Moving the mandible in orthognathic surgery - A multicenter analysis

Oliver C Thiele¹, Matthias Kreppel², Gido Bittermann³, Lars Bonitz⁴, Maria Desmedt⁵, Carsten Dittes⁶, Annegret Dörre⁷, Anton Dunsche⁸, Alexander W Eckert⁹, Michael Ehrenfeld¹⁰, Bernd Fleiner¹¹, Bernhard Frerich¹², Alexander Gaggl¹³, Marcus Gerressen¹⁴, Leonore Gmelin¹⁵, Andreas Hammacher¹⁶, Stefan Haßfeld⁴, Max Heiland¹⁷, Alexander Hemprich¹⁸, Johannes Hidding¹⁹, Frank Hölzle²⁰, Hans-Peter Howaldt²¹, Tateyuki Iizuka²², Wolfgang Kater²³, Cornelius Klein²⁴, Martin Klein⁵, Robert H Köhnke¹⁷, Andreas Kolk²⁵, Alexander C Kübler²⁶, Norbert R Kübler²⁷, Martin Kunkel²⁸, Johannes J Kuttenberger²⁹, Thomas Kreusch³⁰, Constantin Landes³¹, Bernhard Lehner³², Robert A Mischkowski¹⁵, Steffen Mokros³³, Andreas Neff³⁴, Emeka Nkenke³⁵, Frank Palm³⁶, Gerhard W Paulus³⁷, Jörn U Piesold³⁸, Michael Rasse³⁹, Herbert Rodemer⁴⁰, Daniel Rothamel², Jan Rustemeyer⁴¹, Robert Sader⁴², Martin Scheer⁴³, Birgit Scheffler⁹, Christian Schippers⁴⁴, Henning Schliephake⁴⁵, Rainer Schmelzeisen³, Alexander Schramm⁴⁶, Wolfgang J Spitzer⁴⁷, Christian Stoll⁴⁸, Hendrik Terheyden⁴⁹, Dieter Weingart⁵⁰, Jörg Wiltfang⁵¹, Klaus D Wolff²⁵, Christoph M Ziegler⁵², Joachim E Zöller²

Affiliations

¹ Department of Oral, Maxillofacial and Facial Plastic Surgery (Head: Prof. R. A. Mischkowski), Ludwigshafen Hospital, Germany. Electronic address: thieleo@klilu.de.
² Department of Craniomaxillofacial and Plastic Surgery (Head: Prof. J.E. Zöller), University of Cologne, Germany.
³ Department of Oral and Maxillofacial Surgery (Head: Prof. R. Schmelzeisen), University Medical Center Freiburg, Germany.
⁴ Department of Craniomaxillofacial Surgery - Plastic Surgery (Head: Prof. S. Haßfeld), University Witten/Herdecke, Hospital Dortmund, Germany.
⁵ Fachklinik Hornheide, Department of Cranio-Maxillofacial Surgery (Head: Prof. M. Klein), Münster, Germany.
⁶ Department of Oral and Maxillofacial Surgery (Head: C. Dittes), Dietrich-Bonhoeffer-Hospital, Neubrandenburg, Germany.
⁷ Department of Oral and Maxillofacial Surgery (Head: A. Dörre), Chemnitz Hospital, Germany.
⁸ Department of Oral and Maxillofacial Surgery (Head: Prof. A. Dunsche), City Hospital Karlsruhe, Germany.
⁹ Department of Oral and Maxillofacial Surgery and Facial Plastic Surgery (Head: Prof. A. Eckert), Martin-Luther-University Halle-Wittenberg, Germany.
¹⁰ Department of Oral and Maxillofacial Surgery (Head: Prof. M. Ehrenfeld), Ludwig Maximilians University of Munich, Germany.
¹¹ Oral and Maxillofacial Surgery (Head: B. Fleiner), Im Pferseepark, Augsburg, Germany.
¹² Department of Oral and Maxillofacial Surgery (Head: Prof. B. Frerich), Facial Plastic Surgery, Rostock University Medical Center, Germany.
¹³ Department of Oral and Maxillofacial Surgery (Head: Prof. A. Gaggl), Paracelsus Medical University Salzburg, Austria.
¹⁴ Department of Oral, Maxillofacial and Plastic Facial Surgery (Head: PD M. Gerressen), Heinrich-Braun Hospital Zwickau, Germany.
¹⁵ Department of Oral, Maxillofacial and Facial Plastic Surgery (Head: Prof. R. A. Mischkowski), Ludwigshafen Hospital, Germany.
¹⁶ Department of Oral and Maxillofacial Surgery (Head: Prof. A. Hammacher and H. Sieber), Malteser Hospital St. Johannes, Duisburg, Germany.
¹⁷ Department of Oral and Maxillofacial Surgery (Head: Prof. M. Heiland), University Medical Center Hamburg-Eppendorf, Germany.
¹⁸ Department of Oral and Maxillofacial Plastic Surgery (Head: Prof. A. Hemprich), Leipzig University, Germany.
¹⁹ Department of Oral and Maxillofacial Surgery (Head: Prof. J. Hidding), Bethesda Hospital Mönchengladbach, Germany.
²⁰ Department of Oral, Maxillofacial and Plastic Facial Surgery (Head: Prof. F. Hölzle), RWTH Aachen University Hospital, Germany.
²¹ Department for Cranio-Maxillofacial Surgery, Plastic Surgery (Head: Prof. H.P. Howaldt), University Hospital Giessen, Germany.
²² Department of Cranio-Maxillofacial Surgery (Head: Prof. T. Iizuka), Inselspital, Bern University Hospital, Switzerland.
²³ Department of Oral and Maxillofacial Surgery (Head: W. Kater), Hochtaunus Hospital Bad Homburg, Germany.
²⁴ Department of Oral and Maxillofacial Surgery (Head: Prof. C. Klein), Donauisar Hospital Deggendorf, Germany.
²⁵ Department of Oral and Cranio-Maxillofacial Surgery (Head: Prof. K.D. Wolff), Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
²⁶ Department of Oral and Maxillofacial Plastic Surgery (Head: Prof. A.C. Kübler), University of Würzburg, Germany.
²⁷ Department of Cranio- and Maxillofacial Surgery (Head: Prof. N.R. Kübler), Heinrich-Heine-University Düsseldorf, Germany.
²⁸ Department of Oral and Plastic Maxillofacial Surgery (Head: Prof. M. Kunkel), Ruhr-University Bochum, Germany.
²⁹ Department of Oral and Maxillofacial Surgery (Head: PD J. Kuttenberger), Luzerner Kantonsspital, Switzerland.
³⁰ Department of Oral and Maxillofacial Plastic Surgery (Head: Prof. T. Kreusch), Asklepios Hospital Nord, Hamburg, Germany.
³¹ Department of Oral and Maxillofacial Surgery (Head: Prof. C. Landes), Sana Hospital Offenbach, Germany.
³² Department of Oral and Maxillofacial Surgery (Head: B. Lehner), Health Center St. Marien, Hospital Amberg, Germany.
³³ Department of Oral and Maxillofacial Surgery (Head: S. Mokros), Ameos Hospital Halberstadt, Germany.
³⁴ Department of Oral and Maxillofacial Surgery (Head: Prof. A. Neff), University of Marburg, University Hospital Giessen and Marburg, Campus Marburg, Germany.
³⁵ Department of Oral and Maxillofacial Surgery (Head: Prof. E. Nkenke), Medical University of Vienna, Austria.
³⁶ Department of Oral and Maxillofacial Surgery (Head: Prof. F. Palm), Hospital Konstanz, Germany.
³⁷ Department of Oral and Maxillofacial Surgery (Head: Prof. G.W. Paulus), Paracelsus Hospital Munich, Germany.
³⁸ Department of Oral and Maxillofacial Surgery (Head: PD J.U. Piesold), Helios Hospital Erfurt, Germany.
³⁹ Department for Cranio-, Maxillofacial and Oral Surgery (Head: Prof. M. Rasse), Medical University Innsbruck, Austria.
⁴⁰ Department of Oral and Maxillofacial Surgery (Head: H. Rodemer), Saarbrücken Hospital, Germany.
⁴¹ Department of Oral and Maxillofacial Surgery (Head: Prof. J. Rustemeyer), Plastic Operations, Hospital Bremen, Germany.
⁴² Department of Oral, Maxillofacial and Plastic Facial Surgery (Head: Prof. R. Sader), University Medical Centre Frankfurt/Main, Germany.
⁴³ Department of Oral and Maxillofacial Surgery (Head: PD M. Scheer), Hospital Minden, Germany.
⁴⁴ Department of Oral and Maxillofacial Surgery (Head: Prof. C. Schippers), Agaplesion Diakonie Hospital Rotenburg (Wümme), Germany.
⁴⁵ Department of Oral and Maxillofacial Surgery (Head: Prof. H. Schliephake), George-Augusta-University, Göttingen, Germany.
⁴⁶ Department of Oral and Maxillofacial Surgery (Head: Prof. A. Schramm), Facial Plastic Surgery, Military Hospital of Ulm and University Hospital Ulm, Germany.
⁴⁷ Department for Oral and Maxillofacial Surgery (Head: Prof. W. Spitzer), University Clinic of Saarland, Homburg/Saar, Germany.
⁴⁸ Department of Oral and Maxillofacial Surgery (Head: Prof. C. Stoll), Ruppiner Kliniken, Neuruppin, Germany.
⁴⁹ Department of Oral and Maxillofacial Surgery (Head: Prof. H. Terheyden), Red Cross Hospital, Kassel, Germany.
⁵⁰ Department of Oral and Maxillofacial Surgery (Head: Prof. D. Weingart), Katharinen Hospital, Stuttgart, Germany.
⁵¹ Department of Oral and Maxillofacial Surgery (Head: Prof. J. Wiltfang), University Hospital of Schleswig-Holstein, Campus Kiel, Germany.
⁵² Department of Oral and Maxillofacial Surgery (Head: Prof. C. Ziegler), St Olavs University Hospital, Norwegian University for Science and Technology, Trondheim, Norway.

PMID: 27017103
DOI: 10.1016/j.jcms.2016.01.024

Multicenter Study

Moving the mandible in orthognathic surgery - A multicenter analysis

Oliver C Thiele et al. J Craniomaxillofac Surg. 2016 May.

. 2016 May;44(5):579-83.

doi: 10.1016/j.jcms.2016.01.024. Epub 2016 Feb 3.

Authors

Affiliations

¹ Department of Oral, Maxillofacial and Facial Plastic Surgery (Head: Prof. R. A. Mischkowski), Ludwigshafen Hospital, Germany. Electronic address: thieleo@klilu.de.
² Department of Craniomaxillofacial and Plastic Surgery (Head: Prof. J.E. Zöller), University of Cologne, Germany.
³ Department of Oral and Maxillofacial Surgery (Head: Prof. R. Schmelzeisen), University Medical Center Freiburg, Germany.
⁴ Department of Craniomaxillofacial Surgery - Plastic Surgery (Head: Prof. S. Haßfeld), University Witten/Herdecke, Hospital Dortmund, Germany.
⁵ Fachklinik Hornheide, Department of Cranio-Maxillofacial Surgery (Head: Prof. M. Klein), Münster, Germany.
⁶ Department of Oral and Maxillofacial Surgery (Head: C. Dittes), Dietrich-Bonhoeffer-Hospital, Neubrandenburg, Germany.
⁷ Department of Oral and Maxillofacial Surgery (Head: A. Dörre), Chemnitz Hospital, Germany.
⁸ Department of Oral and Maxillofacial Surgery (Head: Prof. A. Dunsche), City Hospital Karlsruhe, Germany.
⁹ Department of Oral and Maxillofacial Surgery and Facial Plastic Surgery (Head: Prof. A. Eckert), Martin-Luther-University Halle-Wittenberg, Germany.
¹⁰ Department of Oral and Maxillofacial Surgery (Head: Prof. M. Ehrenfeld), Ludwig Maximilians University of Munich, Germany.
¹¹ Oral and Maxillofacial Surgery (Head: B. Fleiner), Im Pferseepark, Augsburg, Germany.
¹² Department of Oral and Maxillofacial Surgery (Head: Prof. B. Frerich), Facial Plastic Surgery, Rostock University Medical Center, Germany.
¹³ Department of Oral and Maxillofacial Surgery (Head: Prof. A. Gaggl), Paracelsus Medical University Salzburg, Austria.
¹⁴ Department of Oral, Maxillofacial and Plastic Facial Surgery (Head: PD M. Gerressen), Heinrich-Braun Hospital Zwickau, Germany.
¹⁵ Department of Oral, Maxillofacial and Facial Plastic Surgery (Head: Prof. R. A. Mischkowski), Ludwigshafen Hospital, Germany.
¹⁶ Department of Oral and Maxillofacial Surgery (Head: Prof. A. Hammacher and H. Sieber), Malteser Hospital St. Johannes, Duisburg, Germany.
¹⁷ Department of Oral and Maxillofacial Surgery (Head: Prof. M. Heiland), University Medical Center Hamburg-Eppendorf, Germany.
¹⁸ Department of Oral and Maxillofacial Plastic Surgery (Head: Prof. A. Hemprich), Leipzig University, Germany.
¹⁹ Department of Oral and Maxillofacial Surgery (Head: Prof. J. Hidding), Bethesda Hospital Mönchengladbach, Germany.
²⁰ Department of Oral, Maxillofacial and Plastic Facial Surgery (Head: Prof. F. Hölzle), RWTH Aachen University Hospital, Germany.
²¹ Department for Cranio-Maxillofacial Surgery, Plastic Surgery (Head: Prof. H.P. Howaldt), University Hospital Giessen, Germany.
²² Department of Cranio-Maxillofacial Surgery (Head: Prof. T. Iizuka), Inselspital, Bern University Hospital, Switzerland.
²³ Department of Oral and Maxillofacial Surgery (Head: W. Kater), Hochtaunus Hospital Bad Homburg, Germany.
²⁴ Department of Oral and Maxillofacial Surgery (Head: Prof. C. Klein), Donauisar Hospital Deggendorf, Germany.
²⁵ Department of Oral and Cranio-Maxillofacial Surgery (Head: Prof. K.D. Wolff), Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
²⁶ Department of Oral and Maxillofacial Plastic Surgery (Head: Prof. A.C. Kübler), University of Würzburg, Germany.
²⁷ Department of Cranio- and Maxillofacial Surgery (Head: Prof. N.R. Kübler), Heinrich-Heine-University Düsseldorf, Germany.
²⁸ Department of Oral and Plastic Maxillofacial Surgery (Head: Prof. M. Kunkel), Ruhr-University Bochum, Germany.
²⁹ Department of Oral and Maxillofacial Surgery (Head: PD J. Kuttenberger), Luzerner Kantonsspital, Switzerland.
³⁰ Department of Oral and Maxillofacial Plastic Surgery (Head: Prof. T. Kreusch), Asklepios Hospital Nord, Hamburg, Germany.
³¹ Department of Oral and Maxillofacial Surgery (Head: Prof. C. Landes), Sana Hospital Offenbach, Germany.
³² Department of Oral and Maxillofacial Surgery (Head: B. Lehner), Health Center St. Marien, Hospital Amberg, Germany.
³³ Department of Oral and Maxillofacial Surgery (Head: S. Mokros), Ameos Hospital Halberstadt, Germany.
³⁴ Department of Oral and Maxillofacial Surgery (Head: Prof. A. Neff), University of Marburg, University Hospital Giessen and Marburg, Campus Marburg, Germany.
³⁵ Department of Oral and Maxillofacial Surgery (Head: Prof. E. Nkenke), Medical University of Vienna, Austria.
³⁶ Department of Oral and Maxillofacial Surgery (Head: Prof. F. Palm), Hospital Konstanz, Germany.
³⁷ Department of Oral and Maxillofacial Surgery (Head: Prof. G.W. Paulus), Paracelsus Hospital Munich, Germany.
³⁸ Department of Oral and Maxillofacial Surgery (Head: PD J.U. Piesold), Helios Hospital Erfurt, Germany.
³⁹ Department for Cranio-, Maxillofacial and Oral Surgery (Head: Prof. M. Rasse), Medical University Innsbruck, Austria.
⁴⁰ Department of Oral and Maxillofacial Surgery (Head: H. Rodemer), Saarbrücken Hospital, Germany.
⁴¹ Department of Oral and Maxillofacial Surgery (Head: Prof. J. Rustemeyer), Plastic Operations, Hospital Bremen, Germany.
⁴² Department of Oral, Maxillofacial and Plastic Facial Surgery (Head: Prof. R. Sader), University Medical Centre Frankfurt/Main, Germany.
⁴³ Department of Oral and Maxillofacial Surgery (Head: PD M. Scheer), Hospital Minden, Germany.
⁴⁴ Department of Oral and Maxillofacial Surgery (Head: Prof. C. Schippers), Agaplesion Diakonie Hospital Rotenburg (Wümme), Germany.
⁴⁵ Department of Oral and Maxillofacial Surgery (Head: Prof. H. Schliephake), George-Augusta-University, Göttingen, Germany.
⁴⁶ Department of Oral and Maxillofacial Surgery (Head: Prof. A. Schramm), Facial Plastic Surgery, Military Hospital of Ulm and University Hospital Ulm, Germany.
⁴⁷ Department for Oral and Maxillofacial Surgery (Head: Prof. W. Spitzer), University Clinic of Saarland, Homburg/Saar, Germany.
⁴⁸ Department of Oral and Maxillofacial Surgery (Head: Prof. C. Stoll), Ruppiner Kliniken, Neuruppin, Germany.
⁴⁹ Department of Oral and Maxillofacial Surgery (Head: Prof. H. Terheyden), Red Cross Hospital, Kassel, Germany.
⁵⁰ Department of Oral and Maxillofacial Surgery (Head: Prof. D. Weingart), Katharinen Hospital, Stuttgart, Germany.
⁵¹ Department of Oral and Maxillofacial Surgery (Head: Prof. J. Wiltfang), University Hospital of Schleswig-Holstein, Campus Kiel, Germany.
⁵² Department of Oral and Maxillofacial Surgery (Head: Prof. C. Ziegler), St Olavs University Hospital, Norwegian University for Science and Technology, Trondheim, Norway.

PMID: 27017103
DOI: 10.1016/j.jcms.2016.01.024

Abstract

Orthognathic surgery has always been a classical focus of maxillofacial surgery. Since more than 100 years, various surgical techniques for mandibular repositioning have been developed and clinically tested. Since the establishment of plate and screw osteosynthesis, orthognathic surgery became more stable and safe. Nowadays, different surgical methods for mobilising the mandible are existing. This international multicenter analysis (n = 51 hospitals) is providing first evidence based data for the current use of different surgical methods. The dominating techniques were Obwegeser/dal Pont (61%) followed by Hunsuck/Epker (37%) and Perthes/Schlössmann (29%). The main osteosynthesis materials were plates (82%), bicortical screws (23.5%), or a combination of both (5.9%). 47% of all centers reported to use several surgical methods at the same time, depending on the anatomical problem and the surgeon's preference. This shows that different surgical methods seem to work as comparable, safe, and reliable procedures in everydays clinical practise. On this basis, further prospective studies could evaluate possible advantages for our patients.

Keywords: Mandible; Maxillofacial surgery; Orthognathic surgery; Osteosynthesis; Surgical techniques.

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Moving the mandible in orthognathic surgery - A multicenter analysis

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Moving the mandible in orthognathic surgery - A multicenter analysis

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