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Rectangular body ostectomy for the treatment of severe mandibular prognathism
Metin Sencimen1, Aydin Gulses, Fidan Alakus Sabuncuoglu
1Department of Oral and Maxillofacial Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
Objective:
The aim of this article was to present the surgical technique and the outcomes of rectangular body ostectomy in the treatment of severe mandibular prognathism.
Methods:
Mandibular setback by bilateral rectangular body ostectomies combined with Le Fort I level maxillary advancement was performed. The deep bony concavity of paranasal area was grafted with bone blocks harvested from the ostectomized segments of the mandible.
Results:
Satisfactory functional and aesthetic outcomes were obtained by rectangular body ostectomy combined with Le Fort I level maxillary advancement and an acceptable profile was provided for the patient.
Conclusions:
The mandibular rectangular ostectomy remains a safe and versatile procedure with predictable results in well-selected cases.
