Minimally invasive sagittal osteotomy-technical note

E V Parente; M G Silvares; D C Z Zerbinatti; S da Silva Pinto

doi:10.1016/j.ijom.2024.04.007

Minimally invasive sagittal osteotomy-technical note

Int J Oral Maxillofac Surg. 2024 May 10:S0901-5027(24)00112-7. doi: 10.1016/j.ijom.2024.04.007. Online ahead of print.

Authors

E V Parente¹, M G Silvares², D C Z Zerbinatti³, S da Silva Pinto⁴

Affiliations

¹ Private Practice, Florianópolis, Santa Catarina, Brazil.
² Private Practice, Rio de Janeiro, Brazil.
³ Private Practice, Campinas, São Paulo, Brazil.
⁴ Private Practice, Florianópolis, Santa Catarina, Brazil. Electronic address: ssp.samara@hotmail.com.

PMID: 38734489
DOI: 10.1016/j.ijom.2024.04.007

Abstract

This article describes a novel minimally invasive technique for bilateral sagittal split osteotomy (BSSO) that aims to reduce surgical trauma while maintaining bone overlap and rigid internal fixation for proper consolidation of the bone segments. The technique involves a small vestibular mucoperiosteal incision made on the lateral aspect of the mandible between the first and second molars, enabling a standard ramus split, surgical segment movement, and miniplate fixation. A retrospective evaluation of 67 consecutive patients who underwent BSSO using this protocol showed favorable split of the mandible with no unfavorable splits or non-union. Patients were discharged from hospital within an average of 17 h with minimal postoperative complications. This technique provides good surgical visualization with a very small incision and allows standard BSSO surgery without difficulty.

Keywords: Minimally invasive surgical procedures; Oral surgical procedures; Orthognathic surgery; Piezo-Electric Surgery; Sagittal Split Ramus Osteotomy.

Publication types

Case Reports