Facial Plast Surg 2018; 34(04): 419-422
DOI: 10.1055/s-0038-1666788
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Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A New Hybrid Technique for Performing a Safer Bilateral Sagittal Split Osteotomy: Combining Reciprocating Saw and Piezoelectric Devices

Mirco Raffaini
1   Department of Maxillofacial Surgery, University of Florence, Florence, Italy
2   Face Surgery Center, Parma, Italy
,
Raffaella Perello
3   Department of Plastic and Reconstructive Surgery, San Paolo Clinic, Pistoia, Italy
,
Marco Conti
4   Department of Maxillofacial Surgery, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
,
Federico Hernandèz-Alfaro
5   Department of Oral and Maxillofacial Surgery, Universitat International de Catalunya, Barcelona, Spain
,
Tommaso Agostini
4   Department of Maxillofacial Surgery, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
28 June 2018 (online)

Abstract

The sagittal split osteotomy (SSO) is an indispensable tool in the correction of dentofacial abnormalities. In elective orthognathic surgery, it is important that surgeons inform patients about the risk of complications related to inferior alveolar nerve damage and unfavorable split. The purpose of this article is to describe a novel, hybrid technique to SSO by combining a reciprocating saw and piezoelectric devices with several advantages over traditional “pure” methods (osteotomies performed by reciprocating saw or piezoelectric devices only) in terms of precision, rapidity, easier splitting, and decreased complications related to inferior alveolar nerve damage and bad split with reduced overall morbidity. The level of evidence was Level IV, therapeutic study.

Institution to Which the Work should be Attributed

Face Surgery Center, Via R. Bormioli 5/A, 43122 Parma (Italy)


 
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