A technique of the sagittal split mandibular ramus osteotomy modified for the Japanese prognathism

The sagittal split mandibular ramus osteotomy, established b Obwegeser in Europe, is recognized and utilized internationally as an useful procedure fo orthognathic surgery of mandibular prognathism. However, as indicated by the anthropologist, the skeletal architecture of Orientals including Japanes...

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Published inJapanese Journal of Oral and Maxillofacial Surgery Vol. 31; no. 6; pp. 1552 - 1560
Main Authors WADA, Takeshi, IBUKI, Kaoru, KOGO, Mikihiko, NISHIO, Juntaro, YAKUSHIJI, Noboru, YOSHIDA, Kenmi, SAKUDA, Mamoru, GOTO, Tomonobu, TSUCHIYA, Masafumi, MIYAZAKI, Tadashi, MATSUYA, Tokuzo
Format Journal Article
LanguageEnglish
Published Japanese Society of Oral and Maxillofacial Surgeons 1985
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ISSN0021-5163
2186-1579
DOI10.5794/jjoms.31.1552

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Abstract The sagittal split mandibular ramus osteotomy, established b Obwegeser in Europe, is recognized and utilized internationally as an useful procedure fo orthognathic surgery of mandibular prognathism. However, as indicated by the anthropologist, the skeletal architecture of Orientals including Japanese is not consistent with those of the Caucasions. The authors have modified the sagittal split mandibular ramus osteotomy so it can be applied for the maxillomandibular structures of Orientals. The present article demonstrates the newly modified surgical procedure with a report of 3 cases treated by this technique.
AbstractList The sagittal split mandibular ramus osteotomy, established b Obwegeser in Europe, is recognized and utilized internationally as an useful procedure fo orthognathic surgery of mandibular prognathism. However, as indicated by the anthropologist, the skeletal architecture of Orientals including Japanese is not consistent with those of the Caucasions. The authors have modified the sagittal split mandibular ramus osteotomy so it can be applied for the maxillomandibular structures of Orientals. The present article demonstrates the newly modified surgical procedure with a report of 3 cases treated by this technique.
Author IBUKI, Kaoru
TSUCHIYA, Masafumi
MIYAZAKI, Tadashi
MATSUYA, Tokuzo
SAKUDA, Mamoru
WADA, Takeshi
KOGO, Mikihiko
GOTO, Tomonobu
YAKUSHIJI, Noboru
YOSHIDA, Kenmi
NISHIO, Juntaro
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  fullname: WADA, Takeshi
  organization: Center for Stomatognathic Dysfunction Osaka University Dental Hospital and Clinics
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  fullname: IBUKI, Kaoru
  organization: First Department of Oral and Maxillofacial Surgery Osaka University Faculty of Dentistry
– sequence: 1
  fullname: KOGO, Mikihiko
  organization: First Department of Oral and Maxillofacial Surgery Osaka University Faculty of Dentistry
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  fullname: NISHIO, Juntaro
  organization: First Department of Oral and Maxillofacial Surgery Osaka University Faculty of Dentistry
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  fullname: YAKUSHIJI, Noboru
  organization: Center for Stomatognathic Dysfunction Osaka University Dental Hospital and Clinics
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  fullname: YOSHIDA, Kenmi
  organization: Department of Orthodontics Osaka University Faculty of Dentistry
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  fullname: SAKUDA, Mamoru
  organization: Department of Orthodontics Osaka University Faculty of Dentistry
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  fullname: GOTO, Tomonobu
  organization: Center for Stomatognathic Dysfunction Osaka University Dental Hospital and Clinics
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  fullname: TSUCHIYA, Masafumi
  organization: Department of Orthodontics Osaka University Faculty of Dentistry
– sequence: 1
  fullname: MIYAZAKI, Tadashi
  organization: First Department of Oral and Maxillofacial Surgery Osaka University Faculty of Dentistry
– sequence: 1
  fullname: MATSUYA, Tokuzo
  organization: First Department of Oral and Maxillofacial Surgery Osaka University Faculty of Dentistry
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References 8) Paulus, G. W. and Steinhauser, E. W.: A comparative study of wire osteosynthesis verus bone screws in the treatment of mandibular prognathism. Oral Surg 54: 2-6 1982.
12) Isaacson, R. J., Kopytov, O. S., et al.: Movement of the proximal and distal segments after mandibular ramus osteotomies. J Oral Surg 36: 263-279 1978.
9) Kundert, M. and Hadjanghelou, O.: Condylar displacement after sagittal splittng of the mandibular rami. J max-fac Surg 8: 278-287 1980.
5) Trauner, R. and Obwegeser, H.: Zur Operationstechnik bei der Progenie und anderen Unterkieferanomalien. Dtsch Zahn Mund Kieferheilk 23: 1-26 1955.
17) Sicher, H. and Du Brul, E. L.: Oral Anatomy 5th Ed. Mosby Co., St Louis, 1970, p69-73.
6) Spiessl, B.: Osteosynthese bei sagittaler Osteotomie nach Obwegeser-Dal Pont. Fortschritte der Kiefer-und Gesichtschirurgie 18: 145-148 1974.
11) Farmand, M. und Obwegeser, H.: Unsere heutige Operations-technik der sagittalen Spaltung. Fortschritte der Kiefer und Gesichts Chir 26: 99-101 1981.
16) Jonsson, E., Svartz, K., et al.: Sagittal split technique. I. Immediate postoperative conditions. Int J Oral Surg 8: 75-81 1979.
10) Tuinzing, D. B. and Swart, G. N.: Lageverdnderungen des Caputmandibulae bei Verwendung von Zugschrauben nach sagittaler Osteotomie des Unterkiefers. Dtsch Zahn Mund Kiefer Gesichts Chir 2: 94-96 1978.
15) 宮崎正, 西尾順太郎: 顎変形症の外科矯正とは, 歯科ジャーナル19: 277-281 1984.
14) 吉田建美, 土屋雅文, 他: 外科的矯正治療-その現況ならびに骨格性下顎前突症の2治験例-. 阪大歯学雑誌27: 232-249 1982.
2) 飯塚忠彦: 顎変形症の外科的治療に関する研究. 口科誌32: 696-722 1983.
1) Dal Pont: Retromolar osteotomy for the correction of prognathism. J Oral Surg 19: 42-47 1969.
7) 松浦正朗, 瀬戸続一, 他: 下顎枝矢状分割ネジ止め固定法における下顎枝外側骨片の位置復元法の開発. 日口外誌30: 615-621 1984.
3) 関口洋介: フランケン地方ドイツ人下顎骨の解剖学的研究. 口病誌41: 336-340 1974
13) Nickerson, J. W.: Stabilization of the proximal segment in sagittal split osteotomy. A new technique. J Oral Maxillofac Surg 41: 683-685 1983.
18) 鶴木隆: zarich大学顎顔面外科の現況 (V) 顎矯正外科, 頭蓋顔面外科 (中). 日本歯科評論 473: 181-195 1982.
4) 大森清弘, 野間弘康, 他: 下顎前突症に対する新しいsagittal splitting method (parallel method). 日口外誌25: 1084-1089 1979.
References_xml – reference: 12) Isaacson, R. J., Kopytov, O. S., et al.: Movement of the proximal and distal segments after mandibular ramus osteotomies. J Oral Surg 36: 263-279 1978.
– reference: 18) 鶴木隆: zarich大学顎顔面外科の現況 (V) 顎矯正外科, 頭蓋顔面外科 (中). 日本歯科評論 473: 181-195 1982.
– reference: 9) Kundert, M. and Hadjanghelou, O.: Condylar displacement after sagittal splittng of the mandibular rami. J max-fac Surg 8: 278-287 1980.
– reference: 3) 関口洋介: フランケン地方ドイツ人下顎骨の解剖学的研究. 口病誌41: 336-340 1974
– reference: 5) Trauner, R. and Obwegeser, H.: Zur Operationstechnik bei der Progenie und anderen Unterkieferanomalien. Dtsch Zahn Mund Kieferheilk 23: 1-26 1955.
– reference: 13) Nickerson, J. W.: Stabilization of the proximal segment in sagittal split osteotomy. A new technique. J Oral Maxillofac Surg 41: 683-685 1983.
– reference: 11) Farmand, M. und Obwegeser, H.: Unsere heutige Operations-technik der sagittalen Spaltung. Fortschritte der Kiefer und Gesichts Chir 26: 99-101 1981.
– reference: 6) Spiessl, B.: Osteosynthese bei sagittaler Osteotomie nach Obwegeser-Dal Pont. Fortschritte der Kiefer-und Gesichtschirurgie 18: 145-148 1974.
– reference: 2) 飯塚忠彦: 顎変形症の外科的治療に関する研究. 口科誌32: 696-722 1983.
– reference: 14) 吉田建美, 土屋雅文, 他: 外科的矯正治療-その現況ならびに骨格性下顎前突症の2治験例-. 阪大歯学雑誌27: 232-249 1982.
– reference: 8) Paulus, G. W. and Steinhauser, E. W.: A comparative study of wire osteosynthesis verus bone screws in the treatment of mandibular prognathism. Oral Surg 54: 2-6 1982.
– reference: 10) Tuinzing, D. B. and Swart, G. N.: Lageverdnderungen des Caputmandibulae bei Verwendung von Zugschrauben nach sagittaler Osteotomie des Unterkiefers. Dtsch Zahn Mund Kiefer Gesichts Chir 2: 94-96 1978.
– reference: 4) 大森清弘, 野間弘康, 他: 下顎前突症に対する新しいsagittal splitting method (parallel method). 日口外誌25: 1084-1089 1979.
– reference: 15) 宮崎正, 西尾順太郎: 顎変形症の外科矯正とは, 歯科ジャーナル19: 277-281 1984.
– reference: 7) 松浦正朗, 瀬戸続一, 他: 下顎枝矢状分割ネジ止め固定法における下顎枝外側骨片の位置復元法の開発. 日口外誌30: 615-621 1984.
– reference: 1) Dal Pont: Retromolar osteotomy for the correction of prognathism. J Oral Surg 19: 42-47 1969.
– reference: 17) Sicher, H. and Du Brul, E. L.: Oral Anatomy 5th Ed. Mosby Co., St Louis, 1970, p69-73.
– reference: 16) Jonsson, E., Svartz, K., et al.: Sagittal split technique. I. Immediate postoperative conditions. Int J Oral Surg 8: 75-81 1979.
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SubjectTerms mandibular prognathism
mandibular structures of the Japanese
modified sagittal split mandibular ramus osteotomy
Title A technique of the sagittal split mandibular ramus osteotomy modified for the Japanese prognathism
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