Mandibular osteotomies in orthognathic surgery

Area of Science:

• Oral and Maxillofacial Surgery
• Orthognathic Surgery
• Surgical Anatomy

Background:

• Mandibular deformities significantly impact facial aesthetics and function.
• Bilateral sagittal split osteotomy (BSSO) is the gold standard for correcting such deformities.
• Effective patient evaluation and surgical planning are crucial for successful outcomes.

Purpose of the Study:

• To review the authors' experience with BSSO in orthognathic surgery.
• To detail the evaluation process for patients with mandibular deformities.
• To describe the specific BSSO surgical technique and postoperative management.

Main Methods:

• Retrospective review of orthognathic surgery patients with mandibular deformities.
• Detailed description of the authors' preferred bilateral sagittal split osteotomy technique.
• Outline of standardized postoperative care protocols.

Main Results:

• Bilateral sagittal split osteotomy is a reliable and effective technique for mandibular advancement and setback.
• Careful patient selection and meticulous surgical execution lead to predictable results.
• Appropriate postoperative management minimizes complications and optimizes healing.

Conclusions:

• Bilateral sagittal split osteotomy remains a cornerstone of modern orthognathic surgery.
• A systematic approach to patient evaluation, surgical technique, and postoperative care ensures optimal outcomes for mandibular deformities.