Changes of temporomandibular joint space volume during 1 year after transoral vertical ramus osteotomy in patients with mandibular asymmetry

Abstract This retrospective study aimed to evaluate the difference in the temporomandibular joint (TMJ) space volume between the deviated (Dev) and non-deviated (NDev) side following transoral vertical ramus osteotomy (TOVRO) in patients with mandibular prognathism combined with asymmetry using reco...

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Main Authors: Sung Jun Bae, Hae-Seong Yong, Haneul Lee, Hye-Sun Kim, Jong-Ki Huh, Jae-Young Kim
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-86987-9
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author Sung Jun Bae
Hae-Seong Yong
Haneul Lee
Hye-Sun Kim
Jong-Ki Huh
Jae-Young Kim
author_facet Sung Jun Bae
Hae-Seong Yong
Haneul Lee
Hye-Sun Kim
Jong-Ki Huh
Jae-Young Kim
author_sort Sung Jun Bae
collection DOAJ
description Abstract This retrospective study aimed to evaluate the difference in the temporomandibular joint (TMJ) space volume between the deviated (Dev) and non-deviated (NDev) side following transoral vertical ramus osteotomy (TOVRO) in patients with mandibular prognathism combined with asymmetry using reconstructed 3-dimensional images. Sixty joints from 30 patients who underwent TOVRO between January 2018 and December 2021 were included. Computed tomography (CT) or cone-beam CT was performed before surgery (T0), and 6 (T1) and 12 months postoperatively (T2). The volume of the overall joint space (Vjs) and its compartments (i.e., the anterior, posterior, medial, and lateral joint spaces) were calculated at each time point. A linear mixed model and repeated-measures covariance pattern with unstructured covariance were used. Vjs increased at T1 compared to T0 and decreased at T2 compared to T1 (p < 0.0001). Furthermore, the volume changes over time were statistically significant in all compartments (p < 0.05); however, there was no significant difference in the Vjs and its compartments between the Dev and NDev side over time (p > 0.05). Adjustments for sex and mandibular movements did not affect the results. This study can provide the basis in TMJ spatial change and predicting the prognosis after TOVRO in facial asymmetry.
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spelling doaj-art-0b4e529ad28d4c0d945c39a66d23ec532025-01-26T12:30:25ZengNature PortfolioScientific Reports2045-23222025-01-0115111210.1038/s41598-025-86987-9Changes of temporomandibular joint space volume during 1 year after transoral vertical ramus osteotomy in patients with mandibular asymmetrySung Jun Bae0Hae-Seong Yong1Haneul Lee2Hye-Sun Kim3Jong-Ki Huh4Jae-Young Kim5Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of DentistryDepartment of Oral and Maxillofacial Surgery, Seosan Jungang General HospitalDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of DentistryDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of DentistryDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of DentistryDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of DentistryAbstract This retrospective study aimed to evaluate the difference in the temporomandibular joint (TMJ) space volume between the deviated (Dev) and non-deviated (NDev) side following transoral vertical ramus osteotomy (TOVRO) in patients with mandibular prognathism combined with asymmetry using reconstructed 3-dimensional images. Sixty joints from 30 patients who underwent TOVRO between January 2018 and December 2021 were included. Computed tomography (CT) or cone-beam CT was performed before surgery (T0), and 6 (T1) and 12 months postoperatively (T2). The volume of the overall joint space (Vjs) and its compartments (i.e., the anterior, posterior, medial, and lateral joint spaces) were calculated at each time point. A linear mixed model and repeated-measures covariance pattern with unstructured covariance were used. Vjs increased at T1 compared to T0 and decreased at T2 compared to T1 (p < 0.0001). Furthermore, the volume changes over time were statistically significant in all compartments (p < 0.05); however, there was no significant difference in the Vjs and its compartments between the Dev and NDev side over time (p > 0.05). Adjustments for sex and mandibular movements did not affect the results. This study can provide the basis in TMJ spatial change and predicting the prognosis after TOVRO in facial asymmetry.https://doi.org/10.1038/s41598-025-86987-9Mandibular asymmetryTemporomandibular jointVolumeVertical Ramus osteotomy
spellingShingle Sung Jun Bae
Hae-Seong Yong
Haneul Lee
Hye-Sun Kim
Jong-Ki Huh
Jae-Young Kim
Changes of temporomandibular joint space volume during 1 year after transoral vertical ramus osteotomy in patients with mandibular asymmetry
Scientific Reports
Mandibular asymmetry
Temporomandibular joint
Volume
Vertical Ramus osteotomy
title Changes of temporomandibular joint space volume during 1 year after transoral vertical ramus osteotomy in patients with mandibular asymmetry
title_full Changes of temporomandibular joint space volume during 1 year after transoral vertical ramus osteotomy in patients with mandibular asymmetry
title_fullStr Changes of temporomandibular joint space volume during 1 year after transoral vertical ramus osteotomy in patients with mandibular asymmetry
title_full_unstemmed Changes of temporomandibular joint space volume during 1 year after transoral vertical ramus osteotomy in patients with mandibular asymmetry
title_short Changes of temporomandibular joint space volume during 1 year after transoral vertical ramus osteotomy in patients with mandibular asymmetry
title_sort changes of temporomandibular joint space volume during 1 year after transoral vertical ramus osteotomy in patients with mandibular asymmetry
topic Mandibular asymmetry
Temporomandibular joint
Volume
Vertical Ramus osteotomy
url https://doi.org/10.1038/s41598-025-86987-9
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