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One-stage technique for sagittal split ramus osteotomy combined with mandibular angle ostectomy.
Shuo Chen1, Yi Zhang2, Jin-Gang An1
1Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of digital Stomatology, Beijing, 100081, China.
Scientific Reports
|January 31, 2018
Summary
Bilateral sagittal split ramus osteotomy combined with mandibular angle resection effectively corrects facial deformities. This surgical approach safely reshapes the jaw angle, improving patient outcomes without complications.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthognathic Surgery
- Facial Plastic Surgery
Background:
- Mandibular prognathism and retrognathism often present with a prominent mandibular angle.
- Bilateral sagittal split ramus osteotomy (BSSRO) is a standard procedure for correcting these jaw discrepancies.
- A prominent mandibular angle can negatively impact facial aesthetics.
Purpose of the Study:
- To evaluate the efficacy and safety of BSSRO combined with mandibular angle resection.
- To assess the impact of this combined surgical technique on mandibular angle dimensions.
- To report clinical experience with this modified surgical approach.
Main Methods:
- Retrospective review of eleven patients treated between July 2014 and December 2016.
- Bilateral sagittal split ramus osteotomy (BSSRO) followed by mandibular angle ostectomy via a medial approach.
- Pre- and post-operative measurements of mandibular angle dimensions were analyzed.
Main Results:
- Significant reduction in mandibular angle measurements was observed post-surgery (p < 0.05).
- No instances of unanticipated fractures or mandibular hematoma were reported.
- The combined procedure demonstrated effective correction of facial deformities.
Conclusions:
- Bilateral sagittal split ramus osteotomy (BSSRO) with medial mandibular angle ostectomy is a safe and effective technique.
- This combined approach successfully corrects facial deformities associated with mandibular prognathism/retrognathism and prominent mandibular angles.
- The procedure offers predictable aesthetic and functional improvements.
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