PMID- 20188605 OWN - NLM STAT- MEDLINE DCOM- 20101014 LR - 20100708 IS - 1528-395X (Electronic) IS - 1079-2104 (Linking) VI - 110 IP - 1 DP - 2010 Jul TI - Changes of transverse mandibular width after intraoral vertical ramus osteotomy. PG - 25-31 LID - 10.1016/j.tripleo.2009.11.004 [doi] AB - OBJECTIVE: The purpose of this study was to analyze the long-term changes in the horizontal transverse mandibular width (TMW) between the angles of mandible after intraoral vertical ramus osteotomy (IVRO) with respect to hard and soft tissues. STUDY DESIGN: A total of 107 from a pool of 207 patients with mandibular prognathism who had undergone bilateral IVRO were retrospectively evaluated radiographically and photographically. A comparison study of the changes of horizontal transverse width in hard and soft tissues after surgery was performed using preoperative, and 1-, 3-, 6-, and 12-month postoperative posteroanterior (PA) cephalograms and clinical photos. Three groups were divided according to the amount of mandibular setback performed (Group 1: <5 mm, Group 2: 5-10 mm, Group 3: >10 mm). RESULTS: The overall average amount of mandibular setback in all patients was 8.58 mm. Statistically significant increases of TMW in hard and soft tissue from preoperative to postoperative 1 month were seen. TMW in hard tissue showed a gradually decreasing pattern postoperatively from 1 month to 1 year, and the changes were statistically significant at 1 year postop. TMW in soft tissue was not changed uniformly after 1 month, and showed less than 1% change at 1-year postoperatively compared with preoperatively. The amount of increase in the TMW postoperatively was not proportional or statistically significant to the amount of mandibular setback performed. CONCLUSIONS: The results show that mandibular setback using BIVRO did not significantly influence the TMW changes in soft tissue. Therefore, IVRO technique can be safely used without compromising esthetic results through soft tissue TMW increase. CI - Copyright (c) 2010 Mosby, Inc. All rights reserved. FAU - Jung, Young-Soo AU - Jung YS AD - Department of Oral and Maxillofacial Surgery, Oral Science Research Center, College of Dentistry, Yonsei University, Seoul, Korea. FAU - Kim, Sang Yoon AU - Kim SY FAU - Park, Sung-Yeon AU - Park SY FAU - Choi, Young-Dal AU - Choi YD FAU - Park, Hyung-Sik AU - Park HS LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100226 PL - United States TA - Oral Surg Oral Med Oral Pathol Oral Radiol Endod JT - Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics JID - 9508562 SB - IM MH - Adolescent MH - Adult MH - Cephalometry MH - Dental Arch/*pathology/surgery MH - Esthetics MH - Face/anatomy & histology MH - Female MH - Follow-Up Studies MH - Humans MH - Image Processing, Computer-Assisted MH - Longitudinal Studies MH - Male MH - Mandible/*pathology/surgery MH - Osteotomy/*methods MH - Photography MH - Prognathism/pathology/*surgery MH - Retrospective Studies MH - Young Adult EDAT- 2010/03/02 06:00 MHDA- 2010/10/15 06:00 CRDT- 2010/03/02 06:00 PHST- 2009/07/25 00:00 [received] PHST- 2009/10/15 00:00 [revised] PHST- 2009/11/08 00:00 [accepted] PHST- 2010/03/02 06:00 [entrez] PHST- 2010/03/02 06:00 [pubmed] PHST- 2010/10/15 06:00 [medline] AID - S1079-2104(09)00837-3 [pii] AID - 10.1016/j.tripleo.2009.11.004 [doi] PST - ppublish SO - Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jul;110(1):25-31. doi: 10.1016/j.tripleo.2009.11.004. Epub 2010 Feb 26.