Change of TMJ Space Volume After Mandibular Setback BSSRO With Intended Manual Condyle Positioning in Severe Facial Asymmetric Patients

In patients with severe facial asymmetry undergoing BSSRO, there is a tendency for the TMJ space to increase initially. However, incorporating manual condylar positioning to achieve a stable condyle position results in the TMJ space returning to pre-surgery levels by 6 months postoperatively. These findings suggest that intended manual condyle positioning may help maintain proper TMJ function following BSSRO in patients with severe facial asymmetry.