Clinical Oral Investigations

, Volume 23, Issue 9, pp 3437–3444 | Cite as

Early and long-term changes in the muscles of the mandible following orthognathic surgery

  • Alina Coclici
  • Mihaela HedeşiuEmail author
  • Simion Bran
  • Mihaela Băciuţ
  • Cristian Dinu
  • Horatiu Rotaru
  • Raluca Roman



The aim of the present study is to evaluate the early and long-term postoperative dimensional changes of the muscles of the mandible in patients with orthognathic surgery for class II and class III malocclusions by using ultrasonography (US).

Material and methods

Twenty-six patients who underwent bimaxillary orthognathic surgery for class II or class III malocclusions (14 and 12 patients, respectively) were ultrasonographically examined. The length, width, and cross-sectional area of the masseter and suprahyoid muscles were measured at three different time points: T0 (preoperatively), T1 (early postoperatively at 1 month after the surgery), and T2 (late postoperatively at 9 months). A repeated measures ANOVA was used to calculate statistically significant dimensional changes of the mandibular muscles.


Statistically significant dimensional changes were found postoperatively in class II malocclusion patients only. The digastric muscle showed higher values for the length and lower values for the width (p < .05) at T1. The geniohyoid muscles were higher in length at T1 and lower in cross-sectional area (CSA) (p < .05) at T2. A decreased measured length and an increased measured width were found in case of the mylohyoid muscle (p < .05) at T2. The early and long-term postoperative dimensional changes of the masseter muscle were not statistically significant.


The mandibular muscles showed a variable adaptive response to the orthognathic surgery. US should be considered for the long-term follow-up of muscular dimensional changes in class II malocclusion patients.

Clinical relevance

From a clinical perspective, US is a reliable, non-invasive, and widely available method, which allows monitoring the postoperative muscular changes occurring in class II malocclusion patients.


Orthognathic surgery Masseter muscle Suprahyoid muscles Ultrasonography 



This work was supported by the Department of Oral & Maxillofacial Surgery, University of Medicine and Pharmacy, Cluj Napoca, Romania.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study (approval number 126/18.03.2017).


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Oral RadiologyUniversity of Medicine and PharmacyCluj NapocaRomania
  2. 2.Department of Maxillofacial SurgeryUniversity of Medicine and PharmacyCluj NapocaRomania

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