Relationship between Frontal Gap and Postoperative Stability in the Treatment of Mandibular Prognathism

• Main Authors: Yu-Chuan Tseng, Kun-Jung Hsu, Ker-Kong Chen, Ju-Hui Wu, Chun-Ming Chen
• Format: Article
• Language: English
• Published: Hindawi Limited 2016-01-01
• Series: BioMed Research International
• Online Access: http://dx.doi.org/10.1155/2016/7046361

Objectives. To investigate the correlation between frontal gaps and skeletal stability after intraoral vertical ramus osteotomy (IVRO) for correction of mandibular prognathism. Materials and Methods. Thirty-three patients with frontal gaps after IVRO-based mandibular prognathism correction were included. Three lateral and frontal cephalometric radiographs were obtained: preoperatively (T1), immediately postoperatively (T2), and 2 years postoperatively (T3). Two linear measurements (menton [Me] and frontal gap) were compared from T1 to T3 (T21: immediate surgical changes; T32: postoperative stability; T31: 2-year surgical change). Data were analyzed using Pearson’s correlation coefficient and multiple linear regression. Results. The T21 mean surgical horizontal change in the Me position was 12.4±4.23 mm. Vertically, the mean downward Me movement was 0.6±1.73 mm. The mean frontal gaps were 4.7±2.68 mm and 4±2.48 mm in the right and left gonial regions, respectively. Postoperative stability (T32) significantly correlated with the amount of setback. Frontal gaps did not have a significant effect on postoperative stability. However, multiple regression model (R2=0.341, P=0.017) showed value predictability, especially in the amount of setback. Conclusion. Frontal gaps occur after IVRO but have no significant effect on long-term postoperative skeletal stability. The primary risk factor for postoperative relapse remains the amount of mandibular setback.