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Maxillo-mandibular counter-clockwise rotation and mandibular advancement with TMJ Concepts (R) total joint prostheses Part II - Airway changes and stability

dc.contributor.authorColeta, K. E. D. [UNESP]
dc.contributor.authorWolford, L. M.
dc.contributor.authorGonçalves, João Roberto [UNESP]
dc.contributor.authorSantos-Pinto, Ary dos [UNESP]
dc.contributor.authorCassano, D. S.
dc.contributor.authorGonçalves, Daniela Aparecida de Godoi [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionTexas A&M Univ
dc.contributor.institutionBaylor Univ
dc.date.accessioned2013-09-30T18:31:26Z
dc.date.accessioned2014-05-20T13:44:56Z
dc.date.available2013-09-30T18:31:26Z
dc.date.available2014-05-20T13:44:56Z
dc.date.issued2009-03-01
dc.description.abstractThe purpose of this study was to evaluate the anatomical changes and stability of the oropharyngeal airway and head Posture following TMJ reconstruction and mandibular advancement with TMJ Concepts custom-made total joint prostheses and maxillary osteotomies with counter-clockwise rotation of the maxillo-mandibular complex. All patients were operated at Baylor University Medical Center, Dallas TX, USA, by one surgeon (Wolford). The lateral cephalograms of 47 patients were analyzed to determine surgical and post-surgical changes of the oropharyngeal airway, hyoid bone and head posture. Surgery increased the narrowest retroglossal airway space 4.9 mm. Head Posture showed flexure immediately after surgery (-5.6 +/- 6.7 degrees) and extension long-term post surgery (1.8 +/- 6.7 degrees); cervical curvature showed no significant change. Surgery increased the distances between the third cervical vertebrae and the menton 11.7 +/- 9.1 mm and the third cervical vertebrae and hyoid 3.2 +/- 3.9 mm, and remained stable. The distance from the hyoid to the mandibular plane decreased during surgery (-3.8 +/- 5.8 mm) and after surgery (-2.5 +/- 5.2 mm), Maxillo-mandibular advancement with counter-clockwise rotation and TMJ reconstruction with total joint prostheses produced immediate increase in oropharyngeal airway dimension, which was influenced by long-term changes in head posture but remained stable over the follow-up period.en
dc.description.affiliationSão Paulo State Univ, Araraquara Dent Sch, Dept Pediat Dent, São Paulo, Brazil
dc.description.affiliationTexas A&M Univ, Hlth Care Ctr, Baylor Coll Dent, Dept Oral & Maxillofacial Surg, Dallas, TX USA
dc.description.affiliationBaylor Univ, Med Ctr, Dallas, TX USA
dc.description.affiliationSão Paulo State Univ, Araraquara Dent Sch, Dept Prosthodont, São Paulo, Brazil
dc.description.affiliationUnespSão Paulo State Univ, Araraquara Dent Sch, Dept Pediat Dent, São Paulo, Brazil
dc.description.affiliationUnespSão Paulo State Univ, Araraquara Dent Sch, Dept Prosthodont, São Paulo, Brazil
dc.format.extent228-235
dc.identifierhttp://dx.doi.org/10.1016/j.ijom.2008.11.021
dc.identifier.citationInternational Journal of Oral and Maxillofacial Surgery. Edinburgh: Churchill Livingstone, v. 38, n. 3, p. 228-235, 2009.
dc.identifier.doi10.1016/j.ijom.2008.11.021
dc.identifier.issn0901-5027
dc.identifier.lattes1548626194113665
dc.identifier.orcid0000-0003-0588-2228
dc.identifier.urihttp://hdl.handle.net/11449/15770
dc.identifier.wosWOS:000264629000005
dc.language.isoeng
dc.publisherChurchill Livingstone
dc.relation.ispartofInternational Journal of Oral and Maxillofacial Surgery
dc.relation.ispartofjcr2.164
dc.relation.ispartofsjr1,137
dc.rights.accessRightsAcesso restritopt
dc.sourceWeb of Science
dc.subjectairway changesen
dc.subjectstabilityen
dc.subjectorthognathic surgeryen
dc.subjectTMJ prosthesesen
dc.titleMaxillo-mandibular counter-clockwise rotation and mandibular advancement with TMJ Concepts (R) total joint prostheses Part II - Airway changes and stabilityen
dc.typeArtigopt
dcterms.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dcterms.rightsHolderChurchill Livingstone
dspace.entity.typePublication
relation.isDepartmentOfPublication3936e2e2-946a-42ab-8b9d-9521513200fc
relation.isDepartmentOfPublication.latestForDiscovery3936e2e2-946a-42ab-8b9d-9521513200fc
relation.isOrgUnitOfPublicationca4c0298-cd82-48ee-a9c8-c97704bac2b0
relation.isOrgUnitOfPublication.latestForDiscoveryca4c0298-cd82-48ee-a9c8-c97704bac2b0
unesp.author.lattes1548626194113665
unesp.author.lattes6562540057111580[4]
unesp.author.orcid0000-0002-1987-1207[6]
unesp.author.orcid0000-0003-3355-0001[4]
unesp.author.orcid0000-0002-4935-2256[3]
unesp.campusUniversidade Estadual Paulista (UNESP), Faculdade de Odontologia, Araraquarapt
unesp.departmentClínica Infantil - FOARpt
unesp.departmentMateriais Odontológicos e Prótese - FOARpt

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