Evaluation of strain values of critical anatomic regions for two different pterygomaxillary approaches in Le Fort I osteotomy: an experimental study

• Yusuf-Bugra Ozdemir ^[1] ; Dogan Dolanmaz ^[2] ; Alparslan Esen ^[3] ; Hakan Terzioglu ^[4] ; Haci Saglam ^[5]
  1. [1] DDS PhD (Research Assistant), Selcuk Universtiy, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Konya/Turkey
  2. [2] DDS PhD (Professor), Selcuk Universtiy, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Konya/Turkey
  3. [3] DDS PhD (Assistant Professor), Necmettin Erbakan Universtiy, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Konya/Turkey
  4. [4] PhD (Lecturer), Selcuk University, Vocational School of Technical Sciences, Division of Electricity and Energy, Konya/Turkey
  5. [5] PhD (Professor), Selcuk Universtiy, Faculty of Technology, Department of Mechanical Engineering Konya/Turkey

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• Localización: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, ISSN-e 1698-6946, Vol. 22, Nº. 3 (May ), 2017
• Idioma: inglés
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• Resumen

  • The purpose of this experimental study was to measure stresses both on the pterygoid plates and the skull base following two different pterygomaxillary approaches in Le Fort I osteotomy.

    The prepared skull models were randomly divided into 2 groups of 7. In the first group (A), the pterygomaxillary area was left intact. In the second group (B), pterygomaxillary separation was performed with a fine bur. The stresses were measured by using strain gauges. These strain gauges were attached to 6 different anatomical sites. The skull models were mounted on a servo-hydraulic testing unit. Each model was then subjected to a continuous linear tension until a plastic deformation was seen.

    The statistical analyses showed that there were no significant differences (p >.05) between the 2 groups regarding the strain values. Moreover, no statistical differences (p >.05) were found between the two groups in terms of maximum applied forces.

    Considering the clinical conditions, the present study shows that when Le Fort I osteotomy performed without pterygomaxillary separation, there is no significant stress on the skull base during the downfracture. Moreover, it is considered that there is no need for an excessive force applied to perform downfracture in Le Fort osteotomies without pterygomaxillary separation.