Traditional bilateral sagittal split osteotomy versus short variant on the sensory recovery of the chin and lower lip
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Abstract
Objective: This prospective non-randomized study aimed to clinically assess the cutaneous sensitivity in six points on the chin and two on the lower lip in patients undergoing orthognathic surgery. Bilateral sagittal split osteotomy (BSSO) was performed using two different techniques. Method: The study was conducted in two stages: i) pre-operative sensitivity evaluation of the chin and lower lip, ii) post-operative sensitivity evaluation of the chin and lower lip after one week, one month, two weeks, and six months. The sample comprised 60 patients divided into two groups: traditional BSSO and short BSSO. Sensitivity assessment was conducted using Semmes-Weinstein nylon monofilament in all pre-operative and post-operative periods. Result: The mean age in the traditional BSSO group was 30 years old (range from 17 to 50) and 29.81 years old (range from 15 to 55) for the short BSSO, none of the patients had impaired inferior alveolar nerve function in the evaluated areas. All patients in the short BSSO group had full sensitive recovery under 2 months and traditional BSSO group had full recovery only at the six-month evaluation. Conclusion: The results of this study suggest that short BSSO provided faster sensitivity recovery and was a simpler, less traumatic approach.
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References
Sugawara J, Mitani H. Facial growth of skeletal Class III malocclusion and the effects, limitations, and long-term dentofacial adaptations to chincap therapy. Semin Orthod. 1997;3(4):244-54. http://doi.org/10.1016/S1073- 8746(97)80057-6. PMid:9573886. DOI: https://doi.org/10.1016/S1073-8746(97)80057-6
Ribeiro-Neto CA, Ferreira G, Monnazzi GCB, Gabrielli MFR, Monnazzi MS. Dentofacial deformities and the quality of life of patients with these conditions: a comparative study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;126(6):457-62. http://doi.org/10.1016/j.oooo.2018.08.013. PMid:30291005. DOI: https://doi.org/10.1016/j.oooo.2018.08.013
Monnazzi MS, Real Gabrielli MF, Passeri LA, Cabrini Gabrielli MA, Spin-Neto R, Pereira-Filho VA. Inferior alveolar nerve function after sagittal split osteotomy by reciprocating saw or piezosurgery instrument: Prospective double-blinded study. J Oral Maxillofac Surg. 2014;72(6):1168-72. http://doi. org/10.1016/j.joms.2013.11.007. PMid:24480761. DOI: https://doi.org/10.1016/j.joms.2013.11.007
Obwegeser H. Zur Operationstechnik bei der Progenie und anderer Unyterkieferanomalien. Dtsch Z Mund Kieferheilk. 1955;23(1):1-26.
Trauner R, Obwegeser H. The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. Oral Surg Oral Med Oral Pathol. 1957;10(7):677-89. http://doi. org/10.1016/S0030-4220(57)80063-2. PMid:13441284. DOI: https://doi.org/10.1016/S0030-4220(57)80063-2
Dal Pont G. Retromolar osteotomy for the correction of prognathism. J Oral Surg Anesth Hosp Dent Serv. 1961;19:42-7. PMid:13719390.
Epker BN. Modifications in the sagittal osteotomy of the mandible. J Oral Surg. 1977;35(2):157-9. PMid:264514.
Ellis E 3rd. A method to passively align the sagittal ramus osteotomy segments. J Oral Maxillofac Surg. 2007;65(10):2125- 30. http://doi.org/10.1016/j.joms.2007.02.005. PMid:17884553. DOI: https://doi.org/10.1016/j.joms.2007.02.005
Hunsuck EE. A modified intraoral sagittal splitting technique for correction of mandibular prognathism. J Oral Surg. 1968;26(4):250-3. PMid:5237786.
Sant’Ana E, Souza DPE, Temprano AB, Shinohara EH, Faria PEP. Lingual short split: a bilateral sagittal split osteotomy technique modification. J Craniofac Surg. 2017;28(7):1852-4. http://doi. org/10.1097/SCS.0000000000003839. PMid:28872502. DOI: https://doi.org/10.1097/SCS.0000000000003839
Weinstein S. Fifty years of somatosensory research: from the Semmes-Weinstein Monofilaments to the Weinstein Enhanced Sensory Test. J Hand Ther. 1993;6(1):11-22. http:// doi.org/10.1016/S0894-1130(12)80176-1. PMid:8343870. DOI: https://doi.org/10.1016/S0894-1130(12)80176-1
Levin S, Pearsall G, Ruderman RJ. Von Frey’s method of measuring pressure sensibility in the hand: an engineering analysis of the Weinstein-Semmes pressure aesthesiometer. J Hand Surg Am. 1978;3(3):211-6. http://doi.org/10.1016/S0363-5023(78)80084- 7. PMid:659817. DOI: https://doi.org/10.1016/S0363-5023(78)80084-7
Jacobs R, Wu CH, van Loven K, Desnyder M, Kolenaar B, van Steenberghed D. Methodology of oral sensory tests. J Oral Rehabil. 2002;29(8):720-30. http://doi.org/10.1046/j.1365- 2842.2002.00952.x. PMid:12220338. DOI: https://doi.org/10.1046/j.1365-2842.2002.00952.x
Novak CB, Mackinnon SE, Williams JI, Kelly L. Establishment of reliability in the evaluation of hand sensibility. Plast Reconstr Surg. 1993;92(2):311-22. http://doi.org/10.1097/00006534- 199308000-00017. PMid:8337282. DOI: https://doi.org/10.1097/00006534-199308000-00017
Gianni AB, D’Orto O, Biglioli F, Bozzetti A, Brusati R. Neurosensory alterations of the inferior alveolar and mental nerve after genioplasty alone or associated with sagittal osteotomy of the mandibular ramus. J Craniomaxillofac Surg. 2002;30(5):295-303. http://doi.org/10.1016/S1010- 5182(02)90311-2. PMid:12377203. DOI: https://doi.org/10.1054/jcms.2002.0311
Villarroel MF, Orsini MBP, Lima RC, Antunes CMF. Comparative study of the cutaneous sensation of leprosy-suspected lesions using Semmes-Weinstein monofilaments and quantitative thermal testing. Lepr Rev. 2007;78(2):102-9. http://doi. org/10.47276/lr.78.2.102. PMid:17824480. DOI: https://doi.org/10.47276/lr.78.2.102
Bell-Krotoski J. Peripheral neuropathy and examination of the hands. Star. 1991;50(5):1-5.
Bell-Krotoski J. “Pocket filaments” and specifications for the semmes-weinstein monofilaments. J Hand Ther. 1990;3(1):26- 31. http://doi.org/10.1016/S0894-1130(12)80366-8. DOI: https://doi.org/10.1016/S0894-1130(12)80366-8
Schuchardt K. Ein Beitrag zur chirurgischen Kieferorthopadie under Berucksichtigueihrer Bedeutung fur die Behandlung angeborener und erworbener Kieferdeformitaten bie Soldaten. Dtsch Zahn Mund Kieferheilkd. 1942;9:73-89.
Trauner R, Obwegeser H. The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. II. Operating methods for microgenia and distoclusion. Oral Surg Oral Med Oral Pathol. 1957;10(8):787-92. http://doi. org/10.1016/0030-4220(57)90105-6. PMid:13452398. DOI: https://doi.org/10.1016/0030-4220(57)90105-6
Nishioka GJ, Aragon SB. Modified sagittal split technique for patients with a high lingula. J Oral Maxillofac Surg. 1989;47(4):426-7. http://doi.org/10.1016/0278-2391(89)90352- 2. PMid:2926556. DOI: https://doi.org/10.1016/0278-2391(89)90352-2
Wyatt WM. Sagittal ramus split osteotomy: literature review and suggested modification of technique. Br J Oral Maxillofac Surg. 1997;35(2):137-41. http://doi.org/10.1016/S0266- 4356(97)90691-4. PMid:9146874. DOI: https://doi.org/10.1016/S0266-4356(97)90691-4
Anderson AM, Croft RP. Reliability of Semmes Weinstein monofilament and ballpoint sensory testing, and voluntary muscle testing in Bangladesh. Lepr Rev. 1999;70(3):305-13. http://doi.org/10.5935/0305-7518.19990034. PMid:10603720. DOI: https://doi.org/10.5935/0305-7518.19990034
Lehman LF, Orsini MBP, Nicholl ARJ. The development and adaptation of the Semmes-Weinstein monofilaments in Brazil. J Hand Ther. 1993;6(4):290-7. http://doi.org/10.1016/S0894- 1130(12)80330-9. PMid:8124443. DOI: https://doi.org/10.1016/S0894-1130(12)80330-9
Poort LJ, van Neck JW, van der Wal KGH. Sensory testing of inferior alveolar nerve injuries: a review of methods used in prospective studies. J Oral Maxillofac Surg. 2009;67(2):292-300. http://doi.org/10.1016/j.joms.2008.06.076. PMid:19138602. DOI: https://doi.org/10.1016/j.joms.2008.06.076
Vriens JPM, van der Glas HW. Extension of normal values on sensory function for facial areas using clinical tests on touch and two-point discrimination. Int J Oral Maxillofac Implants. 2009;38(11):1154-8. http://doi.org/10.1016/j.ijom.2009.06.006. PMid:19596558. DOI: https://doi.org/10.1016/j.ijom.2009.06.006
Rizzolo RJC, Madeira MC. Sistema nervoso. In: Madeira MC, editor. Anatomia facial com fundamentos de anatomia geral. 5ª ed. São Paulo: Savier; 2016. p. 262-76.
Drake RL, Vogl W, Mitchell AWM. Head and neck. In: Drake RL, editor. Gray’s anatomy for students. 2nd ed. Philadelphia: Elsevier; 2005.
Takasaki Y, Noma H, Masaki H, Fujikawa M, Alberdas JL, Tamura H, et al. A clinical analysis of the recovery from sensory disturbance after sagittal splitting ramus osteotomy using a Semmes-Weinstein pressure aesthesiometer. Bull Tokyo Dent Coll. 1998;39(3):189-97. PMid:9927905.