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Related Experiment Videos

[Is segmental osteotomy of the jaws outdated?].

H P Freihofer1, R A Voorsmit

  • 1Afdeling Mond- en Kaakchirurgie, Academisch Ziekenhuis, Nijmegen.

Nederlands Tijdschrift Voor Tandheelkunde
|March 1, 1995
PubMed
Summary

Segmental osteotomies remain valuable surgical interventions, especially for lower jaw orthognathic surgery. Despite advances, these procedures offer unique benefits and should not be overlooked in treatment planning.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthognathic Surgery
  • Surgical Orthodontics

Background:

  • Segmental osteotomies were historically widely indicated for various jaw deformities.
  • The rise of combined surgical-orthodontic treatments has led to a decline in the use of segmental osteotomies.
  • This shift may have led to an underappreciation of the technique's continued relevance.

Purpose of the Study:

  • To re-evaluate the role and indications of segmental osteotomies in modern orthognathic surgery.
  • To highlight the specific advantages and applications of segmental osteotomies, particularly for the mandible.
  • To argue for the continued inclusion of segmental osteotomies as a standard surgical option.

Main Methods:

  • Review of historical and current indications for segmental osteotomies.
  • Analysis of the technique's benefits, including precision and didactic value.
  • Discussion of specific clinical scenarios where segmental osteotomies are advantageous, especially in mandibular surgery.

Main Results:

  • Segmental osteotomies, when carefully indicated, retain a significant place in surgical armamentarium.
  • The technique offers unique advantages, particularly in addressing complex lower jaw discrepancies.
  • These procedures are not obsolete and possess considerable didactic value for surgical training.

Conclusions:

  • Segmental osteotomies are a valuable and relevant technique in orthognathic surgery.
  • They should be considered routine options, especially for specific mandibular surgical interventions.
  • Careful indication and meticulous execution ensure their continued efficacy and importance.

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