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Bilateral sagittal split osteotomy.

Laura A Monson1

  • 1Division of Plastic Surgery, Michael E. Debakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

Seminars in Plastic Surgery
|May 30, 2014
PubMed
Summary
This summary is machine-generated.

The bilateral sagittal split osteotomy, a surgical technique for correcting jaw alignment, has evolved significantly since the 1800s. Modern modifications enhance its safety, reliability, and predictability for treating malocclusion.

Keywords:
bilateral sagittal split osteotomymandibleorthognathic

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics
  • Surgical Innovation

Background:

  • The bilateral sagittal split osteotomy (BSSO) is a critical surgical procedure for correcting dentofacial deformities.
  • Its origins trace back to the late 1800s, with significant advancements occurring in the 1960s and 1970s.
  • These historical modifications aimed to improve safety, reliability, and predictability while minimizing post-operative relapse.

Purpose of the Study:

  • To provide a comprehensive overview of the bilateral sagittal split osteotomy.
  • To highlight the historical evolution and impact of modifications on the BSSO technique.
  • To emphasize the importance of a thorough understanding of the procedure for surgeons.

Main Methods:

  • Historical review of the bilateral sagittal split osteotomy technique.
  • Analysis of key modifications and their contributions to surgical outcomes.
  • Discussion of the anatomical considerations and technical aspects.

Main Results:

  • The BSSO has transformed from an early technique to a dependable method for correcting various malocclusions.
  • Modifications have consistently improved the procedure's safety, reliability, and predictability.
  • The technique is now a cornerstone in managing dentofacial abnormalities.

Conclusions:

  • The bilateral sagittal split osteotomy is an indispensable surgical tool for correcting dentofacial abnormalities.
  • Continuous innovation has made the BSSO a reliable and predictable method for malocclusion correction.
  • Surgeons must possess comprehensive knowledge of the BSSO's history, anatomy, techniques, and potential complications.