Effects of Low Medial Ramus Osteotomy on Neurosensorial Recovery During Post-Operative Period

Ali Törel Saygı

Status

Completed

Conditions

Orthognathic Surgical Procedures

Treatments

Procedure: Bilateral Sagittal Split Osteotomy

Study type

Interventional

Funder types

Other

Identifiers

NCT06662331

22/3

Details and patient eligibility

About

The aim of this study is to compare the post-operative neurosensorial disturbances of Hunsuck-Epkerr and "low and short medial osteotomy" modifications of sagittal split ramus osteotomy. Patients at the ages of 18-35 with dentofacial deformity who applied for orthognathic surgery were included in the present study. The present study performed with split-mouth randomised controlled trial design, therefore osteotomies on one side were performed with Hunscuk-Epkerr modification and the contralateral side with low and short medial osteotomy modification. Double blinded evaluations of neuro sensorial alterations were performed at the 1st, 3rd and 6th months post-operatively. Painful stimuli, two-point discrimination, pressure and brush stroke direction tests were evaluated. Subjective neurosensorial recovery was also evaluated with VAS scores given by patients.

Enrollment

21 patients

Sex

All

Ages

18 to 35 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients with dentofacial deformity who needs orthognatic surgery

Exclusion criteria

The patients with medical conditions that may affect the potential of nerve regeneration,
The patient who need additional osteotomies such as genioplasty or mandibular subapical segmental osteotomies
The patients with bad split or interrupted IAN
The patients with more than 5 mm expected buccal osseous gap between proximal and distal segments