Alrashidi Hanan A, Almutairi Mohammed H, Almohaimeed Sarah M, Homdi Lara A, Alharbi Aljawhara F, Alazmi Ghadah S, Mesmeli Rehab O, Alanazi Abdullah M, Muaini Samiyah A, Alraddadi Kholoud A, Alowaimer Hesham
General Dentistry, Ministry of Health, Riyadh, SAU.
General Dentistry, Ministry of National Guard - Health Affairs, Riyadh, SAU.
Cureus. 2024 Oct 22;16(10):e72163. doi: 10.7759/cureus.72163. eCollection 2024 Oct.
Orthognathic surgery is a procedure that allows oral and maxillofacial surgeons to resolve jaw asymmetry issues and restore function, esthetics, and balance. Orthodontics plays a major part in the pre-surgical and post-surgical phases, thus necessitating a multidisciplinary approach. Certain skeletal discrepancies may remain despite correction with routine growth modification and camouflage treatment, or they may not qualify for these treatments. These skeletal discrepancies are addressed through orthognathic surgeries such as the Le Fort I osteotomy for the maxilla and the bilateral split sagittal osteotomy (BSSO) for the mandible. This narrative review aimed to investigate the factors leading to the instability and relapse of the different surgical procedures by comparing the related literature for all three planes: sagittal, vertical, and transverse. Additionally, it highlights the new trends and modern technology in orthognathic surgery. These findings are targeted at elucidating better surgical approaches, understanding what practices ensure long-term stability, and improving outcomes with greater practitioner and patient satisfaction.
正颌外科手术是一种使口腔颌面外科医生能够解决颌骨不对称问题并恢复功能、美观和平衡的手术。正畸在术前和术后阶段起着重要作用，因此需要多学科方法。尽管通过常规的生长改良和掩饰性治疗进行了矫正，但某些骨骼差异可能仍然存在，或者它们可能不符合这些治疗的条件。这些骨骼差异通过正颌手术来解决，例如上颌的Le Fort I截骨术和下颌的双侧矢状劈开截骨术（BSSO）。这篇叙述性综述旨在通过比较矢状面、垂直面和横断面上所有相关文献，研究导致不同手术程序不稳定和复发的因素。此外，它还强调了正颌外科手术的新趋势和现代技术。这些发现旨在阐明更好的手术方法，了解哪些做法可确保长期稳定性，并提高手术效果，使医生和患者满意度更高。
