SURGERY OF MANDIBULAR PROGNATHISM ACCORDING TO HUNSUCK-EPKER APPROACH
Abstract
Background. In the following article the authors presents the advantages of the mandibular prognathism correction by Hunsuck-Epker approach and compares it with the Obwegeser surgery method. When operating according to the Hunsuck-Epker approach the osteo lingual section reaches only the concave plate of the mandible on the lingual side. Thus the possibility of damaging the neurovascular fascicle is reduced and the surgery time shortened. The surgery is performed exclusively by inter-oral approach. In majority of cases the attachment of the chewing muscles remains unchanged. This surgery method yielded good results.
Conclusions. Hunsuck-Epker surgery for the correction of mandibular prognathism can be performed by intra-oral approach. Complications during the surgery are reduced. No scars left on the face. The attachments of the chewing muscles remain unchanged.
Downloads
References
Hunsuck EE. A modified intraoral sagittal splitting technique for correction of mandibular prognathism. J Oral Surg 1968; 26: 250–8.
Epker BN. Modifications in the sagittal osteotomy of the mandible. J Oral Surg 1977; 35: 157–62.
Spiessl B. The sagittal splitting osteotomy for correction of mandibular prognathism. Clin Plast Surg 1982; 9: 491–3.
Žajdela Z. Razvoj estetskih operacij v 40 letih na Univerzitetni kliniki za maksilofacialno in oralno kirurgijo. Zobozdr Vestn 1987; 42: 60–2.
Bergsma EJ, Rozema FR, Bos RR et al. Foreign body reactions to resorbable poli (L-lactide) bone plates and screws used for the fixation of unstable zygomatic fractures. J Oral Maxillofac Surg 1993; 51: 666–9.
Harada K, Enomoto S. Stability after surgical correction of mandibular prognathism using the sagittal split ramus osteotomy and fixation with polyL-lactict acid (PLLA) screws. J Oral Maxillofac Surg 1997; 55: 464–8.
Cutbirth M, van Sickels JE, Thrash WJ. Condylar resorption after bicortical screw fixation of mandibular advancement. J Oral Max Surg 1998; 56: 178–2.
Merx MA, van Damme PA. Condylar resorption after orthognathic surgery. J Cranio Max Surg 1994; 22: 53–8.
Kerstens HC, Tuinzing DB, Golding RP, van der Kwast WM. Condylar artrophya and osteoarthrosis after bimaxillary surgery. Oral Surg Oral Med Oral Pathol 1990; 69: 274–80.
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.
