Osteossíntese no Tratamento Cirúrgico dos Prognatismos: Estado da Arte

Nuno Durão; José Amarante

doi:10.20344/amp.7788

Osteosynthesis in the Surgical Treatment of Prognathism: State of The Art

Authors

Nuno Durão Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
José Amarante Serviço de Cirurgia Plástica, Reconstrutiva, Estética e Maxilofacial. Centro Hospitalar de São João. Porto. Portugal. Departamento de Cirurgia. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.

DOI:

https://doi.org/10.20344/amp.7788

Keywords:

Absorbable Implants, Bone Plates, Bone Screws, Orthognathic Surgical Procedures, Prognathism/surgery

Abstract

Introduction: Prognathism is a common skeletal facial abnormality, associated with class III malocclusion, often with repercussions in quality of life. In addition to orthodontic treatment, sagittal split ramus osteotomy is the most common technique for its correction, and segment osteosynthesis is an important element of the post-surgical outcome.
Materials and Methods: A search for relevant literature was conducted in the PubMed/MEDLINE database and in other relevant sources.
Results: The stability of different fixation methods, their repercussions on inferior alveolar nerve lesions, and the type of material are among the most researched subjects.
Discussion: Recent research about the type of osteosynthesis applied in the sagittal split ramus osteotomy for mandibular setback is discussed.
Conclusion: Miniplates appear to be the better option for fixation of sagittal split osteotomy for mandibular setback. Bioabsorbable osteosynthesis may be an acceptable alternative to titanium.

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Author Biography

José Amarante, Serviço de Cirurgia Plástica, Reconstrutiva, Estética e Maxilofacial. Centro Hospitalar de São João. Porto. Portugal. Departamento de Cirurgia. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.

Chefe do Serviço de Cirurgia Plástica, Reconstrutiva, Estética e Maxilofacial, Centro Hospitalar de São João; Professor Catedrático de Cirurgia, Faculdade de Medicina da Universidade do Porto

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Published

2017-03-31

How to Cite

Durão N, Amarante J. Osteosynthesis in the Surgical Treatment of Prognathism: State of The Art. Acta Med Port [Internet]. 2017 Mar. 31 [cited 2024 Nov. 25];30(3):224-32. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/7788

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Issue

Vol. 30 No. 3 (2017): March

Section

AMP Student Review

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