Table 2: Articles selection results.

 

Authors

Year

Journal

Article

Surgical technique

Dentofacial deformities

Average age

1

Wolford, et al. [15]

2001

Am J Orthod Dentofacial Orthop

Review

Sagittal split ramus osteotomy

Inverted “L” Osteotomy

Vertical ramus osteotomy

High condylectomy

Anterior mandibular osteotomy

Mandibular body osteotomy

Genioplasty

Mandibular hypoplasia

Mandibular hypoplasia

Anterior mandibular dentoalveolar deformities

Condilar hyperplasia

 

 

--

2

Wolford, et al. [12]

2001

Am J Orthod Dentofacial Orthop

Review

 

Le Fort I maxillary osteotomy

Horseshoe maxillary osteotomy

Anterior maxillary osteotomy

Maxillary osteotomy

Sagittal maxillary excess

Vertical maxillary hyperplasia

 

--

3

Villegas, et al. [6]

2010

J Clin Orthod

Case series

Le Fort I osteotomy

Sagittal split ramus osteotomy

High condylectomy

Genioplasty

Vertical maxillary hyperplasia

Mandibular hyperplasia

Maxillary hypoplasia

 

Girls: 13.5 years

4

Capelli, et al. [7]

2012

Dental Press J Orthod

Case series

 

Le Fort I osteotomy

Vertical ramus osteotomy

 

Mandibular hyperplasia

Maxillary hypoplasia

 

Doesn’t specify

5

Huang, et al. [21]

1982

Am J Orthod

Observational

Vertical ramus osteotomy

Sagittal split ramus osteotomy

Anterior maxillary osteotomy

Genioplasty

 

Mandibular hypoplasia

Boys: 14.1 years

Girls: 13.4 years

6

Proffit, et al. [18]

2010

Int J Oral Maxillofac Surg

Observational

Doesn’t specify

Mandibular hypoplasia

 

Boys: 17.5 years

Girls: 15 years

7

Washburn, et al. [13]

1982

J Oral Maxillofac Surg

Observational

Le Fort I osteotomy

Vertical maxillary hyperplasia

14.2 years

8

Mogavero, et al. [14]

1997

Am J Orthod Dentofac Orthop

Clinical Trial

Le Fort I osteotomy

Vertical maxillary hyperplasia

14.5 years

9

Mojdehi, et al. [4]

2001

Am J Orthod Dentofac Orthop

Observational

Le Fort I osteotomy

Vertical maxillary hyperplasia

12.8 years

10

Marangoni, et al. [22]

2016

J Cranio-Maxillofac Surg

Observational

Le Fort I osteotomy

Sagittal split ramus osteotomy

Genioplasty

Maxillary hyperplasia

Mandibular hypoplasia

Vertical maxillary hyperplasia

Mandibular hyperplasia

14.5 years

11

Wolford, et al. [17]

1979

J Maxillofac Surg

Observational

Sagittal split ramus osteotomy

Mandibular hypoplasia

13.5 years

12

Precious, et al. [23]

1985

Int J Oral Surg

Observational

Le Fort I osteotomy

Sagittal split ramus osteotomy

Anterior maxillary osteotomy

Vertical ramus osteotomy

Mandibular body osteotomy

Anterior mandibular subapical osteotomy

Coronoidectomy

Vertical maxillary hyperplasia

Mandibular hypoplasia

Mandibular hyperplasia

Maxillary hypoplasia

Sagittal maxillary excess

13.9 years

13

O’Keefe, et al. [9]

2016

J Irish Dent Assoc

Case report

Le Fort I osteotomy

Sagittal split ramus osteotomy

Maxillary hypoplasia

Mandibular hyperplasia

15.5 years

14

Schendel, et al. [16]

1978

Oral Surg Oral Med Oral Pathol

Observational

Sagittal split ramus osteotomy

Mandibular hypoplasia

13.5 years

15

Wolford, et al. [5]

2009

Proc (Bayl Univ Med Cent)

Observational

Le Fort I osteotomy

Sagittal split ramus osteotomy

High condylectomy

Condylar hyperplasia

Group 1: 17.5 years

Group 2: 16.6 years

16

Bodine, et al. [19]

2016

Progress in Orthodontics

Observational

Doesn’t Specify

Adolescent internal condylary resorption

15.2 years

17

Hedge, et al. [8]

2012

Kathmandu Univ Med J

Case report

Anterior maxillary osteotomy

Vertical maxillary hyperplasia

Boys: 14 years

18

Galiano, et al. [20]

2017

CRANIO®

Observational

Doesn’t specify

Adolescent internal condylary resorption

16.5 years


Anomaly

Concomitant anomaly

Growth rate

Surgical technique

Considerations

 

Vertical maxillary hyperplasia

---

Increased

Le Fort I osteotomy

Sagittal growth inhibition

 

Anterior maxillary osteotomy

Favorable vertical growth pattern

 

Increased

Horseshoe maxillary osteotomy

Favorable vertical growth pattern

 

Sagittal growth with possible few alterations

 

Sagittal maxillary excess

---

Increased

Le Fort I osteotomy

Sagittal growth inhibition

 

A skeletal class III could be developed post-surgery

 

Increased

Horseshoe maxillary osteotomy

 

 

Sagittal growth with possible few alterations

 

Election technique in these cases

 

Vertical maxillary hyperplasia

Increased

Le Fort I osteotomy

Favorable vertical growth pattern

 

Sagittal growth inhibition

 

Vertical maxillary hyperplasia

Increased

Horseshoe maxillary osteotomy

Favorable vertical growth pattern

 

Sagittal growth with possible few alterations

 

Maxillary hypoplasia

---

Decreased

Le Fort I osteotomy with overcorrection

A second surgery will probably be necessary at the end of growth

 

Skeletal class III relapse

 

Perform as closest to growth cessation as possible

 

---

Decreased

Horseshoe maxillary osteotomy with overcorrection

Due to sagittal growth deficit, a second surgery will probably be necessary

 

Skeletal class III relapse

 

Perform as closest to growth cessation as possible

 

Mandibular hyperplasia

Increased/decreased

Le Fort I osteotomy + BSSO + high condylectomy

Vertical mandibular growth inhibited in most part

 

Perform as closest to growth cessation as possible

 

Mandibular hyperplasia

---

Normal

Uni/bilateral sagittal split ramus osteotomy

Unaltered post-surgical mandibular growth

 

Increased

BSSO + high condylectomy

Most of mandibular growth inhibited.

 

It can be simultaneous with the high condylectomy.

 

At first a high condylectomy and in a second surgical time perform the orthognathic surgery

 

Maxillary hypoplasia

Normal

Le Fort I osteotomy + BSSO + high condylectomy

Mandibular and sagittal maxillary growth inhibited with post-surgical stability

 

Mandibular hypoplasia

---

Normal

Uni/bilateral sagittal split ramus osteotomy + genioplasty

Mandibular post-surgical growth unaltered.

 
 

---

Decreased

Uni/bilateral sagittal split ramus osteotomy + genioplasty

Another surgery will probably be necessary due to mandibular growth deficit

 

Adolescent internal condylar resorption

Normal

Le Fort I osteotomy + BSSO + removal of bilaminar tissues and disc reposition

No post-surgical mandibular growth alterations. Stability in the long term.