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Related Experiment Videos

Lingual Short Split: A Bilateral Sagittal Split Osteotomy Technique Modification.

Eduardo Sant'Ana1, Denis Pimenta E Souza, Astrid Buysse Temprano

  • 1*Department of Surgery, Stomaology, Pathology and Radiology, Bauru Dental School, University of Sao Paulo, FOB/USP, Bauru †Private Practice ‡Department of Oral Surgery and Integrated Clinic, Araçatuba Dental School, University of the State of Sao Paulo, FOA/UNESP §Department of Oral & Maxillofacial Surgery, University of Ribeirao Preto (UNAERP), Ribeirao Preto, Brazil.

The Journal of Craniofacial Surgery
|September 6, 2017
PubMed
Summary

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The short lingual split technique offers a simpler approach to mandibular ramus osteotomy, reducing complications like nerve damage and fractures. This method ensures faster patient recovery with less trauma compared to traditional sagittal split osteotomy.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthognathic Surgery
  • Surgical Innovation

Background:

  • Sagittal split osteotomy of the mandibular ramus is a widely used orthognathic surgery technique.
  • While effective, it carries risks including paresthesia and undesirable fractures.
  • Improvements have focused on stability, bone contact, and osteosynthesis.

Purpose of the Study:

  • To introduce and evaluate the short lingual split technique as a simplified alternative.
  • To compare its outcomes with the traditional sagittal split osteotomy.
  • To assess the reduction in operative complications and improve patient recovery.

Main Methods:

  • Description of the short lingual split technique, emphasizing its simplified horizontal osteotomy.
  • Comparison of operative time, fracture incidence, and neurosensory recovery.

Related Experiment Videos

  • Focus on minimizing trauma and nerve manipulation during surgery.

    • Main Results:

    • The short lingual split technique simplifies the horizontal osteotomy of the ramus.
    • It significantly decreases the risk of undesirable fractures in the subcondylar region.
    • Patients experience faster neurosensitive recovery due to minor trauma and nerve manipulation.

    Conclusions:

    • The short lingual split technique is a viable and advantageous alternative to sagittal split osteotomy.
    • It offers improved safety by reducing fracture risk and enhancing nerve recovery.
    • This technique simplifies the procedure and potentially shortens operative time.