Endoscopically assisted sagittal split osteotomy for mandibular lengthening: Technical note and initial experience

Mommaerts, Maurice Y.

doi:10.1016/j.jcms.2009.04.007

Cited by 22 publications

(13 citation statements)

References 6 publications

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“…Markiewicz introduced a new retractor to improve the vertical osteotomy in the ObwegesereDal Pont operation (Markiewicz and Margarone, 2008). A refined technique for a less traumatic operation by endoscopy was presentated by Mommaerts (2009).…”

Section: Introductionmentioning

confidence: 99%

Pilot study of modification of the bilateral sagittal split osteotomy (BSSO) in pig mandibles

Böckmann

Schön

Frotscher

et al. 2011

Journal of Cranio-Maxillofacial Surgery

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Section: Introductionmentioning

confidence: 99%

Pilot study of modification of the bilateral sagittal split osteotomy (BSSO) in pig mandibles

Böckmann

Schön

Frotscher

et al. 2011

Journal of Cranio-Maxillofacial Surgery

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“…Mommaerts [20] demonstrated a low incidence of NSD development 1 week after surgery (27.4%) by using an endoscopically assisted SSRO procedure with reduced periosteal degloving. He found that this method is a useful way to increase control over the osteotomy because of the good visibility provided by illumination and magnification.…”

Section: Discussionmentioning

confidence: 97%

Incidence of inferior alveolar nerve affection with and without nerve exposure during bilateral sagittal split osteotomy

Sadakah

Elshall

2018

OMX

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Objective: The aim of this study was to determine the presence and severity of inferior alveolar nerve (IAN) affection during bilateral sagittal split osteotomy (BSSO) in two groups of patients with and without direct exposure and visualization of the nerve during surgical procedure. Patients and Methods: In this prospective randomized clinical study, 14 patients (28 sides) indicated for BSSO were included. The sides were randomly divided into two groups with equal number of sides (14 sides). Group I with wide soft tissue dissection of the medial side of the ramus and exposure of IAN above the ligula and group II with minimal soft tissue dissection of the medial side of the ramus without exposure of IAN. For evaluation of neurosensory function of IAN, two methods were used including subjective evaluation and two-point discrimination test. Results: According to the subjective evaluation, there was a statistically significant difference between both groups in favor of group II in all follow-up recalls except in the final one at 12 months postoperatively. Considering the results of two-point discrimination test, the improvement obviously continued during the successive follow-up periods in both groups, with a statistically significant difference in favor of group II until the ninth month, and then in the last follow-up at the 12 th month, the records were almost equal. Conclusion: To markedly reduce the postoperative neurosensory disturbances of IAV and to accelerate the full recovery of sensation of the lower lip and chin regions following BSSO, limited exposure and dissection of the medial soft tissues of the ramus should be practiced with avoidance of direct exposure and manipulation of IAN.

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“…Luego de los avances propuestos en la técnica quirúrgica por el grupo de Bruce Epker 3 , la innovación permitió el desarrollo de nuevos métodos diagnósticos 21 y con ello nuevas formas terapéuticas que aún están en fase de desarrollo 22 .…”

Section: Cirugía Ortognáticaunclassified

“…La principal desventajas de la cirugía ortognática con sistema ultrasónico es el aumento del tiempo quirúrgico y control de la presión que exige el inserto sobre el hueso ya que el aumento en esta fase pueden aumentar la temperatura y dañar tejidos 22,28 , aunque Schütz et al 17 , ya mostraron que esta temperatura no sería relevante.…”

Section: Cirugía Ortognáticaunclassified

Osteotomías craneomaxilofaciales con sistemas ultrasónicos

Olate

et al. 2013

Rev Chil Cir

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Craneomaxillofacial osteotomy with ultrasonic system. Treatment option and initial experienceUltrasonic system has revolutionized the surgical technique in maxillofacial surgery; they work with a cavitation phenomenon being able to perform osteotomies without damaging on nervous, muscular and vascular tissues or any soft tissue. This condition provides security to the variety of surgery with bone cut close to vessel or important nerves how the condilectomy technique of the mandibular condyle, mandibular osteotomy close to the alveolar nerve, orbital osteotomy and others. This paper present contemporary information about the use in craniofacial surgery and the initial experience of the authors using this system. We conclude that the osteotomy with ultrasonic system can be optimized the surgery with slight increase of surgical time decreasing bleeding and risk to the injury to the soft tissie; is possible beleave that this kind of instrument can be used in any surgery with bone cut necessity.Key words: Ultrasonic, osteotomy, maxillofacial surgery. ResumenLos sistemas ultrasónicos han revolucionado la técnica quirúrgica en cirugía maxilofacial; son sistemas que funcionan con el fenómeno de cavitación siendo capaces de realizar osteotomías sin lesionar los tejidos nerviosos, musculares, vasculares o tejidos blandos en general; esta condición entrega seguridad a la variedad de cirugías que actúan cortando tejido óseo en áreas próximas a vasos y nervios importantes, como en la técnica de condilectomía del cóndilo mandibular, osteotomía mandibular próximo al nervio alveolar inferior, osteotomías orbitarias, entre otras. Este artículo presenta la información actual respecto del uso en cirugía cra-

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Endoscopically assisted sagittal split osteotomy for mandibular lengthening: Technical note and initial experience

Cited by 22 publications

References 6 publications

Pilot study of modification of the bilateral sagittal split osteotomy (BSSO) in pig mandibles

Pilot study of modification of the bilateral sagittal split osteotomy (BSSO) in pig mandibles

Incidence of inferior alveolar nerve affection with and without nerve exposure during bilateral sagittal split osteotomy

Osteotomías craneomaxilofaciales con sistemas ultrasónicos

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