Case report impact on orthognathic surgery for counterclockwise rotation and effect on airway, with or without temporomandibular joint total joint prostheses
Purpose: Present case reports that have generated new treatment protocols improving treatment of patient outcomes with jaw deformities and airway compromises requiring counterclockwise rotation (CCWR) of the maxillo-mandibular complex (MMC) with or without a requirement for temporomandibular joint (...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Oral and Maxillofacial Surgery Cases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214541923000342 |
| _version_ | 1797448068786814976 |
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| author | Larry M. Wolford Olga del Pilar Amaya Gomez |
| author_facet | Larry M. Wolford Olga del Pilar Amaya Gomez |
| author_sort | Larry M. Wolford |
| collection | DOAJ |
| description | Purpose: Present case reports that have generated new treatment protocols improving treatment of patient outcomes with jaw deformities and airway compromises requiring counterclockwise rotation (CCWR) of the maxillo-mandibular complex (MMC) with or without a requirement for temporomandibular joint (TMJ) total joint prostheses (TJP). Presented are studies that verify the efficacy of these procedures. Methods: Initial case presentations were identified in reference to CCWR of the MMC without and with TMJ total joint prostheses in cases of co-existing end-stage TMJ pathology. A non-systematic literature search was conducted to identify studies pertinent to subject matter. Results: Two case reports are presented that have significantly affected our specialty: 1) CCWR of the MMC and effect on airway, and 2) TMJ TJP with concomitant maxillary osteotomies for CCWR of the MMC. Forty papers were identified meeting the filtered criteria. Twenty-nine papers were excluded as case reports, philosophy, technique, or small case series. Eleven studies met the inclusion criteria and are summarized according to the data included. These studies validate the efficacy and stability of CCWR of the MMC in the presence of healthy joints as well as patients with end-stage TMJ pathology using custom TMJ TJP in conjunction with orthognathic surgery. Conclusions: Patients with healthy TMJs can be treated with CCWR of the MMC with predictable outcomes and stability. Patients with end-stage TMJ pathology can benefit from TMJ TJP and orthognathic surgery for CCWR of the MMC with good stability, improved function, decreased pain, improved airway, and quality of life. |
| first_indexed | 2024-03-09T14:05:02Z |
| format | Article |
| id | doaj.art-a0d2025147d04571beaef666c36126d7 |
| institution | Directory Open Access Journal |
| issn | 2214-5419 |
| language | English |
| last_indexed | 2024-03-09T14:05:02Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral and Maxillofacial Surgery Cases |
| spelling | doaj.art-a0d2025147d04571beaef666c36126d72023-11-30T05:07:34ZengElsevierOral and Maxillofacial Surgery Cases2214-54192023-12-0194100325Case report impact on orthognathic surgery for counterclockwise rotation and effect on airway, with or without temporomandibular joint total joint prosthesesLarry M. Wolford0Olga del Pilar Amaya Gomez1Departments of Oral and Maxillofacial Surgery and Orthodontics, Texas A&M University College of Dentistry, Private Practice Baylor University Medical Center, Dallas, TX, USA; Corresponding author.Oral and Maxillofacial Surgeon from El Bosque University, Bogota, Columbia, USAPurpose: Present case reports that have generated new treatment protocols improving treatment of patient outcomes with jaw deformities and airway compromises requiring counterclockwise rotation (CCWR) of the maxillo-mandibular complex (MMC) with or without a requirement for temporomandibular joint (TMJ) total joint prostheses (TJP). Presented are studies that verify the efficacy of these procedures. Methods: Initial case presentations were identified in reference to CCWR of the MMC without and with TMJ total joint prostheses in cases of co-existing end-stage TMJ pathology. A non-systematic literature search was conducted to identify studies pertinent to subject matter. Results: Two case reports are presented that have significantly affected our specialty: 1) CCWR of the MMC and effect on airway, and 2) TMJ TJP with concomitant maxillary osteotomies for CCWR of the MMC. Forty papers were identified meeting the filtered criteria. Twenty-nine papers were excluded as case reports, philosophy, technique, or small case series. Eleven studies met the inclusion criteria and are summarized according to the data included. These studies validate the efficacy and stability of CCWR of the MMC in the presence of healthy joints as well as patients with end-stage TMJ pathology using custom TMJ TJP in conjunction with orthognathic surgery. Conclusions: Patients with healthy TMJs can be treated with CCWR of the MMC with predictable outcomes and stability. Patients with end-stage TMJ pathology can benefit from TMJ TJP and orthognathic surgery for CCWR of the MMC with good stability, improved function, decreased pain, improved airway, and quality of life.http://www.sciencedirect.com/science/article/pii/S2214541923000342Counterclockwise rotationMaxilla-mandibular complexTemporomandibular jointTMJOropharyngeal airwayEnd-stage TMJ pathology |
| spellingShingle | Larry M. Wolford Olga del Pilar Amaya Gomez Case report impact on orthognathic surgery for counterclockwise rotation and effect on airway, with or without temporomandibular joint total joint prostheses Oral and Maxillofacial Surgery Cases Counterclockwise rotation Maxilla-mandibular complex Temporomandibular joint TMJ Oropharyngeal airway End-stage TMJ pathology |
| title | Case report impact on orthognathic surgery for counterclockwise rotation and effect on airway, with or without temporomandibular joint total joint prostheses |
| title_full | Case report impact on orthognathic surgery for counterclockwise rotation and effect on airway, with or without temporomandibular joint total joint prostheses |
| title_fullStr | Case report impact on orthognathic surgery for counterclockwise rotation and effect on airway, with or without temporomandibular joint total joint prostheses |
| title_full_unstemmed | Case report impact on orthognathic surgery for counterclockwise rotation and effect on airway, with or without temporomandibular joint total joint prostheses |
| title_short | Case report impact on orthognathic surgery for counterclockwise rotation and effect on airway, with or without temporomandibular joint total joint prostheses |
| title_sort | case report impact on orthognathic surgery for counterclockwise rotation and effect on airway with or without temporomandibular joint total joint prostheses |
| topic | Counterclockwise rotation Maxilla-mandibular complex Temporomandibular joint TMJ Oropharyngeal airway End-stage TMJ pathology |
| url | http://www.sciencedirect.com/science/article/pii/S2214541923000342 |
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