Research Progress on Mandible-first Sequencing in Bimaxillary Orthognathic Surgery

doi:10.13701/j.cnki.kqyxyj.2021.06.005

Abstract

Abstract: Two common sequences of bimaxillary orthognathic surgery are maxillary-first and mandible-first. During maxillary-first sequence, maxilla is repositioned and stabilized firstly, then using the stable maxilla to reposition the mandible. On the contrary, during mandible-first sequence, the mandible is firstly repositioned and stabilized, followed by repositioning the maxilla. Although there were significant advantages to support the using of mandible-first sequence, controversial still remains. The goal of this article is to review the application and research progress of mandible-first to assist surgeons in determining the sequence of bimaxillary orthognathic surgery.

Key words: bimaxillary orthognathic surgery, dental maxillofacial deformities, operation sequence, mandibular-first, maxillary-first

LIU Yao, WAN Qilong. Research Progress on Mandible-first Sequencing in Bimaxillary Orthognathic Surgery[J]. Journal of Oral Science Research, 2021, 37(6): 501-504.

References

[1] Borba AM, Borges AH, Ce PS, et al. Mandible-first sequence in bimaxillary orthognathic surgery: a systematic review [J]. Int J Oral Maxillofac Surg, 2016, 45(4):472-475.
[2] 杨学文,东耀峻.坚强内固定技术在正颌手术中的应用[J].口腔医学研究,2003,19(4):284-286.
[3] Lindorf HH, Steinhäuser EW. Correction of jaw deformities involving simultaneous osteotomy of the mandible and maxilla [J]. J Maxillofac Surg, 1978, 6(4):239-244.
[4] Perez D, Ellis ER. Sequencing bimaxillary surgery: mandible first [J]. J Oral Maxillofac Surg, 2011, 69(8):2217-2224.
[5] Allar ML, Movahed R, Wolford LM, et al. Nasolabial changes following double jaw surgery [J]. J Craniofac Surg, 2019, 30(8):2560-2564.
[6] Sawh-Martinez R, Lin AM, DeSesa CR, et al. Clockwise and counterclockwise Le Fort Ⅰ movements influence nasolabial morphology differently [J]. Plast Reconstr Surg, 2018, 142(6):1572-1581.
[7] Sharma R, Muralidharan CG, Verma M, et al. MRI changes in the temporomandibular joint after mandibular advancement [J]. J Oral Maxillofac Surg, 2020, 78(5):806-812.
[8] Cottrell DA, Wolford LM. Altered orthognathic surgical sequencing and a modified approach to model surgery [J]. J Oral Maxillofac Surg, 1994, 52(10):1010-1020.
[9] Liebregts J, Baan F, de Koning M, et al. Achievability of 3D planned bimaxillary osteotomies: maxilla-first versus mandible-first surgery [J]. Sci Rep, 2017, 7(1):9314.
[10] Wolford LM. Comprehensive Post Orthognathic Surgery Orthodontics: Complications, Misconceptions, and Management [J]. Oral Maxillofac Surg Clin North Am, 2020, 32(1):135-151.
[11] Lu C, He D, Yang C, et al. Computer-assisted surgical planning and simulation for unilateral condylar benign lesions causing facial asymmetry [J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2017, 123(4):453-458.
[12] 魏焱,张晓欣,许胡笛.3D打印在口腔临床工作的应用[J].口腔医学研究,2019,35(4):325-327.
[13] Salmen FS, de Oliveira T, Gabrielli M, et al. Sequencing of bimaxillary surgery in the correction of vertical maxillary excess: retrospective study [J]. Int J Oral Maxillofac Surg, 2018, 47(6):708-714.
[14] Ritto FG, Ritto TG, Ribeiro DP, et al. Accuracy of maxillary positioning after standard and inverted orthognathic sequencing [J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2014, 117(5):567-574.
[15] Yaghmaei M, Ejlali M, Nikzad S, et al. General anesthesia in orthognathic surgeries: does it affect horizontal jaw relations?[J]. J Oral Maxillofac Surg, 2013, 71(10):1752-1756.
[16] Titiroongruang W, Liao YF, Chen YA, et al. A new 3D analysis on displacement of proximal segment after bilateral sagittal split osteotomy for class Ⅲ asymmetry [J]. Clin Oral Investig, 2020, 24(10):3641-3651.
[17] Béziat JL, Babic B, Ferreira S, et al. Justification for the mandibular-maxillary order in bimaxillary osteotomy [J]. Rev Stomatol Chir Maxillofac, 2009, 110(6):323-326.
[18] Borba AM, Ribeiro-Junior O, Brozoski MA, et al. Accuracy of perioperative mandibular positions in orthognathic surgery [J]. Int J Oral Maxillofac Surg, 2014, 43(8):972-979.
[19] Ozdemir F, Tozlu M, Germec-Cakan D. Cortical bone thickness of the alveolar process measured with cone-beam computed tomography in patients with different facial types [J]. Am J Orthod Dentofacial Orthop, 2013, 143(2):190-196.
[20] Buckley MJ, Tucker MR, Fredette SA. An alternative approach for staging simultaneous maxillary and mandibular osteotomies [J]. Int J Adult Orthodon Orthognath Surg, 1987, 2(2):75-78.
[21] Al-Moraissi EA, Ellis E. Stability of bicortical screw versus plate fixation after mandibular setback with the bilateral sagittal split osteotomy: a systematic review and meta-analysis [J]. Int J Oral Maxillofac Surg, 2016, 45(1):1-7.
[22] Salma RG, Al-Shammari FM, Al-Garni BA, et al. Operative time, blood loss, hemoglobin drop, blood transfusion, and hospital stay in orthognathic surgery [J]. Oral Maxillofac Surg, 2017, 21(2):259-266.
[23] Tsai CY, Chang YJ, Wu TJ, et al. Blood loss and operative time associated with orthognathic surgery utilizing a novel navigation system in cleft lip and palate patients [J]. J Formos Med Assoc, 2019, 118(2):588-599.
[24] Yu CN, Chow TK, Kwan AS, et al. Intra-operative blood loss and operating time in orthognathic surgery using induced hypotensive general anaesthesia: prospective study [J]. Hong Kong Med J, 2000, 6(3):307-311.
[25] Liebregts J, Baan F, van Lierop P, et al. One-year postoperative skeletal stability of 3D planned bimaxillary osteotomies: maxilla-first versus mandible-first surgery [J]. Sci Rep, 2019, 9(1):3000.
[26] Stokbro K, Liebregts J, Baan F, et al. Does mandible-first sequencing increase maxillary surgical accuracy in bimaxillary procedures? [J]. J Oral Maxillofac Surg, 2019, 77(9):1882-1893.