PMID- 26495234 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151023 LR - 20201001 IS - 2169-7574 (Print) IS - 2169-7574 (Electronic) IS - 2169-7574 (Linking) VI - 3 IP - 9 DP - 2015 Sep TI - Combination of Mandibular Constriction and Intraoral Vertical Ramus Osteotomies for a Transverse Jaw Discrepancy. PG - e521 LID - 10.1097/GOX.0000000000000505 [doi] LID - e521 AB - BACKGROUND: The aim of the present study was to evaluate the treatment of patients developing a transverse jaw width discrepancy who exhibited class III malocclusion and/or facial asymmetry by a combination of mandibular constriction (MC) and intraoral vertical ramus osteotomies (IVROs). SUBJECTS AND METHODS: In a retrospective study, functional results, postoperative complications, and skeletal stability were analyzed for all the patients who had undergone MC and IVRO, with more than 2 years of follow-up. A mandibular midline osteotomy for constriction with lag screw technique and IVROs was used for MC and setback. RESULTS: Sixteen patients were included in the present study. The average degree of MC was 6.34 mm. Both the occlusal relationship and facial appearance in all patients were significantly improved by the surgical orthodontic treatment, with no harmful clinical symptoms. In addition, our original MC using lag screw technique provided the most reliable results in terms of skeletal stability. CONCLUSIONS: This study showed that MC using lag screw technique gives a very stable mandibular width constriction, and the combination of MC and IVROs offers a promising treatment alternative for patients with mandibular prognathism developing a transverse jaw width discrepancy. FAU - Hara, Shingo AU - Hara S AD - Department of Oral and Maxillofacial Surgery, Kochi Health Sciences Center, Kochi, Japan; Takamatsu Oral and Maxillofacial Surgery Clinic, Takamatsu, Kagawa, Japan; and Hirose orthodontic office, Kochi, Japan. FAU - Mitsugi, Masaharu AU - Mitsugi M AD - Department of Oral and Maxillofacial Surgery, Kochi Health Sciences Center, Kochi, Japan; Takamatsu Oral and Maxillofacial Surgery Clinic, Takamatsu, Kagawa, Japan; and Hirose orthodontic office, Kochi, Japan. FAU - Hirose, Hisamitsu AU - Hirose H AD - Department of Oral and Maxillofacial Surgery, Kochi Health Sciences Center, Kochi, Japan; Takamatsu Oral and Maxillofacial Surgery Clinic, Takamatsu, Kagawa, Japan; and Hirose orthodontic office, Kochi, Japan. FAU - Tatemoto, Yukihiro AU - Tatemoto Y AD - Department of Oral and Maxillofacial Surgery, Kochi Health Sciences Center, Kochi, Japan; Takamatsu Oral and Maxillofacial Surgery Clinic, Takamatsu, Kagawa, Japan; and Hirose orthodontic office, Kochi, Japan. LA - eng PT - Journal Article DEP - 20150922 PL - United States TA - Plast Reconstr Surg Glob Open JT - Plastic and reconstructive surgery. Global open JID - 101622231 PMC - PMC4596446 COIS- Disclosure: The authors have no financial interest to declare in relation to the content of this article. This study was supported by Kochi Organization for Medical Reformation and Renewal. The Article Processing Charge was paid for by Kochi Organization for Medical Reformation and Renewal. EDAT- 2015/10/27 06:00 MHDA- 2015/10/27 06:01 PMCR- 2015/09/22 CRDT- 2015/10/24 06:00 PHST- 2015/06/04 00:00 [received] PHST- 2015/07/27 00:00 [accepted] PHST- 2015/10/24 06:00 [entrez] PHST- 2015/10/27 06:00 [pubmed] PHST- 2015/10/27 06:01 [medline] PHST- 2015/09/22 00:00 [pmc-release] AID - 10.1097/GOX.0000000000000505 [doi] PST - epublish SO - Plast Reconstr Surg Glob Open. 2015 Sep 22;3(9):e521. doi: 10.1097/GOX.0000000000000505. eCollection 2015 Sep.