Minimally invasive mandible reduction using Lee's Rasp & Saw.

Area of Science:

• Plastic Surgery
• Oral and Maxillofacial Surgery
• Facial Contouring

Background:

• Mandible reduction is a common facial contouring procedure, particularly for Asian patients.
• Traditional intraoral incision methods pose risks like airway obstruction and massive bleeding.
• Maintaining visual field during surgery can be challenging, leading to complications.

Purpose of the Study:

• To introduce a novel surgical tool, Lee's Rasp & Saw, for mandible reduction.
• To present a minimally invasive surgical technique using this new equipment.
• To evaluate the safety and efficacy of the external approach using Lee's Rasp & Saw.

Main Methods:

• Utilized Lee's Rasp & Saw, a device with simultaneous bone dust collection, suction, and irrigation.
• Employed a minimally invasive technique with a 4- to 6-mm stab incision for rasping.
• Applied the external approach in the surgical procedures.

Main Results:

• The new surgical method was applied to over 260 patients with satisfactory outcomes.
• Demonstrated decreased complications and reduced operation times compared to traditional methods.
• The external approach using Lee's Rasp & Saw proved effective and simplified surgical procedures.

Conclusions:

• Lee's Rasp & Saw offers a safer and more efficient alternative for mandible reduction surgery.
• The minimally invasive technique minimizes soft tissue injury and simplifies the operation.
• Further evaluation of the intraoral approach with this device is ongoing with promising results.