joint (TMJ) Following Mandibular Set Back Surgery by Bilateral Sagittal Split Osteotomy (BSSO),” WORLD JOURNAL OF PLASTIC SURGERY, vol. 11, no. 2, pp. 110–116, 2022, [Online]. Available: https://sid.ir/paper/1023985/en

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