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Doctoral Thesis
DOI
https://doi.org/10.11606/T.25.2023.tde-10112023-172727
Document
Author
Full name
Victor Tatsuyuri Sakima
Institute/School/College
Knowledge Area
Date of Defense
Published
Bauru, 2023
Supervisor
Committee
Sant Ana, Eduardo (President)
Chihara, Letícia Liana
Faria, Paulo Esteves Pinto
Júnior, Osny Ferreira
Title in Portuguese
Comparação da fragilidade gerada por três tipos de osteotomia sagital de mandíbula, estudo in vitro
Keywords in Portuguese
Cirurgia ortognática,Fratura
Osteotomia sagital bilateral de mandíbula
Abstract in Portuguese
A cirurgia ortognática envolve a correção dos componentes do esqueleto facial afim de restaurar, apropriadamente, a anatomia e função em pacientes com deformidades dento esqueléticas. Um componente importante da cirurgia ortognática é a osteotomia sagital bilateral de mandíbula, que é a cirurgia de mandíbula mais realizada, com ou sem combinação de cirurgia de maxila. A osteotomia sagital bilateral de mandíbula foi publicada por Trauner e Obwegeser em 1957, desde então muitos autores propuseram modificações ao desenho da osteotomia ao longo dos anos, afim de diminuir as complicações trans e pós operatórias, bem como tornar o procedimento mais simples e previsível. Entretanto dividir a mandíbula em seu plano sagital através de osteotomia ainda é um desafio, principalmente em mãos de cirurgiões com pouca experiência. O objetivo do presente trabalho é avaliar e comparar a fragilidade causada na mandíbula por três tipos de osteotomia sagital de mandíbula. O estudo será realizado em peças de poliuretano que seguem a anatomia de uma hemimandibula, três grupos de oito mandíbulas serão submetidos a um tipo de osteotomia sagital de mandíbula designada para cada grupo, osteotomia proposta por Trauner e Obwegeser modificada por Epker e Hunsuck, osteotomia de Wolford, e osteotomia lingual short split. Posteriormente será realizado ensaio mecânico afim de aferir a força necessária para causar a fratura sagital. Os dados serão coletados e tabulados, e submetidos ao teste estatístico adequado com nível de significância de 5%.
Title in English
Comparison of fragility generated by three types of sagittal mandible osteotomy, in vitro study
Keywords in English
Bilateral sagittal split osteotomy
Fracture
Orthognatic surgery
Abstract in English
Orthognathic surgery involves the correction of facial skeletal components in order to appropriately restore anatomy and function in patients with dento-skeletal deformities. An important component of orthognathic surgery is the bilateral sagittal jaw osteotomy, which is the most frequently performed jaw surgery, with or without maxillary surgery combined. Since 1957, when the bilateral sagittal mandibular osteotomy was published by Trauner and Obwegeser, many authors have proposed modifications to the the osteotomy over the years, in order to reduce trans and postoperative complications, to make the procedure simpler and more predictable as well. However, dividing the mandible into its sagittal plane through osteotomy still a challenge, especially for less experienced surgeons. The aim of the present study is to evaluate and compare the mandibular fragility caused by three types of sagittal mandible osteotomy. The study where performed in polyurethane pieces that follow the anatomy of a hemimandibula, three groups of eight mandibles will undergo a type of sagittal osteotomy of mandible assigned to each group, osteotomy proposed by Trauner and Obwegeser modified by Epker and Hunsuck, Wolfords osteotomy, and lingual short split osteotomy. Those pieces was submitted a mechanical test in order to assess the necessary force to cause sagittal fracture. Collected data was submit to the appropriate statistical test with significance level of 5%.
 
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Release Date
2025-09-05
Publishing Date
2023-11-13
 
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