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KMID : 0355620070330020109
Journal of Korean Association of Oral and Maxillofacial Surgeons
2007 Volume.33 No. 2 p.109 ~ p.113
Changes in tongue position, airway width, gonial angle, lower facial height after bilateral sagittal split ramus osteotomy in mandibular prognathic patients
Lee Kyu-Hong

Hwang Yong-In
Kim Yoon-Ji
Cheon Se-Hwan
Kim Hyung-Wook
Park Jun-Hu
Rhee Gun-Joo
Park Yang-Ho
Abstract
Introduction. In patients with mandibular prognathism, Bilateral Sagittal Split Ramus Osteotomy(BSSRO) combined with orthodontic treatment reduces oral volume and influences tongue and other surrounding tissues. Purpose of this study was to analyze post-operative tongue position and airway dimension, as well as mandibular changes in vertical, horizontal, and angular dimensions. Materials and methods. Height of dorsum of tongue, width of airway, gonial angle and lower facial height of mandibular prognathic patients who visited Kangdong Sacred Heart Hospital from Jan. 2001 to Dec. 2006 were anaylzed via pre-operative and post-operative cephalograms. T-test was used to compare pre-operative and post-operative measurements. Also, correlations among pre-operative measurements of the patients were analyzed. Results and conclusion. A significant correlation was shown between ANS-Xi-PM area and location of dorsum of tongue in pre-operative patients. A significant superior movement of tongue and decrease of airway width was observed in post-operative patients. Also the upper gonial angle decreased significantly.
KEYWORD
Tongue, Airway, Gonial angle, Lower facial height, Bilateral Sagittal Split Ramus Osteotomy(BSSRO)
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