A retrospective study of unfavorable fractures during sagittal split osteotomy: A single surgeon’s experience
Background: Unfavorable fractures are among the most common complications of bilateral sagittal split ramus osteotomy (BSSRO). This study aimed to evaluate unfavorable fracture patterns during BSSRO and assess the related risk factors and treatment measures. Methods: The clinical records and radiogr...
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| Format: | Article |
| Language: | English |
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KeAi Communications Co. Ltd.
2022-06-01
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| Series: | Chinese Journal of Plastic and Reconstructive Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2096691122000243 |
| _version_ | 1828164849941610496 |
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| author | Haoshu Chi Ming Cai |
| author_facet | Haoshu Chi Ming Cai |
| author_sort | Haoshu Chi |
| collection | DOAJ |
| description | Background: Unfavorable fractures are among the most common complications of bilateral sagittal split ramus osteotomy (BSSRO). This study aimed to evaluate unfavorable fracture patterns during BSSRO and assess the related risk factors and treatment measures. Methods: The clinical records and radiographs of 679 patients (1 358 sides) who underwent BSSRO at Shanghai Ninth People’s Hospital between September 2013 and December 2021 were examined. Results: Patients with unfavorable fractures who underwent surgical restoration were studied. The incidence of unfavorable fractures was 0.8% (n=11), with the highest rate in the third year. The unfavorable fractures were divided into three types by location and clinical treatment: (1) SSRO could still be completed after buccal/lingual plate unfavorable fracture (0.6%, n=8); (2) condylar/coronoid process fractures/intermaxillary fixation needed (0.1%, n=2); (3) additional osteotomy required (0.07%, n=1). Conclusion: These results suggest that as a surgeon’s experience increases, the rate of unfavorable fractures may decrease. The novel classification of unfavorable fractures for SSRO might be useful for surgeons to make appropriate treatment choices during orthognathic surgery. |
| first_indexed | 2024-04-12T01:33:41Z |
| format | Article |
| id | doaj.art-0a69ceef8bbb4b178cf8abb18619237c |
| institution | Directory Open Access Journal |
| issn | 2096-6911 |
| language | English |
| last_indexed | 2024-04-12T01:33:41Z |
| publishDate | 2022-06-01 |
| publisher | KeAi Communications Co. Ltd. |
| record_format | Article |
| series | Chinese Journal of Plastic and Reconstructive Surgery |
| spelling | doaj.art-0a69ceef8bbb4b178cf8abb18619237c2022-12-22T03:53:22ZengKeAi Communications Co. Ltd.Chinese Journal of Plastic and Reconstructive Surgery2096-69112022-06-0142100104A retrospective study of unfavorable fractures during sagittal split osteotomy: A single surgeon’s experienceHaoshu Chi0Ming Cai1Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, ChinaCorresponding author. Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People’s Hospital, 639 Zhizaoju Road, Huangpu District, Shanghai 200011, China.; Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, ChinaBackground: Unfavorable fractures are among the most common complications of bilateral sagittal split ramus osteotomy (BSSRO). This study aimed to evaluate unfavorable fracture patterns during BSSRO and assess the related risk factors and treatment measures. Methods: The clinical records and radiographs of 679 patients (1 358 sides) who underwent BSSRO at Shanghai Ninth People’s Hospital between September 2013 and December 2021 were examined. Results: Patients with unfavorable fractures who underwent surgical restoration were studied. The incidence of unfavorable fractures was 0.8% (n=11), with the highest rate in the third year. The unfavorable fractures were divided into three types by location and clinical treatment: (1) SSRO could still be completed after buccal/lingual plate unfavorable fracture (0.6%, n=8); (2) condylar/coronoid process fractures/intermaxillary fixation needed (0.1%, n=2); (3) additional osteotomy required (0.07%, n=1). Conclusion: These results suggest that as a surgeon’s experience increases, the rate of unfavorable fractures may decrease. The novel classification of unfavorable fractures for SSRO might be useful for surgeons to make appropriate treatment choices during orthognathic surgery.http://www.sciencedirect.com/science/article/pii/S2096691122000243Unfavorable fractureSagittal split ramus osteotomyClassificationSurgeon’s experience |
| spellingShingle | Haoshu Chi Ming Cai A retrospective study of unfavorable fractures during sagittal split osteotomy: A single surgeon’s experience Chinese Journal of Plastic and Reconstructive Surgery Unfavorable fracture Sagittal split ramus osteotomy Classification Surgeon’s experience |
| title | A retrospective study of unfavorable fractures during sagittal split osteotomy: A single surgeon’s experience |
| title_full | A retrospective study of unfavorable fractures during sagittal split osteotomy: A single surgeon’s experience |
| title_fullStr | A retrospective study of unfavorable fractures during sagittal split osteotomy: A single surgeon’s experience |
| title_full_unstemmed | A retrospective study of unfavorable fractures during sagittal split osteotomy: A single surgeon’s experience |
| title_short | A retrospective study of unfavorable fractures during sagittal split osteotomy: A single surgeon’s experience |
| title_sort | retrospective study of unfavorable fractures during sagittal split osteotomy a single surgeon s experience |
| topic | Unfavorable fracture Sagittal split ramus osteotomy Classification Surgeon’s experience |
| url | http://www.sciencedirect.com/science/article/pii/S2096691122000243 |
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