The use of an intermaxillary fixation screw for mandibular setback surgery
The use of an intermaxillary fixation screw for mandibular setback surgery
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DOI:
10.1016/j.joms.2006.10.071
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发表时间:
2007-08-01
影响因子:
1.9
通讯作者:
Yamamoto, Etsuhide
中科院分区:
文献类型:
--
作者:
Ueki, Koichiro;Marukawa, Kohei;Yamamoto, Etsuhide
Purpose: To assess skeletal stability after mandibular setback surgery with and without an intermaxillary fixation (IMF) screw.Patients and Methods: The subjects were 40 patients with mandibular prognathism. The subjects underwent sagittal split ramus osteotomy with titanium plate fixation and were divided into 2 groups, I with and I without an IMF screw. A lateral cephalogram was done preoperatively, immediately after surgery, and I month, 3 months, and 6 months postoperatively. The 2 groups were then compared statistically.Results: in the comparison of the time-course change between the 2 groups with repeated measure analysis of variance, there were significant differences in occlusal plane (between subjects, F = 2.517; df = 4; P = .0437) and convexity (between subjects, F = 4.048; df = 4; P =.0038). However, there was no significant difference in the other measurements.Conclusion: This study suggested that in most measurements, there was no significant difference between 2 groups with and without an IMF screw in time-course skeletal change. However, use of IMF screws was helpful for orthognathic surgery as a rigid anchor of IMF. (c) 2007 American Association of Oral and Maxillofacial Surgeons.