scholarly journals The Effect of the Mandibular Fixation Method after Bilateral Sagittal Split Ramus Osteotomy on Postoperative Stability: A Literature Review

2016 ◽  
Vol Inpress (Inpress) ◽  
Author(s):  
Shapour Yaripoor ◽  
Pejman Janbaz
Keyword(s):  
Literature Review ◽  
Fixation Method ◽  
Sagittal Split Ramus Osteotomy

Biomechanical Evaluation of a New Fixation Method for Stabilization of Sagittal Split Ramus Osteotomy After Mandibular Advancement

2021 ◽  
Vol 6 ◽  
pp. 247275122110192
Author(s):  
Karel Kuik ◽  
Jean Pierre T. F. Ho ◽  
Cornelis Klop ◽  
Maurits H. T. de Ruiter ◽  
Cornelis J. Kleverlaan ◽  
...  
Keyword(s):  
Hybrid Method ◽  
In Vitro Study ◽  
Mandibular Advancement ◽  
Fixation Method ◽  
Common Procedure ◽  
Sagittal Split Ramus Osteotomy ◽  
Fixation Methods ◽  
Biomechanical Evaluation ◽  
Monocortical Screws

Study Design: Biomechanical in vitro study. Mandibular advancement after sagittal split ramus osteotomy (SSRO) is a common procedure in orthognathic surgery. Several fixation methods are used for stabilization of SSRO. Objective: The aim of this study was to compare a new fixation method (gridplate) with more contemporary applied methods of fixation. Material and Methods: In this study, 50 polyurethane hemimandibles with a prefabricated SSRO were used as specimens. All hemimandibles were advanced by 8 mm and divided into 5 groups with different fixation methods: (A) one 4-hole miniplate with 4 monocortical screws; (B) two 4-hole miniplates with 8 monocortical screws; (C) one 4-hole miniplate with 4 monocortical screws and 1 bicortical screw in the retromolar area (hybrid method); (D) 3 bicortical screws in an inverted-L pattern; and (E) one 8-hole gridplate with 8 monocortical screws. Loads in newtons were recorded at displacements of the mandibular incisive edge at 1 mm, 3 mm and 5 mm. Results: Fixation with 3 bicortical screws and the gridplate presented the most stability, followed by two 4-hole miniplates. Fixation with the hybrid method or the single miniplate showed the least stability. Conclusion: According to the results of this study, the 8-hole gridplate design appears a sufficient fixation method regarding stabilization of SSRO with larger mandibular advancement.

scholarly journals Congenital pseudoarthrosis of the clavicle: Should we reconsider timing and fixation method?

2018 ◽  
Vol 26 (3) ◽  
pp. 230949901879953 ◽  
Author(s):  
Uriel Giwnewer ◽  
Guy Rubin ◽  
Eithan Dohovni ◽  
Nimrod Rozen ◽  
Noam Bor
Keyword(s):  
Literature Review ◽  
Bone Graft ◽  
Callus Formation ◽  
Skin Irritation ◽  
Autologous Bone Graft ◽  
Fixation Method ◽  
Clinical Difference ◽  
Compression Plate ◽  
Different Ages ◽  
Autologous Bone

Background: Congenital pseudoarthrosis of the clavicle (CPC) is rare and may require treatment, usually because of an unacceptable appearance or occasionally because of pain in an adolescent patient. Spontaneous union is unknown, and consequently any desired union requires open reduction and bone grafting. Many authors recommend performing the operation at the age of 3–5 years and using different fixation methods. We present our experience with three cases and literature review in an attempt to further elucidate the appropriate timing of the procedure and the fixation method. Methods: This was a retrospective review of three cases presenting with pseudoarthrosis of the clavicle. All cases were treated by curettage of the pseudoarthrosis, with the void filled using full-thickness ileac crest autologous bone graft and bridging plate—one compression and two anatomical, at different ages. We performed a literature review with emphasis on timing of the procedure, fixation method and complications. Results: All patients healed with good callus formation. One patient (5-year-old female treated using a compression plate) experienced overlying skin irritation and underwent removal of the plate. There were no restriction of movement, pain or any other complaint on the final follow-up. We did not find any difference in the operating complexity at different ages, but when a compression plate was used, it had to be removed later due to bulging of the plate. Discussion: No clinical difference was observed between earlier and late operation. Therefore, we suggest performing a curettage of the pseudoarthrosis, gapping the void using autologous bone graft, and using an anatomical bridging plate.

scholarly journals Analysis of Mandibular Test Specimens Used to Assess a Bone Fixation System

2015 ◽  
Vol 8 (3) ◽  
pp. 171-178 ◽  
Author(s):  
LeandroStocco Baccarin ◽  
Renato Correa Viana Casarin ◽  
JorgeVicente Lopes-da-Silva ◽  
LuisAugusto Passeri
Keyword(s):  
Biomechanical Testing ◽  
Load Resistance ◽  
Fixation Method ◽  
Sagittal Split Ramus Osteotomy ◽  
Biomechanical Behavior ◽  
Synthetic Materials ◽  
Group A ◽  
Materials Used ◽  
Group B

The aim of this study was to assess through biomechanical testing if different synthetic materials used to fabricate test specimens have a different biomechanical behavior in comparison with other materials when simulating in vitro load resistance of a fixation method established for sagittal split ramus osteotomy (SSRO). Thirty synthetic and standardized human hemimandible replicas with SSRO were divided into three groups of 10 samples each. Group A—ABS plastic; Group B—polyamide; and Group C—polyurethane. These were fixated with three bicortical position screws (16 mm in length, 2.0-mm system) in an inverted L pattern using perforation guide and 5-mm advancement. Each sample was submitted to linear vertical load, and load strength values were recorded at 1, 3, 5, 7, and 10 mm of displacement. The means and standard deviation were compared using the analysis of variance ( p < 0.05) and the Tukey test. A tendency for lower values was observed in Group B in comparison with Groups A and C. At 3 and 5 mm of displacement, a difference between Groups A and C was found in comparison with Group B ( p < 0.05). At 7 and 10 mm of displacement, a difference was found among the three groups, in which Group C showed the highest values and Group B the lowest ( p < 0.05). Taking into consideration the results obtained and the behavior of each material used as a substrate, significant differences occurred among the materials when compared among them.

Biomechanical evaluation of hybrid fixation method of sagittal split ramus osteotomy in mandibular advancement

2018 ◽  
Vol 46 (12) ◽  
pp. 2063-2068
Author(s):  
Burcu Gursoytrak ◽  
Nurdan Unsal ◽  
Umut Demetoglu ◽  
Hasan Onur Simsek ◽  
Haci Saglam ◽  
...  
Keyword(s):  
Mandibular Advancement ◽  
Fixation Method ◽  
Hybrid Fixation ◽  
Sagittal Split Ramus Osteotomy ◽  
Biomechanical Evaluation

The relationship between fixation method and early central condylar sagging after bilateral sagittal split ramus osteotomy in orthognathic surgery

2020 ◽  
Vol 48 (10) ◽  
pp. 928-932 ◽  
Author(s):  
Ömer Berköz ◽  
Soner Karaali ◽  
Erol Kozanoğlu ◽  
Bora Edim Akalın ◽  
Atilla Çeri ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Fixation Method ◽  
Sagittal Split Ramus Osteotomy ◽  
The Relationship

Localization of Sodium in Normal and Inhibited Transporting Epithelia

1971 ◽  
Vol 29 ◽  
pp. 392-393
Author(s):  
G. I. Kaye ◽  
J. D. Cole
Keyword(s):  
Plasma Membrane ◽  
Similar Pattern ◽  
Fixation Method ◽  
Colonic Epithelium ◽  
Gallbladder Epithelium ◽  
Rabbit Colon ◽  
Rabbit Gallbladder

For a number of years we have used an adaptation of Komnick's KSb(OH)6-OsO4 fixation method for the localization of sodium in tissues in order to study transporting epithelia under a number of different conditions. We have shown that in actively transporting rabbit gallbladder epithelium, large quantities of NaSb(OH)6 precipitate are found in the distended intercellular compartment, while localization of precipitate is confined to the inner side of the lateral plasma membrane in inactive gallbladder epithelium. A similar pattern of distribution of precipitate has been demonstrated in human and rabbit colon in active and inactive states and in the inactive colonic epithelium of hibernating frogs.

Opening images of synaptic vesicles and calcium localization by means of microwave fixation method

1990 ◽  
Vol 48 (2) ◽  
pp. 182-183
Author(s):  
Vinci Mizuhira ◽  
Hiroshi Hasegawa
Keyword(s):  
Synaptic Vesicles ◽  
Room Temperature ◽  
Osmium Tetroxide ◽  
Sampling Procedure ◽  
Fixation Method ◽  
Potassium Oxalate ◽  
X Ray ◽  
Cacodylate Buffer ◽  
Ultrathin Sections ◽  
Microwave Fixation

Microwave irradiation (MWI) was applied to 0.3 to 1 cm3 blocks of rat central nervous system at 2.45 GHz/500W for about 20 sec in a fixative, at room temperature. Fixative composed of 2% paraformaldehyde, 0.5% glutaraldehyde in 0.1 M cacodylate buffer at pH 7.4, also contained 2 mM of CaCl2 , 1 mM of MgCl2, and 0.1% of tannic acid for conventional observation; and fuether 30-90 mM of potassium oxalate containing fixative was applied for the detection of calcium ion localization in cells. Tissue blocks were left in the same fixative for 30 to 180 min after MWI at room temperature, then proceeded to the sampling procedure, after postfixed with osmium tetroxide, embedded in Epon. Ultrathin sections were double stained with an useal manner. Oxalate treated sections were devided in two, stained and unstained one. The later oxalate treated unstained sections were analyzed with electron probe X-ray microanalyzer, the EDAX-PU-9800, at 40 KV accelerating voltage for 100 to 200 sec with point or selected area analyzing methods.

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