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Place of sagittal split osteotomy in mandibular surgery
Ragip Ozdemir1, Cihat Nazmi Baran, Mehmet Arif Karagoz
1Plastic and Reconstructive Surgery Clinic, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey. ragipoya@hotmail.com
The Journal of Craniofacial Surgery
|March 28, 2009
Summary
Sagittal split mandibular osteotomy (SSMO) effectively treats mandibular deformities. Postoperative orthodontic treatment is recommended for optimal occlusion and function in selected patients.
Area of Science:
- Craniofacial Surgery
- Orthognathic Surgery
- Oral and Maxillofacial Surgery
Background:
- Sagittal split mandibular osteotomy (SSMO) is a common surgical technique for correcting mandibular deformities.
- Various fixation methods and surgical modifications are employed in clinical practice.
Purpose of the Study:
- To evaluate the clinical outcomes of sagittal split mandibular osteotomy (SSMO) in patients with mandibular deformities.
- To assess the efficacy of different fixation techniques and adjunctive procedures.
Main Methods:
- A retrospective study of 57 patients (35 male, 22 female; age 17-47) undergoing SSMO, with or without Le Fort osteotomies.
- Cephalometric analysis was performed pre- and postoperatively.
- Patients received various fixation methods (plates/screws, screws, wires, intermaxillary fixation) and orthodontic treatment (pre- and/or postoperatively).
Main Results:
- SSMO yielded satisfactory results in selected patients.
- Complications included one case of infection/recurrence and sensory loss in three patients.
- One patient experienced temporomandibular joint dysfunction postoperatively.
Conclusions:
- SSMO is a viable treatment for specific mandibular deformities.
- Postoperative orthodontic treatment is crucial for achieving optimal occlusion and masticatory function.
