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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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[Short sagittal osteotomy].

Christian Paulus1, Wolfgang Kater2

  • 15 Rue Chambovet, 69003 Lyon, France.

L' Orthodontie Francaise
|December 15, 2015
PubMed
Summary

This study presents a modified sagittal split osteotomy technique for mandibular surgery, reducing split surfaces to enhance inferior alveolar nerve protection and minimize surgical risks. This approach improves patient safety in treating dentofacial deformities.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthognathic Surgery
  • Surgical Anatomy

Context:

  • Bilateral sagittal split osteotomy is the standard surgical procedure for correcting dentofacial deformities.
  • Minimizing surgical morbidity is crucial, even for patients with less severe deformities.
  • Protecting the inferior alveolar nerve is a primary concern during this procedure.

Purpose:

  • To describe a modified bilateral sagittal split osteotomy technique.
  • To reduce the split surface area and enhance inferior alveolar nerve protection.
  • To evaluate the impact of this technique on surgical outcomes and potential complications.

Summary:

  • A modified sagittal split osteotomy technique is presented, featuring an oblique osseous cut from the inferior aspect of the retromolar region towards the supra-angular area.

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  • This approach, combined with a posterior border osteotomy, avoids the inferior alveolar nerve canal, significantly reducing the risk of neurosensory deficits.
  • The technique allows for most mandibular movements, with limitations noted for significant advancements and increases in ramus height.
  • Impact:

    • Reduced risk of inferior alveolar nerve injury and associated neurological complications.
    • Potential for decreased patient morbidity following orthognathic surgery.
    • Offers a viable alternative for mandibular advancement and correction of dentofacial deformities with improved safety profile.