PubMed Health⌕ Search

Biomedical subjects

B Rune

Publications and source records attributed to B Rune.

At least 37 records · Page 2Linked to original sources
PubMed1986

Displacement of the mandible after removal of the intermaxillary fixation following oblique sliding osteotomy.

In an earlier study (Rosenquist et al., 1985) on oblique sliding osteotomy in 14 patients, operative repositioning and postoperative displacement of the mandible during intermaxillary fixation were presented. In the present stereometric study on the same patients displacement of the mandible after removal of the intermaxillary fixation is presented. A continuous anterior and a minor initial cranial translation and an anterior rotation of the mandible were found. Proclination of both upper and lower incisors was recorded. Correlations were found between operative repositioning and postoperative displacement of the mandible after removal of the intermaxillary fixation. Possible relapse mechanisms are discussed.

Cephalometry↗
PubMed1986

Roentgen stereometry in the study of craniofacial anomalies--the state of the art in Sweden.

The paper is a review of ten years' experience with the method for Roentgen Stereophotogrammetric Analysis (RSA) which was presented by Selvik in 1974. The RSA was developed for the study of bone displacement in three dimensions and intended for clinical use. The accuracy of the recordings is about 0.1 degrees for rotations about and 0.05 mm for translations along any one of the three cardinal axes of the head. The method, based on the use of metallic implants, is essentially individual. Some results from our stereometric studies of patients with cleft lip and palate, hemifacial microsomia, craniofacial dysostosis (Crouzon syndrome) and dysgnathia are presented. The recordings concern the direction, the rate, and the amount of articular growth in the craniofacial sutures and the temporomandibular joints (TMJs). The information obtained is thus highly relevant to treatment planning and follow-up in craniofacial anomalies.

Child, Preschool↗
PubMed1985

Displacement of the mandible during intermaxillary fixation after oblique sliding osteotomy. A stereometric and cephalometric radiographic study.

The X-ray stereometric method was applied for the first time to a series of consecutive patients to record operative repositioning of the mandible during oblique sliding osteotomy and postoperative displacement of the mandible during intermaxillary fixation. Comparison with cephalometric measurements was presented. The operative repositioning pattern was presented. Postoperatively a posterior displacement pattern was found with incisor extrusion in both jaws. Correlation between operative repositioning and postoperative displacement and between the two measurement methods was assessed. The stereometric method offers information on displacement on all three planes and a higher degree of accuracy. To avoid incisor extrusion, besides intermaxillary dental fiscation also skeletal fixation is recommended.

Adolescent↗
PubMed1983

Roentgen stereometry with the aid of metallic implants in hemifacial microsomia.

Displacement of the mandible and the maxilla with growth in relationship to the frontal bone was recorded in eleven children with hemifacial microsomia, aged 3 to 14 years at the initial examination. The goals were to assess the efficiency of the method for accurate recording of articular growth and to obtain information on facial development in each of these children. Correction of the skeletal asymmetry was not attempted during observation periods of from 707 to 1,484 days. In continued observations three of the children were treated with functional appliances. Roentgen stereometry with the aid of metallic implants proved to be an efficient method for highly accurate recordings of articular facial growth in relationship to the frontal bone. Displacement of the jaws was asymmetrical in all of the examined children as determined in the frontal and transverse planes of the head. In about 50 percent of the children the degree of asymmetry increased in one plane while it decreased in the other plane. No correlation was found between the extent of the mandibular deformity, as seen on orthopantomograms, and the displacements of the mandible. Generally, the displacement of the maxillary bones corresponded with the displacement of the mandible. Articular growth of the jaws was redirected toward a more favorable pattern in two of the children during the time they used a functional appliance. In the third child the use of a functional appliance had no such effect.

Activator Appliances↗
PubMed1982

Posteroanterior traction in maxillonasal dysplasia (Binder syndrome). A roentgen stereometric study with the aid of metallic implants.

The study was undertaken to examine the effect of posteroanterior traction in an 11-year-old boy with maxillonasal dysplasia. Movement of the maxillary bones and of the mandible was recorded, by means of roentgen stereophotogrammetry, in relationship to the frontal bone during and after treatment. In the examined child face-mask therapy mainly influenced the position of the mandible while the recorded advancement of the maxillary bones was slight (0.6 mm.). It is possible that the limited maxillary response to traction may be due to insufficient growth capacity of the circummaxillary sutures in a child with maxillonasal dysplasia. While movement of the maxillary bones and of the mandible during traction conformed with the pattern of treatment effect described by Delaire a total maxillary relapse occurred in the posttreatment observation period (no retention), possibly in adaptation to the retropositioned mandible. In our patient, posteroanterior traction accomplished improvement of the maxillary retrusion in relationship to the mandible only.

Child↗
PubMed1982

Hemifacial microsomia treated with the Herbst appliance. Report of a case analyzed by means of roentgen stereometry and metallic implants.

The effect of Herbst appliance treatment on facial growth of one patient was recorded in terms of displacement of the mandible and the maxillary bones in relation to the frontal bone. The recordings were made with an accuracy of 0.1 degree and 0.05 mm. (S.D.). Before treatment the jaws were displaced posteriorly and to the affected side with growth, increasing the degree of retrognathia and facial asymmetry. During treatment facial growth was redirected and the jaws were displaced anteriorly and to the unaffected side, decreasing th degree of retrognathia and asymmetry. At the same time, however, the tilt of the mandible to the affected side was increased, possibly because of the morphologic and functional conditions of the jaws in hemifacial microsomia. The dental malocclusion was corrected partly through displacement of the jaws and partly through dentoalveolar adaptation.

Activator Appliances↗
PubMed1981

Growth in hemifacial microsomia studied with the aid of roentgen stereophotogrammetry and metallic implants.

Displacement of the mandible and of the maxillary bones with growth was studied in 11 children with hemifacial microsomia. The subjects were from three to 14 years of age at the initial examination and were observed over a period of 350 to 1218 days. Roentgen stereophotogrammetry with the aid of metallic implants proved to be an efficient method for highly accurate recordings of growth relative to the frontal bone. Complicated movements of the jaws occurred and either increased or decreased the degree of facial asymmetry. No correlation could be found between the extent of the mandibular deformity as seen on orthopantomograms and the displacement of the mandible with growth. Generally, the displacement of the maxillary bones corresponded with the displacement of the mandible.

Adolescent↗
PubMed1980

Movement of maxillary segments after expansion and/or secondary bone grafting in cleft lip and palate: a roentgen stereophotogrammetric study with the aid of metallic implants.

The study was undertaken to examine the effects of expansion treatment and secondary bone grafting in cleft lip and palate. Movement of the lateral maxillary segments in four patients with complete bilateral cleft lip and palate (BCLP) was complicated and asymmetric, and a greater relative widening of the dental arch was observed. The least expansion was found in the oldest patient. Bone grafting did not bring about a stable relationship between the segments. The width of the dental arch was mostly maintained despite segmental movement. In one patient with unilateral cleft of the lip and primary palate (UCL) growth in the midpalatal suture followed the pattern observed in noncleft patients but was less extensive. Accurate and comprehensive recording of the relatively small maxillary movements requires that implant stability is checked and that a reference is established outside the maxilla.

Adolescent↗
PubMed1980

Movement of the cleft maxilla in infants relative to the frontal bone. A roentgen stereophotogrammetric study with the aid of metallic implants.

Four implants (tantalum balls 0.5 mm in diameter) were inserted in the frontal bone, and three implants (tantalum pins 1.5 x 0.5 mm) were inserted in each lateral segment of the cleft maxilla of ten infants aged 13 to 42 months. Motion of the maxillary segments was studied relative to the frontal bone by means of roentgen stereophotogrammetry during observation periods from 371 to 868 days. The results were presented by means of computer drawings of the implant triangles projected on the three cardinal planes. With this technique, movement of the maxillary segments could be visualized with a high degree of accuracy. No pattern of movement related to time or type of surgery, to type of cleft (UCLP/BCLP), or to cleft or non-cleft segment could be found.

Cephalometry↗
PubMed1979

Motion of bones and volume changes in the neurocranium after craniectomy in Crouzon's disease. A roentgen stereometric study.

Craniectomy was performed on a boy with Crouzon's disease at 22 months of age. Metallic implants (tantalum balls, 0.5 mm in diameter) were inserted in the calvaria during surgery, and the child was examined postoperatively by roentgen stereometry at intervals of about 100 days (total observation time, 309 days). The thyroid radiation dose was 250 muGy for one examination. The effect of craniectomy was recorded with a high degree of accuracy in terms of motion of bones and volume changes in the calvaria. Expansion occurred almost entirely through motion of free bone flaps in the frontal region, while a linear craniectomy in the region of the sagittal suture caused small changes. The rate of expansion decreased rapidly and stabilization was recorded about 250 days after surgery.

Bone Development↗
PubMed1979

A roentgen stereophotogrammetric study of implant stability and movement of segments in the maxilla of infants with cleft lip and palate.

Three implants (tantalum pins 1.5 x 0.5 mm) were inserted in each lateral segment of the cleft maxilla of ten infants aged three to 33 months. To check the stability of the implants in the bone the distances between the three implants within each segment were measured by means of roentgen stereophotogrammetry (accuracy 0.05 mm) at intervals of 7, 35, 63, 147, and 287 days after initial examination and at varying intervals thereafter (maximal observation time 833 days). No implants were lost and 18 of 60 measured distances were stable (final changes less than 0.2 mm). The three implants were regarded as a rigid-body model which represented the segment in the calculations of motion. In all infants with complete clefts, transverse narrowing occurred immediately after primary closure of the lip, or primary palate repair, while subsequent movement followed individual patterns.

Child, Preschool↗
PubMed1979

Oral orthopedics and movement of maxillary segments. A roentgen stereophotogrammetric study.

An infant with a complete unilateral cleft of the lip and palate underwent maxillary expansion treatment using an oral orthopedic appliance. Movement of the maxillary bone segments was studied by means of metallic implants and roentgen stereophotogrammetry, and intra-oral changes were recorded by measuring transverse dimensions on casts. Expansion treatment had almost no influence on the positions of the maxillary segments, and movements of the segments showed little agreement with measures on casts. The findings suggest that the appropriate use of the term oral orthopedics and the evaluation of treatment effects would benefit from evaluating the movement of the segments by methods other than measurements of casts.

Cleft Lip↗