nach oben

Clinical Oral Investigations

Erschienen in:

27.07.2019 | Review

Early and long-term changes in the muscles of the mandible following orthognathic surgery

verfasst von: Alina Coclici, Mihaela Hedeşiu, Simion Bran, Mihaela Băciuţ, Cristian Dinu, Horatiu Rotaru, Raluca Roman

Erschienen in: Clinical Oral Investigations | Ausgabe 9/2019

Einloggen, um Zugang zu erhalten

Abstract

Objectives

The aim of the present study is to evaluate the early and long-term postoperative dimensional changes of the muscles of the mandible in patients with orthognathic surgery for class II and class III malocclusions by using ultrasonography (US).

Material and methods

Twenty-six patients who underwent bimaxillary orthognathic surgery for class II or class III malocclusions (14 and 12 patients, respectively) were ultrasonographically examined. The length, width, and cross-sectional area of the masseter and suprahyoid muscles were measured at three different time points: T₀ (preoperatively), T₁ (early postoperatively at 1 month after the surgery), and T₂ (late postoperatively at 9 months). A repeated measures ANOVA was used to calculate statistically significant dimensional changes of the mandibular muscles.

Results

Statistically significant dimensional changes were found postoperatively in class II malocclusion patients only. The digastric muscle showed higher values for the length and lower values for the width (p < .05) at T₁. The geniohyoid muscles were higher in length at T₁ and lower in cross-sectional area (CSA) (p < .05) at T₂. A decreased measured length and an increased measured width were found in case of the mylohyoid muscle (p < .05) at T₂. The early and long-term postoperative dimensional changes of the masseter muscle were not statistically significant.

Conclusions

The mandibular muscles showed a variable adaptive response to the orthognathic surgery. US should be considered for the long-term follow-up of muscular dimensional changes in class II malocclusion patients.

Clinical relevance

From a clinical perspective, US is a reliable, non-invasive, and widely available method, which allows monitoring the postoperative muscular changes occurring in class II malocclusion patients.

Upadhyaya C, Baliga M, Shetty P (2013) Soft tissue changes after orthognathic surgery: a study. Orthod J Nepal 1(1):47–51CrossRef

Ellis E, Carlson DS (1990) Neuromuscular adaptation after orthognathic surgery. Oral Maxillofac Surg Clin North Am 2:811–830

Gassamann CJ, Van Sickels JE, Thrash WJ (1990) Causes, location and timing of relapse following rigid fixation after mandibular advancement. J Oral Maxillofac Sum 48:450–454CrossRef

Rawford JGC, Stoelinga PJW, Blijdorp PA, Brouns JJA (1994) Stability after reoperation for progressive condylar resorption after orthognathic surgery: report of seven cases. J Oral Maxillofac Surg 52:460–466CrossRef

Merkx MAW, Van Damme PA (1994) Condylar resorption after orthognathic surgery. J Craniomaxillofac Surg 22:53–58CrossRefPubMed

Hannam AG, McMillan AS (1994) Internal organization in the human jaw muscles. Crit Rev Oral Biol Med 5(1):55–89CrossRefPubMed

Stålberg E, Eriksson PO, Antoni L, Thornell LE (1986) Electrophysiological study of size and fiber distribution of motor units in the human masseter and temporal muscles. Arch Oral Biol 31:521–527CrossRefPubMed

Eriksson PO, Thornell LE (1983) Histochemical and morphological muscle-fiber characteristics of the human masseter, the medial pterygoid and the temporal muscle. Arch Oral Biol 28:781–795CrossRefPubMed

Van Eijden TMGJ, Turkawski SJJ (2001) Morphology and physiology of masticatory muscle motor units. Crit Rev Oral Biol Med 12:76–91CrossRefPubMed

10.

Grünheid T, Langenbach GE, Korfage JA, Zentner A, Van Eijden TM (2009) The adaptive response of jaw muscles to varying functional demands. Eur J Orthod 31(6):596–612CrossRefPubMed

11.

Majourau A (1993) Effects of orthognathic surgery on masticatory muscle function. Masters Theses, University of Connecticut

12.

Pearson WG Jr, Langmore SE, Zumwalt AC (2011) Evaluating the structural properties of suprahyoid muscles and their potential for moving the hyoid. Dysphagia 26(4):345–351CrossRefPubMed

13.

Poulton DR, Ware WH (1971) Surgical-orthodontic treatment of severe mandibular retrusion. Am J Orthod 59(3):244–265CrossRefPubMed

14.

Carlson DS, Ellis E, Dechow PC (1987) Adaptation of the suprahyoid muscle complex to mandibular advancement surgery. Am J Orthod Dentofac Orthop 92:134–143CrossRef

15.

Katsumata A, Fujishita M, Ariji Y, Ariji E, Langlais RP (2004) 3D CT evaluation of masseter muscle morphology after setback osteotomy for mandibular prognathism. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:461–470CrossRefPubMed

16.

Dicker G, Van Spronsen P, Van Schijndel R, van Ginkel F, Manoliu R, Boom H, Tuinzing DB (2007) Adaptation of jaw closing muscles after surgical mandibular advancement procedures in different vertical craniofacial types: a magnetic resonance imaging study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103(4):475–482CrossRefPubMed

17.

Van Spronsen PH, Weijs WA, Valk J, Prahl-Andersen B, van Ginkel FC (1991) Relationships between jaw muscle cross-sections and craniofacial morphology in normal adults, studied with magnetic resonance imaging. Eur J Orthod 13(5):351–361CrossRefPubMed

18.

Raadsheer MC, van Eijden TM, van Spronsen PH, van Ginkel FC, Kiliaridis S, Prahl-Andersen B (1994) A comparison of human masseter muscle thickness measured by ultrasonography and magnetic resonance imaging. Arch Oral Biol 39(12):1079–1084CrossRefPubMed

19.

Serra MD, Duarte Gavião MB, dos Santos Uchôa MN (2008) The use of ultrasound in the investigation of the muscles of mastication. Ultrasound Med Biol 34(12):1875–1884CrossRefPubMed

20.

Kremkau FW, Taylor KJ (1986) Artifacts in ultrasound imaging. J Ultrasound Med 5:227–237CrossRefPubMed

21.

Reis Durão AP, Morosolli A, Brown J, Jacobs R (2017) Masseter muscle measurement performed by ultrasound: a systematic review. Dentomaxillofac Radiol, 46(6): 20170052

22.

Lee DH, Yu HS (2012) Masseter muscle changes following orthognathic surgery: a long-term three-dimensional computed tomography follow-up. Angle Orthod 82(5):792–798CrossRefPubMed

23.

Yellich GM, McNamara JA Jr, Ungerleider JC (1981) Muscular and mandibular adaptation after lengthening, detachment, and reattachment of the masseter muscle. J Oral Surg 39(9):656–665PubMed

24.

Yamashita AL, Iwaki Filho L, Leite PCC, Navarro RL, Ramos AL, Previdelli ITS, Ribeiro MHDM, Iwaki LCV (2017) Three-dimensional analysis of the pharyngeal airway space and hyoid bone position after orthognathic surgery. J Craciomaxillofac Surg 45(9):1408–1414CrossRef

25.

Emshoff R, Bertram S, Strobl H (1999) Ultrasonographic cross-sectional characteristics of muscles of the head and neck. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87(1):93–106

26.

Geers C, Nyssen-Behets C, Cosnard G, Lengele B (2005) The deep belly of the temporalis muscle: an anatomical, histological and MRI study. Surg Radiol Anat 27(3):184–191CrossRefPubMed

27.

Toro-Ibacache V, Zapata MuÑoz V, O'higgins P (2015) The predictability from skull morphology of temporalis and masseter muscle cross-sectional areas in humans. Anat Rec (Hoboken) 298(7):1261–1270CrossRef

28.

Rowlerson A, Gwénaël R, Yousif D, Close J, Maurage CA, Ferri J, Scioteg JJ (2005) Fiber-type differences in masseter muscle associated with different facial morphologies. Am J Orthod Dentofac Orthop 127(1):37–46CrossRef

29.

Eriksson PO, Eriksson A, Ringqvist M, Thornell LE (1982) Histochemical fibre composition of the human digastric muscle. Arch Oral Biol 27(3):207–215CrossRefPubMed

30.

Breuel W, Krause M, Schneider M, Harzer W (2013) Genetic stretching factors in masseter muscle after orthognathic surgery. Br J Oral Maxillofac Surg 51(6):530–535CrossRefPubMed

31.

Poulton DR, Ware WH (1973) Surgical-orthodontic treatment of severe mandibular retrusion. II. Am J Orthod 63(3):237–255CrossRefPubMed

Titel: Early and long-term changes in the muscles of the mandible following orthognathic surgery
verfasst von: Alina Coclici
Mihaela Hedeşiu
Simion Bran
Mihaela Băciuţ
Cristian Dinu
Horatiu Rotaru
Raluca Roman
Publikationsdatum: 27.07.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 9/2019
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-019-03019-3

Neu im Fachgebiet Zahnmedizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

19.04.2024 Vorhofflimmern Nachrichten

Werden Personen mit Vorhofflimmern in der Blanking-Periode nach einer Katheterablation gegen eine bestehende Parodontitis behandelt, verbessert dies die Erfolgsaussichten. Dafür sprechen die Resultate einer prospektiven Untersuchung.

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

11.04.2024 Endokarditis Nachrichten

Bei welchen Personen eine Antibiotikaprophylaxe zur Prävention einer infektiösen Endokarditis nach invasiven zahnärztlichen Eingriffen sinnvoll ist, wird diskutiert. Neue Daten stehen im Einklang mit den europäischen Leitlinienempfehlungen.

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

08.04.2024 Zahnmedizin Nachrichten

Der Aufbau von Geweben und Organen während der Embryonalentwicklung wird von den Zellen bemerkenswert choreografiert. Für diesen Prozess braucht es spezielle sogenannte „Organisatoren“. In einer aktuellen Veröffentlichung im Fachjournal Nature Cell Biology berichten Forschende durch welchen Vorgang diese Organisatoren im Gewebe entstehen und wie sie dann die Bildung von Zähnen orchestrieren.

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

11.03.2024 Kinderzahnmedizin Nachrichten

Infolge der Umbenennung der Deutschen Gesellschaft für Kinderzahnheilkunde in Deutsche Gesellschaft für Kinderzahnmedizin (DGKiZ) wird deren Mitgliederzeitschrift Oralprophylaxe & Kinderzahnheilkunde in Oralprophylaxe & Kinderzahnmedizin umbenannt. Aus diesem Grunde trägt die erste Ausgabe in 2024 erstmalig den neuen Titel.

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

Abstract

Objectives

Material and methods

Results

Conclusions

Clinical relevance

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2019

Correction to: Treatment modalities for burning mouth syndrome: a systematic review

Effectiveness of 2% Articaine as an anesthetic agent in children: randomized controlled trial

Cytokine levels in crevicular fluid associated with compliance during periodontal maintenance therapy

Subgingival lipid A profile and endotoxin activity in periodontal health and disease

Is there a relationship of negative oral health beliefs with dental fear and anxiety regarding diverse dental patient groups? A systematic review and meta-analysis

Anticaries effect of toothpaste with nano-sized sodium hexametaphosphate

Neu im Fachgebiet Zahnmedizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

Newsletter