Mandible Prognathism, Mandibular Retrognathism
Conditions
Keywords
Mandibular orthognathic, BSSO, Virtual planning
Brief summary
Study was Conducted on Patients were need BSSO Using PSI for reposition and fixation
Detailed description
A prospective study was conducted, and it included 8 patients. All patients underwent mandibular sagittal split osteotomy (BSSO) using PSI for repositioning and fixation. All patients were followed up clinically for immediate,1,3,6 weeks, and 3 months postoperatively after the surgical operation to assess the occlusion, presence of numbness, bleeding, and possible temporomandibular joint (TMJ) changes. All patients underwent immediate and 3 months Ortho pantomogram, postoperative CT were superimposed to the planned preoperative CT scan to evaluate the accuracy of PSI in fixation and merging of Digital dental model to the postoperative CT scan.
Interventions
orthognathic surgery BSSO using PSI
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age range of patients 18-40 years old, with no gender prediction, able to read and sign the informed consent. 2. Patients with skeletal class II or class III who are in need of mandibular orthognathic surgery.
Exclusion criteria
1. Patients who had previous orthognathic surgery. 2. Patients with previous severe facial trauma history or fracture mandible. 3. Patients with congenital facial asymmetry. 4. Patients with systemic diseases and immunocompromised patient.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Accuracy of PSI and bony segment movements | Baseline (preoperative), immediate postoperative, and 3-month postoperative follow-up. | Measurements using CT software after superimposition using (Mimics and 3-Matic) through fixation landmark points on both virtually planned repositioned mandible and the actual postoperative mandible, all in identical locations. Then linear measurements were performed between defined anatomical landmarks on both models using Measure distance tool, as well as between each landmark and the constructed reference planes |
Countries
Egypt