Skip to main content
SpringerLink
Log in
Book cover

Het tandheelkundig jaar 2017 pp 99–110Cite as

De rol van condylaire veranderingen in de botstabiliteit na verlengingsosteotomie van de onderkaak (BSSO)

  • Chapter
  • First Online:

  • 301 Accesses

Samenvatting

Bilaterale sagittale splijtingsosteotomie (BSSO) is de meest uitgevoerde operatieve ingreep om de mandibula te verlengen bij patiënten met mandibulaire hypoplasie. Na de BSSO wordt vrijwel altijd enige terugval (relapse) in kaakstand gezien. Skeletale relapse kan zowel de esthetiek als functie negatief beïnvloeden. Een afname van het volume van de kaakkopjes na een BSSO is geassocieerd met het ontstaan van skeletale relapse. Door het vervaardigen van een cone beam computertomografie (CBCT) voorafgaande aan de BSSO en het bepalen van het condylair volume kan het risico op relapse beter worden ingeschat dan op een orthopantomogram of lateraal cefalogram. Er zijn aanwijzingen dat biochemische factoren zoals de vrouwelijke geslachtshormonen en botdichtheid ook een rol spelen in het ontstaan van postoperatief condylair volumeverlies en skeletale relapse.

This is a preview of subscription content, 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   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   119.99
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

Learn about institutional subscriptions

Literatuur

  • Borstlap WA, Stoelinga PJ, Hoppenreijs TJ, Hof MA van’t. Stabilisation of sagittal split advancement osteotomies with miniplates: a prospective, multicentre study with two-year follow-up. Part III–condylar remodelling and resorption. Int J Oral Maxillofac Surg. 2004;33:649–55.

    Google Scholar 

  • Carvalho Fde AFA de, Cevidanes LH, Motta AT da, Almeida MA, Phillips C. Three-dimensional assessment of mandibular advancement 1 year after surgery. Am J Orthod Dentofacial Orthop. 2010;137:S53 e51-12, discussion S53–5.

    Google Scholar 

  • Boer EW de, Dijkstra PU, Stegenga B, Bont LG de, Spijkervet FK. Value of cone-beam computed tomography in the process of diagnosis and management of disorders of the temporomandibular joint. Br J Oral Maxillofac Surg. 2014;52:241–6.

    Google Scholar 

  • Gunson MJ, Arnett GW, Formby B, Falzone C, Mathur R, Alexander C. Oral contraceptive pill use and abnormal menstrual cycles in women with severe condylar resorption: a case for low serum 17beta-estradiol as a major factor in progressive condylar resorption. Am J Orthod Dentofacial Orthop. 2009;136:772–9.

    Article  PubMed  Google Scholar 

  • Gunson MJ, Arnett GW, Milam SB. Pathophysiology and pharmacologic control of osseous mandibular condylar resorption. J Oral Maxillofac Surg. 2012;70:1918–34.

    Article  PubMed  Google Scholar 

  • Honda K, Larheim TA, Maruhashi K, Matsumoto K, Iwai K. Osseous abnormalities of the mandibular condyle: diagnostic reliability of cone beam computed tomography compared with helical computed tomography based on an autopsy material. Dentomaxillofac Radiol. 2006;35:152–7.

    Article  PubMed  Google Scholar 

  • Hoppenreijs TJ, Freihofer HP, Stoelinga PJ, Tuinzing DB, Hof MA van’t. Condylar remodelling and resorption after Le Fort I and bimaxillary osteotomies in patients with anterior open bite. A clinical and radiological study. Int J Oral Maxillofac Surg. 1998;27:81–91.

    Google Scholar 

  • Hoppenreijs TJ, Maal T, Xi T. Evaluation of condylar resorption before and after orthognathic surgery. Seminars of Orthodontics. 2013;19:106–15.

    Article  Google Scholar 

  • Hussain AM, Packota G, Major PW, Flores-Mir C. Role of different imaging modalities in assessment of temporomandibular joint erosions and osteophytes: a systematic review. Dentomaxillofac Radiol. 2008;37:63–71.

    Article  PubMed  Google Scholar 

  • Kerstens HC. Dissertations 25 years after date 43. Temporomandibular joint dysfunction and condylar resorption following orthognathic surgery. Ned Tijdschr Tandheelkd. 2015;122:669–73.

    Article  PubMed  Google Scholar 

  • Kerstens HC, Tuinzing DB, Golding RP, Kwast WA van’t. Condylar atrophy and osteoarthrosis after bimaxillary surgery. Oral Surg Oral Med Oral Pathol. 1990;69:274–80.

    Google Scholar 

  • Meulstee J, Liebregts J, Xi T, Vos F, Koning M de, Berge S, Maal T. A new 3D approach to evaluate facial profile changes following BSSO. J Craniomaxillofac Surg. 2015;43:1994–9.

    Google Scholar 

  • Nolte JW, Karssemakers LH, Grootendorst DC, Tuinzing DB, Becking AG. Panoramic imaging is not suitable for quantitative evaluation, classification, and follow up in unilateral condylar hyperplasia. Br J Oral Maxillofac Surg. 2015;53:446–50.

    Article  PubMed  Google Scholar 

  • Saccucci M, Polimeni A, Festa F, Tecco S. Do skeletal cephalometric characteristics correlate with condylar volume, surface and shape? A 3D analysis. Head Face Med. 2012;8:15.

    Article  PubMed  PubMed Central  Google Scholar 

  • Vidra MA, Rozema FR, Kostense PJ, Tuinzing DB. Observer consistency in radiographic assessment of condylar resorption. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93:399–403.

    Article  PubMed  Google Scholar 

  • Xi T, Schreurs R, Heerink WJ, Berge SJ, Maal TJ. A Novel Region-Growing Based Semi-Automatic Segmentation Protocol for Three-Dimensional Condylar Reconstruction Using Cone Beam Computed Tomography (CBCT). Plos One. 2014;9:e111126.

    Article  PubMed  PubMed Central  Google Scholar 

  • Xi T, Loon B van, Koning M de, Berge S, Hoppenreijs T. Maal. T 3D analysis of condylar remodelling and skeletal relapse following bilateral sagittal split advancement osteotomies. J Craniomaxillofac Surg. 2015;43:462–8.

    Google Scholar 

  • Yang HJ, Hwang SJ. Bone mineral density and mandibular advancement as contributing factors for postoperative relapse after orthognathic surgery in patients with preoperative idiopathic condylar resorption: a prospective study with preliminary 1-year follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120:112–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Afdeling Mond-, kaak- en aangezichtschirurgie, Radboudumc, Nijmegen, The Netherlands

    T. Xi

Authors
  1. T. Xi
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Oral Medicine, University of Washington, Seattle, Washington, USA

    J.K.M. Aps

  2. Gent, Belgium

    M. De Bruyne

  3. Department Beeldvorming & Pathologie - F, KU Leuven - OMFS-IMPATH Onderzoeksgroep, Leuven, Belgium

    R. Jacobs

  4. Praktijk voor Endodontologie, Zwolle, The Netherlands

    J. van der Meer

  5. MKA-chirurgie, Radboud UMC, Nijmegen, The Netherlands

    M.E.L. Nienhuijs

  6. Algemeen, Orthodontiepraktijktijk, Heerenveen, Friesland, The Netherlands

    S.C. Boxum

Copyright information

© 2016 Bohn Stafleu van Loghum

About this chapter

Cite this chapter

Xi, T. (2016). De rol van condylaire veranderingen in de botstabiliteit na verlengingsosteotomie van de onderkaak (BSSO). In: Aps, J., De Bruyne, M., Jacobs, R., van der Meer, J., Nienhuijs, M., Boxum, S. (eds) Het tandheelkundig jaar 2017. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-1030-2_7

Download citation

  • DOI: https://doi.org/10.1007/978-90-368-1030-2_7

  • Published:

  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-368-1029-6

  • Online ISBN: 978-90-368-1030-2

  • eBook Packages: Dutch language eBook collection

Publish with us

Policies and ethics

Search

Navigation