Volumetric changes in temporomandibular joint space following trans-oral vertical ramus osteotomy in patients with mandibular prognathism: a one-year follow-up study

Abstract This study measured and analyzed chronological changes in temporomandibular joint space volume by compartment following transoral vertical ramus osteotomy (TOVRO) using reconstructed 3-dimensional (3D) images of patients with mandibular prognathism. It included 70 joints of 35 patients who...

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Main Authors: Jae-Young Kim, Hae-Seong Yong, Tae-Yeong Kim, Jun-Young Kim, Kug Jin Jeon, Jong-Ki Huh
Format: Article
Language:English
Published: Nature Portfolio 2024-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-51050-y
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author Jae-Young Kim
Hae-Seong Yong
Tae-Yeong Kim
Jun-Young Kim
Kug Jin Jeon
Jong-Ki Huh
author_facet Jae-Young Kim
Hae-Seong Yong
Tae-Yeong Kim
Jun-Young Kim
Kug Jin Jeon
Jong-Ki Huh
author_sort Jae-Young Kim
collection DOAJ
description Abstract This study measured and analyzed chronological changes in temporomandibular joint space volume by compartment following transoral vertical ramus osteotomy (TOVRO) using reconstructed 3-dimensional (3D) images of patients with mandibular prognathism. It included 70 joints of 35 patients who underwent TOVRO between January 2018 and December 2021. Computed tomography (CT) or cone-beam CT (CBCT) was performed before surgery (T0) and at 3 days (T1), 6 months (T2), and 12 months postoperatively (T3). These scans were then analyzed using 3D software. The volumes of the overall (Vjs), anterior (Vajs), posterior (Vpjs), medial (Vmjs), and lateral (Vljs) joint spaces were calculated at each time point. A linear mixed model and repeated-measures covariance pattern with unstructured covariance were used to evaluate significant changes in joint space volume over time. Vjs significantly increased to 134.54 ± 34.28 mm3 at T3 compared to T0 (p < 0.001). Vpjas and Vljs increased by 130.72 ± 10.07 mm3 and 109.98 ± 7.52 mm3 at T3 compared to T0, respectively (p < 0.001). However, no significant difference was observed between T0 and T2 in Vajs and Vmjs (p = 0.9999). The observed volume increases in Vpjs and Vljs appeared to contribute to the overall Vjs increase.
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spelling doaj.art-78794010205f4d8682f977cc8ff9b0802024-01-14T12:22:52ZengNature PortfolioScientific Reports2045-23222024-01-0114111110.1038/s41598-023-51050-yVolumetric changes in temporomandibular joint space following trans-oral vertical ramus osteotomy in patients with mandibular prognathism: a one-year follow-up studyJae-Young Kim0Hae-Seong Yong1Tae-Yeong Kim2Jun-Young Kim3Kug Jin Jeon4Jong-Ki Huh5Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of DentistryDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of DentistryDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of DentistryDepartment of Oral and Maxillofacial Surgery, Yonsei University College of DentistryDepartment of Oral and Maxillofacial Radiology, Yonsei University College of DentistryDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of DentistryAbstract This study measured and analyzed chronological changes in temporomandibular joint space volume by compartment following transoral vertical ramus osteotomy (TOVRO) using reconstructed 3-dimensional (3D) images of patients with mandibular prognathism. It included 70 joints of 35 patients who underwent TOVRO between January 2018 and December 2021. Computed tomography (CT) or cone-beam CT (CBCT) was performed before surgery (T0) and at 3 days (T1), 6 months (T2), and 12 months postoperatively (T3). These scans were then analyzed using 3D software. The volumes of the overall (Vjs), anterior (Vajs), posterior (Vpjs), medial (Vmjs), and lateral (Vljs) joint spaces were calculated at each time point. A linear mixed model and repeated-measures covariance pattern with unstructured covariance were used to evaluate significant changes in joint space volume over time. Vjs significantly increased to 134.54 ± 34.28 mm3 at T3 compared to T0 (p < 0.001). Vpjas and Vljs increased by 130.72 ± 10.07 mm3 and 109.98 ± 7.52 mm3 at T3 compared to T0, respectively (p < 0.001). However, no significant difference was observed between T0 and T2 in Vajs and Vmjs (p = 0.9999). The observed volume increases in Vpjs and Vljs appeared to contribute to the overall Vjs increase.https://doi.org/10.1038/s41598-023-51050-y
spellingShingle Jae-Young Kim
Hae-Seong Yong
Tae-Yeong Kim
Jun-Young Kim
Kug Jin Jeon
Jong-Ki Huh
Volumetric changes in temporomandibular joint space following trans-oral vertical ramus osteotomy in patients with mandibular prognathism: a one-year follow-up study
Scientific Reports
title Volumetric changes in temporomandibular joint space following trans-oral vertical ramus osteotomy in patients with mandibular prognathism: a one-year follow-up study
title_full Volumetric changes in temporomandibular joint space following trans-oral vertical ramus osteotomy in patients with mandibular prognathism: a one-year follow-up study
title_fullStr Volumetric changes in temporomandibular joint space following trans-oral vertical ramus osteotomy in patients with mandibular prognathism: a one-year follow-up study
title_full_unstemmed Volumetric changes in temporomandibular joint space following trans-oral vertical ramus osteotomy in patients with mandibular prognathism: a one-year follow-up study
title_short Volumetric changes in temporomandibular joint space following trans-oral vertical ramus osteotomy in patients with mandibular prognathism: a one-year follow-up study
title_sort volumetric changes in temporomandibular joint space following trans oral vertical ramus osteotomy in patients with mandibular prognathism a one year follow up study
url https://doi.org/10.1038/s41598-023-51050-y
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