Skip to main content
SpringerLink
Log in

Long-Term Stability of Maxillary and Mandibular Osteotomies

  • Chapter
  • First Online:
Craniomaxillofacial Reconstructive and Corrective Bone Surgery

  • 1804 Accesses

Abstract

Orthognathic surgery is an alteration in the dynamic relationship of the skeletal and soft tissues of the maxillofacial complex. It has been extensively studied with wire osteosynthesis. Initially, with the advent of rigid fixation, it was thought that relapse would be a problem of the past; however, inspection of results and carefully done studies has shown that while lessened, relapse still occurs.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 239.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Carlson DS, Ellis E, Schniderman ED, Ungerleider JC. Experimental models of surgical intervention in the growing face: Cephalometric analysis of facial growth and relapse. In: McNamara JA, Carlson DS, Ribbens KA, editors. The Effect of Surgical Intervention on Craniofacial Growth. Monograph #12. Ann Arbor: Center for Human Growth and Development, The University of Michigan; 1982. p. 11–72.

    Google Scholar 

  2. Ellis E, Carlson DS. Neuromuscular adaptation after orthognathic surgery. Oral Maxillofac Surg Clin North Am. 1990;2:811–30.

    Google Scholar 

  3. Reynolds ST, Ellis E, Carlson DS. Adaptation of the suprahyoid muscle complex to large mandibular advancements. J Oral Maxillofac Surg. 1988;46:1077–85.

    Article  CAS  PubMed  Google Scholar 

  4. Van Sickels JE, Larsen AJ, Thrash WJ. A retrospective study of relapse in rigidly fixated sagittal split osteotomies: contributing factors. Am J Orthod Dentofac Orthop. 1988;93:413–7.

    Article  Google Scholar 

  5. Arnett GW, Tamborello JA. Progressive class II development: female idiopathic condylar resorption. Oral Maxillofac Surg Clin North Am. 1990;2:699–710.

    Google Scholar 

  6. Ellis E, Sinn DP. Connective tissue forces from mandibular advancement. J Oral Maxillofac Surg. 1994;52:1160–3.

    Article  PubMed  Google Scholar 

  7. Kerstens HCJ, Tuinzing DB, Golding RP, van der Kwast WAM. Condylar atrophy and osteoarthrosis after bimaxillary surgery. Oral Surg Oral Med Oral Pathol. 1990;69:274–80.

    Article  CAS  PubMed  Google Scholar 

  8. Kundert M, Hadjianghelou O. Condylar displacement after sagittal splitting of the mandibular rami. J Maxillofac Surg. 1980;8:278–9.

    Article  CAS  PubMed  Google Scholar 

  9. Obwegeser H, Trauner R. Zur Operationtechnik bei der Progenie und anderen Unterkieferanomalien. Dtsch Zahn Kieferheilkd. 1955;23:H1–2.

    Google Scholar 

  10. Hunsuck EE. A modified intraoral sagittal splitting technique for correction of prognathism. J Oral Surg. 1968;26:250–4.

    CAS  PubMed  Google Scholar 

  11. Epker BN. Modifications in the sagittal osteotomy of the mandible. J Oral Surg. 1977;35:157–60.

    CAS  PubMed  Google Scholar 

  12. Spiessl B. The sagittal splitting osteotomy for correction of mandibular prognathism. Clin Plast Surg. 1982;9:491–507.

    CAS  PubMed  Google Scholar 

  13. Franco JE, Van Sickels JE, Thrash WJ. Factors contributing to relapse in rigidly fixed mandibular setbacks. J Oral Maxillofac Surg. 1989;47:451–6.

    Article  CAS  PubMed  Google Scholar 

  14. Foley WL, Frost DE, Paulin WB, Tucker MR. Internal screw fixation: comparison of placement pattern and rigidity. J Oral Maxillofac Surg. 1989;47:720–3.

    Article  CAS  PubMed  Google Scholar 

  15. Blomqvist JE, Isaksson S. Skeletal stability after mandibular advancement: a comparison of two rigid internal fixation techniques. J Oral Maxillofac Surg. 1994;52:1133–7.

    Article  CAS  PubMed  Google Scholar 

  16. Schilli W, Niederdellmann H, Harle F, Joos U. Stable Osteosynthesis in Treatment of Dentofacial Deformity. In: Bell WH, editor. Surgical Correction of Dentofacial Deformities, New Concepts. Philadelphia: WB Saunders; 1985. p. 490–511.

    Google Scholar 

  17. Foley WL, Beckman TW. In vitro comparison of screw versus plate fixation in the sagittal split osteotomy. Int J Adult Orthod Orthognath Surg. 1992;7:147–51.

    CAS  Google Scholar 

  18. Van Sickels JE, Jeter TS. Rigid Osseous Fixation of Osteotomies. In: Bell WH, ed. Surgical Correction of Dentofacial Deformities, New Concepts. Philadelphia: WB Saunders; 1985: 732–744.

    Google Scholar 

  19. Schwimmer A, Greenberg AM, Kummer F, Kaynar A, et al. The effect of screw size and insertion technique on the stability of the mandibular sagittal split osteotomy. J Oral Maxillofac Surg. 1994;52:45–8.

    Article  CAS  PubMed  Google Scholar 

  20. Tucker MR, Frost DE, Terry BC. Mandibular surgery. In: Tucker MR, Terry BC, White RC, Van Sickels JE, eds. Rigid Fixation for Maxillofacial Surgery. Philadelphia: Lippincott; 1991:258–262.

    Google Scholar 

  21. Tulasne J-F, Schendel SA. Transoral placement of rigid fixation following sagittal ramus split osteotomy. J Oral Maxillofac Surg. 1989;47:651–2.

    Article  CAS  PubMed  Google Scholar 

  22. Lake SL, McNeil RW, Little RM, West RA. Surgical mandibular advancement: a cephalometric analysis of treatment response. Am J Orthod. 1981;80:376–93.

    Article  CAS  PubMed  Google Scholar 

  23. Smith GC, Moloney FB, West RA. Mandibular advancement surgery. A study of the lower border wiring technique for osteosynthesis. Oral Surg Oral Med Oral Pathol. 1985;60:467–75.

    Article  CAS  PubMed  Google Scholar 

  24. Schendel SA, Epker BN. Results after mandibular advancement surgery: an analysis of 87 cases. J Oral Surg. 1980;38:265–82.

    CAS  PubMed  Google Scholar 

  25. Gassamann CJ, Van Sickels JE, Thrash WJ. Causes, location and timing of relapse following rigid fixation after mandibular advancement. J Oral Maxillofac Surg. 1990;48:450–4.

    Article  Google Scholar 

  26. Scheerlinck JPO, Stoelinga PJW, Blijdorp PA, Brouns JJA, Nijs MLL. Sagittal split advancement osteotomies stabilized with miniplates. A 2–5 year follow-up. Int J Oral Maxillofac Surg. 1994;23:127–31.

    Article  CAS  PubMed  Google Scholar 

  27. Crawford JG, Stoelinga PJW, Blijdorp PA, Brouns JJA. Stability after reoperation for progressive condylar resorption after orthognathic surgery: report of seven cases. J Oral Maxillofac Surg. 1994;52:460–6.

    Article  CAS  PubMed  Google Scholar 

  28. Arnett GW, Tamborello JA, Rathbone JA. Temporomandibular Joint Ramifications of Orthognathic Surgery. In: Bell WH, editor. Modern Practice in Orthognathic and Reconstructive Surgery, vol. 1. Philadelphia: WB Saunders; 1992. p. 523–93.

    Google Scholar 

  29. Van Sickels JE. A comparative study of bicortical screws and suspension wires versus bicortical screws in large mandibular advancements. J Oral Maxillofac Surg. 1991;49:1293–6.

    Article  PubMed  Google Scholar 

  30. Hall HD, Chase DC, Paylor LG. Evaluation and refinement of the intraoral vertical subcondylar osteotomy. J Oral Surg. 1975;33:333–41.

    CAS  PubMed  Google Scholar 

  31. Hall HD, Nickerson JW, McKenna SJ. Modified condylotomy for treatment of the painful temporomandibular joint with a reducing disc. J Oral Maxillofac Surg. 1993;51:133–42.

    Article  CAS  PubMed  Google Scholar 

  32. Paulus GW, Steinhauser EW. A comparative study of wire osteosynthesis versus bone screws in the treatment of mandibular prognathism. Oral Surg Oral Med Oral Pathol. 1982;54:2–6.

    Article  CAS  PubMed  Google Scholar 

  33. Van Sickels JE, Tiner BD, Jeter TS. Rigid fixation of the intraoral inverted “L” osteotomy. J Oral Maxillofac Surg. 1990;48:894–8.

    Article  PubMed  Google Scholar 

  34. Tiner BD, Von Sickels JE, Lemke RR. Stability of rigid fixation in the inverted “L” osteotomy: long term results. J Oral Maxillofac Surg. 1992;50(Suppl 3):87–8.

    Google Scholar 

  35. Friedman CD, Costantino PD. Use of distraction osteogenesis for maxillary advancement: preliminary results; discussion. J Oral Maxillofac Surg. 1994;52:287–8.

    Article  Google Scholar 

  36. Aronson J. Experimental and clinical experience with distraction osteogenesis. Cleft Palate Craniofac J. 1994;31:473–82.

    Article  CAS  PubMed  Google Scholar 

  37. Van Sickels JE, Tiner BD. Cost of a genioplasty under deep intravenous sedation in a private office versus general anesthesia in an outpatient surgical center. J Oral Maxillofac Surg. 1992;50:687–90.

    Article  PubMed  Google Scholar 

  38. Park HS, Ellis E, Fonseca RJ, Reynolds ST, Mayo KH. A retrospective study of advancement genioplasty. Oral Surg Oral Med Oral Pathol. 1989;67:481–9.

    Article  CAS  PubMed  Google Scholar 

  39. Van Sickels JE, Smith CV, Jones DL. Hard and soft tissue predictability with advancement genioplasty. Oral Surg Oral Med Oral Pathol. 1994;77:218–21.

    Article  PubMed  Google Scholar 

  40. Wassamund D. Lehrbuch der praktischen chirurgie des mundes und der kiefer, vol. 1. Leipzig: Meuser; 1935.

    Google Scholar 

  41. Obwegeser HL. Surgical correction of small or retro-displaced maxillae: the dish-face deformity. Plast Reconstr Surg. 1969;43:351–5.

    Article  CAS  PubMed  Google Scholar 

  42. Bell WH, Fonseca RJ, Kennedy JW, Levy BM. Bone healing and revascularization after total maxillary osteotomy. J Oral Surg. 1975;33:253–60.

    CAS  PubMed  Google Scholar 

  43. Van Sickels JE, Jeter TS, Aragon SB. Rigid fixation of maxillary osteotomies: a preliminary report and technique article. Oral Surg Oral Med Oral Pathol. 1985;60:262–5.

    Article  PubMed  Google Scholar 

  44. Kaminishi RM, David WH, Hochwald DA, Nelson N. Improved maxillary stability with modified le fort I technique. J Oral Maxillofac Surg. 1983;41:203–5.

    Article  CAS  PubMed  Google Scholar 

  45. Van Sickels JE, Tucker MR. Management of delayed union and non-union of maxillary osteotomies. J Oral Maxillofac Surg. 1990;48:1039–44.

    Article  PubMed  Google Scholar 

  46. Bryan DC. An investigation into the accuracy and validity of three points used in the assessment of autorotation in orthognathic surgery. Br J Oral Maxillofac. 1994;32:363–72.

    Article  CAS  Google Scholar 

  47. Ellis E, Tharanon W, Gambrell K. Accuracy of face-bow transfer: effect on surgical prediction and postsurgical result. J Oral Maxillofac Surg. 1992;50:562–7.

    Article  PubMed  Google Scholar 

  48. McMillin LB. Border movements of the human mandible. J Prosthet Dent. 1972;27:524–32.

    Article  Google Scholar 

  49. Van Sickels JE, Larsen AJ, Triplett RG. Predictability of maxillary surgery: a comparison of internal and external references marks. Oral Surg Oral Med Oral Pathol. 1986;61:542–5.

    Article  PubMed  Google Scholar 

  50. Carpenter CW, Nanda RS, Currier GF. The skeletal stability of Le Fort I downfracture osteotomies with rigid fixation. J Oral Maxillofac Surg. 1989;47:922–5.

    Google Scholar 

  51. Larsen AJ, Van Sickels JE, Thrash WJ. Postsurgical maxillary stability: a comparison study of bone plate and screw vs wire osseous fixation. Am J Orthod Dentofac Orthop. 1989;95:334–43.

    Article  CAS  Google Scholar 

  52. Egbert M, Hepworth B, Myall R, West R. Stability of Le Fort I osteotomy with maxillary advancement: a comparison of combined wire fixation and rigid fixation. J Oral Maxillofac Surg. 1995;52:243–7.

    Google Scholar 

  53. Bell WH, Proffit WR, Jacobs J. Maxillary and Midface Deformity. In: Bell WH, Proffit WR, White RP, editors. Surgical Correction of Dentofacial Deformities, vol. 1. Philadelphia: Saunders; 1980. p. 509–13.

    Google Scholar 

  54. Schmitz JP, Tiner BD, Van Sickels JE. Stability of simultaneous LeFort III/Le Fort I osteomomies. J Cranio-Maxillofac Surg. 1999;23:287–95.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Oral and Maxillofacial Surgery, Chandler Medical Center, Lexington, KY, USA

    Joseph E. Van Sickels

  2. Department of Oral and Maxillofacial Surgery, Dell Seton Medical Center, University of Texas, Austin, TX, USA

    Paul Casmedes & Thomas Weil

Authors
  1. Joseph E. Van Sickels
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Paul Casmedes
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Thomas Weil
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Joseph E. Van Sickels .

Editor information

Editors and Affiliations

  1. Division of Oral and Maxillofacial Surgery, Columbia University College of Dental Medicine and New York Presbyterian Hospital, New York, NY, USA

    Alex M. Greenberg

  2. Department of Oral and Maxillofacial Surgery, Regional Plastic Surgery, Center for Dental Medicine, Medical Center – University of Freiburg Faculty of Medicine, University of Freiburg, Freiburg, Germany

    Rainer Schmelzeisen

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Science+Business Media, LLC, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Van Sickels, J.E., Casmedes, P., Weil, T. (2019). Long-Term Stability of Maxillary and Mandibular Osteotomies. In: Greenberg, A., Schmelzeisen, R. (eds) Craniomaxillofacial Reconstructive and Corrective Bone Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1529-3_43

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1529-3_43

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1528-6

  • Online ISBN: 978-1-4939-1529-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation