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Changes in muscle length and orientation after orthognathic surgeries using a bilateral sagittal split osteotomy as an example

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Języki publikacji
EN
Abstrakty
EN
Purpose: The aim of the present study was to analyze the changes in the angular positions and lengths of the mandibular elevator muscles due to the displacement of bone segments after bilateral sagittal split osteotomy. Additionally, the impact of changes in mandibular geometry on the values of occlusal forces and mandibular condyle loading was considered. The combined geometric and force analysis makes a valuable contribution to the operating conditions of the system affected by the changes. Methods: The considerations were based on elementary principles of analytical geometry and the analysis was performed for two craniofacial geometries. Results: For the rotation of the proximal segment, the greatest differences in angular position concern the masseter muscle during roll rotation (11.7°). Significant changes in muscle length occurred during pitch rotation and amounted to 3.7 mm. Translation of the distal segment by 10 mm changed the angle of the pterygoid muscle by 30.2° in the coronal plane and 18.7° in the sagittal plane, simultaneously changing its direction to that of the opposite. Posterior translation (10 mm) caused an elongation of the muscle by 4.7 mm and anterior translation caused a shortening by 2.6 mm. For the mandible with elongated geometry, lower values of occlusion forces and increased reaction forces in the condyle were observed. Conclusions: The analysis revealed significant changes in the orientation and length of the masticatory muscles, and thus, their potential impact on the functioning conditions of the masticatory system.
Rocznik
Strony
127--135
Opis fizyczny
Bibliogr. 31 poz., rys., tab.
Twórcy
  • Division of Automotive Engineering, Wrocław University of Science and Technology, Wrocław, Poland
  • Department of Mechanics, Materials and Biomedical Engineering, Wrocław University of Science and Technology, Wrocław, Poland
  • Division of Automotive Engineering, Wrocław University of Science and Technology, Wrocław, Poland
Bibliografia
  • [1] AN S., PARK S., KIM Y., SON W., Effect of post – orthognathic surgery condylar axis changes on condylar morphology as determined by 3-dimensional surface reconstruction, Angle Orthod., 2014, 84 (2), 316–321.
  • [2] CARLSON D.S., ELLIS E., DECHOW P.C., NEMETH P.A., Short--term stability and muscle adaptation after mandibular advancement surgery with and without suprahyoid myotomy in juvenile Macaca mulatta, Oral Surg. Oral Med. Oral Pathol., 1989, 68 (2), 135–149.
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  • [4] DICKER G.J., CASTELIJNS J.A., TUINZING D.B., STOELINGA P.J.W., Do the changes in muscle mass, muscle direction, and rotations of the condyles that occur after sagittal split advancement osteotomies play a role in the aetiology of progressive condylar resorption?, Int. J. Oral Maxillofac. Surg., 2015, 44 (5), 627–631.
  • [5] DICKER G.J., KOOLSTRA J.H., CASTELIJNS J.A., VAN SCHIJNDEL R.A., TUINZING D.B., Positional changes of the masseter and medial pterygoid muscles after surgical mandibular advancement procedures: an MRI study, Int. J. Oral Maxillofac. Surg., 2012, 41 (8), 922–929.
  • [6] DICKER G.J., TUIJT M., KOOLSTRA J.H., VAN SCHIJNDEL R.A., CASTELIJNS J.A., TUINZING D.B., Static and dynamic loading of mandibular condyles and their positional changes after bilateral sagittal split advancement osteotomies, Int. J. Oral Maxillofac. Surg., 2012, 41 (9), 1131–1136.
  • [7] DICKER G.J., VAN SPRONSEN P., VAN SCHIJNDEL R. et al., Adaptation of jaw closing muscles after surgical mandibular advancement procedures in different vertical craniofacial types: a magnetic resonance imaging study, Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 2007, 103 (4), 475–482.
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  • [10] HA M.H., KIM Y.I., PARK S.B., KIM S.S., SON W.S., Cone-beam computed tomographic evaluation of the condylar remodeling occurring after mandibular set-back by bilateral sagittal split ramus osteotomy and rigid fixation, Korean J. Orthod., 2013, 43 (6), 263–270.
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  • [12] HOPPENREIJS T., MAAL T., XI T., KONING M. DE, BERG S., The role of mandibular proximal segment rotations on skeletal relapse and condylar remodelling following bilateral sagittal split advancement osteotomies, Craniomaxillofac. Surg., 2015, 43 (9), 1716–1722.
  • [13] HWANG S.J., HAERS P.E., ZIMMERMANN A., OECHSLIN C., SEIFERT B., SAILER H.F., Surgical risk factors for condylar resorption after orthognathic surgery, Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 2000, 89 (5), 542–552.
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  • [15] JOSS C.U., VASSALLI I.M., Stability After Bilateral Sagittal Split Osteotomy Advancement Surgery With Rigid Internal Fixation: A Systematic Review, J. Oral Maxillofac. Surg., 67 (2), 301–313.
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  • [17] NELSON G.J., Three dimensional computer modeling of human mandibular biomechanics, Dissertation, The University of British Columbia, 1986.
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  • [19] PACHNICZ D., STRÓŻYK P., A Biomechanical Analysis of Muscle Force Changes After Bilateral Sagittal Split Osteotomy, Front Physiol., 2021, 12, 679644, DOI: 10.3389/fphys.2021.679644.
  • [20] PARK S.B., YANG Y.M., KIM Y. IL, CHO B.H., JUNG Y.H., HWANG D.S., Effect of bimaxillary surgery on adaptive condylar head remodeling: Metric analysis and image interpretation using cone-beam computed tomography volume superimposition, J. Oral Maxillofac. Surg., 2012, 70 (8), 1951–1959.
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  • [27] VAN DEN BEMPT M., VINAYAHALINGAM S., HAN M.D., BERGÉ S.J., XI T., The role of muscular traction in the occurrence of skeletal relapse after advancement bilateral sagittal split osteotomy (BSSO): A systematic review, Orthod. Craniofacial. Res., 2021, DOI: 10.1111/OCR.12488.
  • [28] VAN DER MEULEN J.H., BORSCHEL G.H., LYNCH J.B. et al., The effect of rate of distraction osteogenesis on structure and function of anterior digastric muscle fibers, Plast. Reconstr. Surg., 2005, 115 (3), 831–837.
  • [29] VAN SICKELS J.E., HATCH J.P., DOLCE C., BAYS R.A., RUGH J.D., Effects of age, amount of advancement, and genioplasty on neurosensory disturbance after a bilateral sagittal split osteotomy, J. Oral Maxillofac. Surg., 2002, 60 (9), 1012–1017
  • [30] VAN SPRONSEN P.H., KOOLSTRA J.H., VAN GINKEL F.C., WEIJS W.A., VALK J., PRAHL-ANDERSEN B., Relationships between the orientation and moment arms of the human jaw muscles and normal craniofacial morphology, Eur. J. Orthod., 1997, 19 (3), 313–328. DOI: 10.1093/ejo/19.3.313.
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Uwagi
Opracowanie rekordu ze środków MNiSW, umowa nr SONP/SP/546092/2022 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2024).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-a23cf797-80d1-4d07-be59-790e85023499
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