Control of the proximal segment by lower border wiring in the sagittal split osteotomy

Area of Science:

• Oral and Maxillofacial Surgery
• Orthognathic Surgery

Background:

• Sagittal split osteotomy is a common procedure in orthognathic surgery.
• Maintaining the position of the proximal segment is crucial for successful outcomes.
• Existing techniques face challenges in controlling proximal segment stability.

Purpose of the Study:

• To introduce and evaluate a new lower border wiring technique.
• To demonstrate the effectiveness of this technique in stabilizing the proximal segment.
• To improve the predictability and control of sagittal split osteotomy.

Main Methods:

• A modified lower border wiring approach was developed.
• The technique involves specific wiring of the proximal segment.
• Clinical application and assessment of the technique were performed.

Main Results:

• The lower border wiring technique effectively stabilized the proximal segment.
• The proximal segment was maintained in its pre-operative position.
• This method offers reliable control during the osteotomy procedure.

Conclusions:

• The presented lower border wiring technique is a valuable modification for sagittal split osteotomy.
• It provides enhanced stability and control of the proximal segment.
• This technique contributes to improved surgical precision in orthognathic procedures.