European Journal of Molecular & Clinical Medicine

Abstract

Aim: To evaluate the skeletal stability in wiring and plating fixation technique after genioplasty advancement. Methodology: Patients who came for repair of cleft alveolus were enrolled within the study. Retrospectively all the Lateral Cephalogram were taken for patients undergoing Orthognathic Surgery; pre-operatively, 1-week post-operative and 1-year post-operatively after advancement genioplasty. Two groups were divided in keeping with the osteosynthesis technique used, Group 1- Wiring Osteosynthesis (n=38) and Group 2- Miniplate Osteosynthesis (n=38). Linear measurements were done after tracing all the Lateral Cephalograms. Results: In the semi rigid group (wire fixation) a mean horizontal advancement of 5.97 mm was in the midst of a relapse of 1.623 mm. The mean superior repositioning of menton was 0.7 mm. This was in the middle of a relapse of 0.3 mm during a period of 1 year. Within the rigid group (miniplate) a mean horizontal advancement of 4.815 mm was in the course of a relapse of 0.2 mm. The mean superior repositioning of menton was 0.975 mm. Conclusion: The results of our study and our clinical experience indicate that this single plate is a particularly simple and extremely useful method of stabilization.