Case Report
BibTex RIS Cite
Year 2023, Volume: 2 Issue: 3, 60 - 63, 22.09.2023

Abstract

References

  • 1. Travess H, Newton J, Sandy J. The development of a patient-centered measure of theprocess and outcome of combined orthodontic and orthognathic treatment. Journal ofOrthodontics.2004;31(220).
  • 2. FalterB, SchepersS, VrielinckL, LambrichtsI, ThijsH, PolitisC. Occurrence of bad splits during sagittal split osteotomy. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology. 2010;110(4):430-435.doi:10.1016/j. tripleo.2010.02.003
  • 3. Verweij JP, Houppermans PNWJ, Gooris P, Mensink G, van Merkesteyn JPR. Riskfactors for common complications associated with bilateral sagittal split osteotomy: Aliterature review and meta-analysis. Journal of Cranio-Maxillofacial Surgery.2016;44(9):1170-1180.doi:10.1016/j.jcms.2016.04.023
  • 4. Jędrzejewski M, Smektała & T, Sporniak-Tutak & K, Olszewski & R. Preoperative,intraoperative,and post operative complications in orthognathic surgery:a systematic review.doi:10.1007/s00784- 015-1452-1
  • 5. KimSG, ParkSS. Incidence of Complications and Problems Related to Orthognathic Surgery. Journal of Oral and Maxillofacial Surgery. 2007;65(12): 2438-2444.doi:10.1016/j.joms.2007.05.030
  • 6. Mensink G, Verweij JP, Frank MD, Eelco Bergsma J, Richard Van Merkesteyn JP.Bad split during bilateral sagittal split osteotomy of the mandible with separators: Aretrospective study of 427 patients. British Journal of Oral and Maxillofacial Surgery.2013;51(6):525-529.doi:10.1016/j.bjoms.2012.10.009
  • 7. Steenen S, Becking A. Bad splits in bilateral sagittal split osteotomy: systematic reviewoff fracture patterns. International Journal of Oral and Maxillofacial Surgery.2016;45(7):887-897.
  • 8. Kriwalsky MS, Maurer P, Veras RB, Eckert AW, Schubert J. Risk factors for a badsplit during sagittal split osteotomy. British Journal of Oral and Maxillofacial Surgery.2008;46(3):177-179. doi:10.1016/j.bjoms.2007.09.011
  • 9. Reyneke JP, Tsakiris P, Becker P. Age as a factor in the complication rate afterremoval ofunerupted/impacted third molar sat the time of mandibular sagittal split osteotomy. Journal of Oral and Maxillofacial Surgery. 2002;60(6):654-659. doi:10.1053/joms.2002.33114
  • 10. August M, Marchena J, Donagy J, Kaban L. Neurosensory Deficit and Functional Impairment After Sagittal Ramus Osteotomy:ALong-Term Follow-UpStudy.;1998.
  • 11. Veras RB, Kriwalsky MS, Hoffmann S, Maurer P, Schubert J. Functional and radiographic long-term results after bad split in orthognathic surgery. International Journal of Oral and Maxillofacial Surgery. 2008;37(7):606-611.doi:10.1016/j. ijom.2008.04.010

Bad Split During Bilateral Sagittal Split Osteotomy of Mandible: Case Report

Year 2023, Volume: 2 Issue: 3, 60 - 63, 22.09.2023

Abstract

Bilateral sagittal split osteotomy (BSSO) is a well-defined process that moves the mandible in three directions of space and
moves it into the correct position. BSSO has been described in the literature as a safe procedure. However, it includes some
intraoperative and postoperative complications. The most common of these is the bad split. The aim of this article is to present
bad splits cases and treatment methods. In our center had made 102 BSSO cases in 2012-2019 and 6 of these include bad split.
5 of these buccal plate fracture on proximal segment, one of these distal segment fracture include condyler process. All cases
had managed intraoperatively with screw osteosynthesis and no need for additional precaution like rigit intermaxillary fixation or
a prolonged stay. All patient were followed for 1 week, 1month, 6 month and 1 year. None of patient had showed poor function or
temporomandibular dysorder postoperatively.
Even if a bad split consist of during surgery, no influence final result or postoperative course.
Consequently, bad split is not avoidable all time. When treated well the chances of functional success are good.

References

  • 1. Travess H, Newton J, Sandy J. The development of a patient-centered measure of theprocess and outcome of combined orthodontic and orthognathic treatment. Journal ofOrthodontics.2004;31(220).
  • 2. FalterB, SchepersS, VrielinckL, LambrichtsI, ThijsH, PolitisC. Occurrence of bad splits during sagittal split osteotomy. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology. 2010;110(4):430-435.doi:10.1016/j. tripleo.2010.02.003
  • 3. Verweij JP, Houppermans PNWJ, Gooris P, Mensink G, van Merkesteyn JPR. Riskfactors for common complications associated with bilateral sagittal split osteotomy: Aliterature review and meta-analysis. Journal of Cranio-Maxillofacial Surgery.2016;44(9):1170-1180.doi:10.1016/j.jcms.2016.04.023
  • 4. Jędrzejewski M, Smektała & T, Sporniak-Tutak & K, Olszewski & R. Preoperative,intraoperative,and post operative complications in orthognathic surgery:a systematic review.doi:10.1007/s00784- 015-1452-1
  • 5. KimSG, ParkSS. Incidence of Complications and Problems Related to Orthognathic Surgery. Journal of Oral and Maxillofacial Surgery. 2007;65(12): 2438-2444.doi:10.1016/j.joms.2007.05.030
  • 6. Mensink G, Verweij JP, Frank MD, Eelco Bergsma J, Richard Van Merkesteyn JP.Bad split during bilateral sagittal split osteotomy of the mandible with separators: Aretrospective study of 427 patients. British Journal of Oral and Maxillofacial Surgery.2013;51(6):525-529.doi:10.1016/j.bjoms.2012.10.009
  • 7. Steenen S, Becking A. Bad splits in bilateral sagittal split osteotomy: systematic reviewoff fracture patterns. International Journal of Oral and Maxillofacial Surgery.2016;45(7):887-897.
  • 8. Kriwalsky MS, Maurer P, Veras RB, Eckert AW, Schubert J. Risk factors for a badsplit during sagittal split osteotomy. British Journal of Oral and Maxillofacial Surgery.2008;46(3):177-179. doi:10.1016/j.bjoms.2007.09.011
  • 9. Reyneke JP, Tsakiris P, Becker P. Age as a factor in the complication rate afterremoval ofunerupted/impacted third molar sat the time of mandibular sagittal split osteotomy. Journal of Oral and Maxillofacial Surgery. 2002;60(6):654-659. doi:10.1053/joms.2002.33114
  • 10. August M, Marchena J, Donagy J, Kaban L. Neurosensory Deficit and Functional Impairment After Sagittal Ramus Osteotomy:ALong-Term Follow-UpStudy.;1998.
  • 11. Veras RB, Kriwalsky MS, Hoffmann S, Maurer P, Schubert J. Functional and radiographic long-term results after bad split in orthognathic surgery. International Journal of Oral and Maxillofacial Surgery. 2008;37(7):606-611.doi:10.1016/j. ijom.2008.04.010
There are 11 citations in total.

Details

Primary Language English
Subjects Facial Plastic Surgery
Journal Section Case Reports
Authors

Doç. Dr. Timuçin Baykul 0000-0003-1621-1112

Yavuz Fındık 0000-0003-3483-3177

Gülperi Koçer 0000-0002-8793-8880

Mehmet Fatih Şentürk 0000-0002-1239-441X

Tayfun Yazıcı 0000-0003-1881-5614

Seçil Duygu Sümengen This is me 0000-0002-9217-0001

Early Pub Date December 21, 2023
Publication Date September 22, 2023
Published in Issue Year 2023 Volume: 2 Issue: 3

Cite

Vancouver Baykul DDT, Fındık Y, Koçer G, Şentürk MF, Yazıcı T, Sümengen SD. Bad Split During Bilateral Sagittal Split Osteotomy of Mandible: Case Report. EJOMS. 2023;2(3):60-3.

Creative Common Attribution Licence, EJOMS Licence © 2024 by Association of Oral and Maxillofacial Surgery Society is licensed under

Attribution-NonCommercial-NoDerivatives 4.0 International