Change in CT Value at Mandibular Ramus After Mandibular Setback and Advancement Surgery With Bicortical Absorbable Plate Fixation

Abstract

Purpose: This study aimed to evaluate changes in computed tomography (CT) value of ramus bone after sagittal split ramus osteotomy (SSRO) in class II and class III patients using absorbable plates and screws. Patients and Methods: In the retrospective study, the participants were female patients with jaw deformities who underwent bilateral SSRO with Le Fort I osteotomy. Maximum CT values (pixel values) of lateral and medial cortexes at anterior and posterior sites of the ramus were measured preoperatively and 1 year postoperatively by using horizontal planes at the mandibular foramen level (upper level) and 10 mm under the mandibular foramen level (lower level) parallel to Frankfurt horizontal plane. Results: Fifty-seven patients and 114 sides (28 class II: 56 sides and 29 class III: 58 sides) were evaluated. Although CT values decreased at most sites of the ramus cortical bone after 1 year of surgery, they increased at the posterior-medial site at the upper level in class II (P=0.0012) and the lower level in class III (P=0.0346). Conclusion: This study suggested that bone quality at the mandibular ramus could change after 1 year of surgery, and there could be differences between mandibular advancement and setback surgery.