Effect of the lateral bone cut end on pattern of lingual split during bilateral sagittal split osteotomy in patients with skeletal class III malocclusion

Li, Feng; Li, Sen; Wu, Shuxuan; Le, Yushi; Tan, Jingjing; Wan, Qiang

doi:10.1016/j.bjoms.2023.03.009

Cited by 1 publication

(1 citation statement)

References 27 publications

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“…The complications of these procedures cannot be ignored, and therefore the preservation of life and the correct indication of cases in which this type of surgery will really produce the expected result and be in accordance with the patient's expectations is a priority [32][33][34][35]. Many cases fall between the line of surgical necessity and clinical management alone, and it is up to the surgeon to decide what is best for each individual patient.…”

Section: Introductionmentioning

confidence: 99%

Sixty Years of Innovation in Biomechanical Orthognathic Surgery: The State of the Art and Future Directions

Andreucci

2024

Osteology

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Craniofacial surgery is proposed and performed for a variety of reasons, ranging from congenital or acquired malformations to emotional disorders and parafunctions of the masticatory, respiratory, auditory, and visual systems. Surgery of the mandible and its orthostatic repositioning is the most common of these corrections of craniofacial anomalies. Throughout the history of these procedures, various techniques have been proposed and perfected, but always with a high rate of minor and major complications. The recurrence rate of mandibular malposition is high, as is the temporary loss of facial sensitivity and motor skills. These outcomes are often related to the choice of surgical technique rather than the skill of the surgeon, which is considered to be one of the most important factors in the final outcome. Surgical techniques involving direct manipulation of the vascular-nervous bundles, such as bilateral sagittal split osteotomy, clearly present the possibility of major or minor complications. In this study, an orthognathic surgical technique, performed by the same team for over 40 years and now available through a 20-year postoperative patient follow-up study, is presented with a literature review relating it to biomechanical concepts and bone remodeling to analyze the evolution of orthognathic surgery since it became common practice to correct maxillofacial discrepancies. In this review, we also present a case report in which previous orthodontic treatment prepared a patient for surgical correction of mandibular bone discrepancy without the need for combined maxillary and/or genioplasty, and we describe the most commonly used techniques today, as well as their advantages and disadvantages. The combination of established concepts together promotes favorable stability of mandibular osteotomies, functional anatomical positioning of the temporomandibular joint, reduced risk of injury to the mandibular vasculo-nervous bundle, and good aesthetics with positive patient acceptance and no relapse, thus these are the objectives for proposing innovative treatments that combine the technologies available today.

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Section: Introductionmentioning

confidence: 99%

Sixty Years of Innovation in Biomechanical Orthognathic Surgery: The State of the Art and Future Directions

Andreucci

2024

Osteology

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Effect of the lateral bone cut end on pattern of lingual split during bilateral sagittal split osteotomy in patients with skeletal class III malocclusion

Cited by 1 publication

References 27 publications

Sixty Years of Innovation in Biomechanical Orthognathic Surgery: The State of the Art and Future Directions

Sixty Years of Innovation in Biomechanical Orthognathic Surgery: The State of the Art and Future Directions

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