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[Intermaxillary fixation: technique and benefit for piezosurgical sagittal split osteotomy].

J-L Beziat1, S Faghahati, S Ferreira

  • 1Service de chirurgie craniomaxillo-faciale, groupement hospitalier Nord, 103, Grande-rue-de-la-Croix-Rousse, 69317 Lyon cedex 04, France. jean-luc.beziat@chu-lyon.fr

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|October 23, 2009
PubMed
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Peroperative maxillomandibular fixation during piezosurgical sagittal split osteotomy significantly reduces surgery time by 33% and improves splitting accuracy. This technique enhances outcomes in orthognathic surgery.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthognathic Surgery
  • Piezosurgery

Context:

  • Piezosurgery offers precision and soft tissue preservation in orthognathic surgery.
  • Traditional piezosurgical techniques require modifications for mechanical bone cutting.
  • Assessing the efficacy of peroperative maxillomandibular fixation in piezosurgical osteotomies is crucial.

Purpose:

  • To evaluate the impact of peroperative maxillomandibular fixation on piezosurgical sagittal split osteotomy.
  • To compare surgical outcomes with and without peroperative maxillomandibular fixation.

Summary:

  • A study involving 50 piezosurgical sagittal split osteotomies assessed the use of peroperative maxillomandibular fixation.
  • This technique involved maxillomandibular fixation during the entire split osteotomy procedure, performed in five steps.

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  • Data collected included dysmorphia type, osteotomy size, and surgical duration, compared to a control group without fixation.
  • Impact:

    • Peroperative maxillomandibular fixation decreased surgery length by 33% in piezosurgical bilateral sagittal osteotomy.
    • Complete bone splitting, including the basilar edge, was achieved in 90% of cases with fixation.
    • The technique demonstrated no adverse effects on orthodontic materials, highlighting its safety and effectiveness.