Relapse after SSRO for mandibular setback movement in relation to the amount of mandibular setback and intraoperative clockwise rotation of the proximal segment

The aim of this study was to evaluate the effect of the amount of setback movement and intraoperative clockwise rotation of the proximal segments on postoperative stability after orthognathic surgery to correct mandibular prognathism. Thirty-six patients with mandibular prognathism who underwent orthognathic surgery with bilateral sagittal split ramus osteotomy were evaluated. The amount of postoperative relapse was analyzed using a cephalometric analysis. Six months after surgery, the mean backward movement of the mandible at point B was 11.2 mm, the mean intraoperative clockwise rotation of the proximal segment was 4.3 degrees and the amount of postoperative relapse at point B was 2.3 mm (20.3%) on average. The tendency of relapse did not significantly increase with the amount of setback but did increase significantly with the intraoperative clockwise rotation of the proximal segment. This study suggested that postoperative relapse after mandibular setback surgery might be more related to the degree of the intraoperative clockwise movement of the proximal segment, rather than the amount of setback movement. When the amount of mandibular setback is considerable, postoperative relapse might be minimized with adequate control of the intraoperative positioning of the proximal segments. (C) 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.