Experts' consensus on precaution and treatment for complications of sagittal split ramus osteotomy

[Article in English, Chinese]

Songsong Zhu¹, Xudong Wang², Xuewen Yang³, Xiaoxia Wang⁴, Lei Tian⁵, Shuguang Liu⁶, Guangsen Zheng⁷, Zhenglong Tang⁸, Guomin Wu⁹, Zhiyong Li¹⁰, Xiaofeng Bai¹¹, Xuanping Huang¹², Li Huang¹³, Weihong Xi¹⁴, Yaomin Zhu¹⁵

Affiliations

¹ State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
² Dept. of Oral and Craniomaxillofacial Surgery, Shanghai Ninth Peoples Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, China.
³ Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China.
⁴ Dept. of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China.
⁵ Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases ＆ Shaanxi Clinical Research Center for Oral Diseases, Dept. of Oral and Maxillofacial Surgery, School of Stomatology, The Air Force Medical University, Xi'an 710032, China.
⁶ Dept. of Oral and Maxillofacial Surgery, Stomatology Hospital, Southern Medicine University, Guangzhou 510280, China.
⁷ Dept. of Oral and Maxillofacial Surgery, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China.
⁸ Dept. of Oral and Maxillofacial Surgery, Stomatological Hospital of Guizhou Medical University, Guiyang 550004, China.
⁹ Dept. of Oral and Maxillofacial Surgery, Stomatology Hospital, Jilin University, Changchun 130021, China.
¹⁰ The Affiliated Stomatology Hospital, Zhejiang University School of Medicine; Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China.
¹¹ Dept. of Oral and Maxillofacial Surgery, China Medical University School and Hospital of Stomatology, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang 110002, China.
¹² Guangxi Medical University College of Stomatology, Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction, Guangxi Clinical Research Center for Craniofacial Deformity, Guangxi Key Laboratory of Oral and Maxillofacial Surgery Disease Treatment, Nanning 530021, China.
¹³ Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Laboratory of Facial Rehabilitation and Reconstruction, Fujian Medical University, Fuzhou 350005, China.
¹⁴ Dept. of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Nanchang University, The Key Laboratory of Oral Biomedicine Jiangxi Province, Nanchang 330006, China.
¹⁵ Dept. of Oral and Maxillofacial Surgery, Shenzhen University General Hospital, Shenzhen 518000, China.

PMID: 38597003
PMCID: PMC9207788
DOI: 10.7518/hxkq.2022.03.001

Experts' consensus on precaution and treatment for complications of sagittal split ramus osteotomy

[Article in English, Chinese]

Songsong Zhu et al. Hua Xi Kou Qiang Yi Xue Za Zhi. 2022.

. 2022 May 25;40(3):247-254.

doi: 10.7518/hxkq.2022.03.001.

Authors

Affiliations

¹ State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
² Dept. of Oral and Craniomaxillofacial Surgery, Shanghai Ninth Peoples Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, China.
³ Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China.
⁴ Dept. of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China.
⁵ Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases ＆ Shaanxi Clinical Research Center for Oral Diseases, Dept. of Oral and Maxillofacial Surgery, School of Stomatology, The Air Force Medical University, Xi'an 710032, China.
⁶ Dept. of Oral and Maxillofacial Surgery, Stomatology Hospital, Southern Medicine University, Guangzhou 510280, China.
⁷ Dept. of Oral and Maxillofacial Surgery, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China.
⁸ Dept. of Oral and Maxillofacial Surgery, Stomatological Hospital of Guizhou Medical University, Guiyang 550004, China.
⁹ Dept. of Oral and Maxillofacial Surgery, Stomatology Hospital, Jilin University, Changchun 130021, China.
¹⁰ The Affiliated Stomatology Hospital, Zhejiang University School of Medicine; Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China.
¹¹ Dept. of Oral and Maxillofacial Surgery, China Medical University School and Hospital of Stomatology, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang 110002, China.
¹² Guangxi Medical University College of Stomatology, Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction, Guangxi Clinical Research Center for Craniofacial Deformity, Guangxi Key Laboratory of Oral and Maxillofacial Surgery Disease Treatment, Nanning 530021, China.
¹³ Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Laboratory of Facial Rehabilitation and Reconstruction, Fujian Medical University, Fuzhou 350005, China.
¹⁴ Dept. of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Nanchang University, The Key Laboratory of Oral Biomedicine Jiangxi Province, Nanchang 330006, China.
¹⁵ Dept. of Oral and Maxillofacial Surgery, Shenzhen University General Hospital, Shenzhen 518000, China.

PMID: 38597003
PMCID: PMC9207788
DOI: 10.7518/hxkq.2022.03.001

Abstract
in English, Chinese

Sagittal split ramus osteotomy (SSRO) is a versatile orthognathic procedure for correcting mandibular deformities. Various complications can possibly occur when performing SSRO, and it can even cause serious adverse consequences because of the complexity of anatomy and operative procedures. The types of complications and their accompanying clinical manifestations are closely related to the choice of diagnosis and treatment strategies and clinical outcomes. To discuss the causes, prevention, and treatment measures of various common complications of SSRO, domestic orthognathic surgery experts prepared this consensus to increase the awareness of SSRO complications, thereby ensuring safe surgical procedure and good results.

下颌支矢状骨劈开术（SSRO）是正颌外科中最为常用的一类矫治下颌骨畸形的手术。由于局部解剖和操作步骤的复杂性，SSRO出现各类并发症的可能性较大，甚至可能造成严重的不良后果。诊疗策略的选择及转归与并发症的类型及其临床表现密切相关。为此，国内相关专家编写本共识，对SSRO各类常见并发症的原因、预防、处置措施进行阐述，以期提高广大同行对SSRO并发症的认识，确保手术安全进行并获得良好效果。.

Keywords: complications; dentofacial deformity; experts’ consensus; orthognathic surgery; sagittal split ramus osteotomy.

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Conflict of interest statement

利益冲突声明: 作者声明本文无利益冲突.

References

1. Trauner R, Obwegeser H. The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty.Ⅰ. Surgical procedures to correct mandibular prognathism and reshaping of the chin[J] Oral Surg Oral Med Oral Pathol. 1957;10(7):677–689. - PubMed
1. Epker BN. Modifications in the sagittal osteotomy of the mandible[J] J Oral Surg. 1977;35(2):157–159. - PubMed
1. Hunsuck EE. A modified intraoral sagittal splitting technic for correction of mandibular prognathism[J] J Oral Surg. 1968;26(4):250–253. - PubMed
1. Piñeiro-Aguilar A, Somoza-Martín M, Gandara-Rey JM, et al. Blood loss in orthognathic surgery: a systematic review[J] J Oral Maxillofac Surg. 2011;69(3):885–892. - PubMed
1. Sahoo NK, Kaur P, Roy ID, et al. Complications of sagittal split ramus osteotomy[J] J Oral Maxillofac Surg Med Pathol. 2017;29(2):100–104.

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Experts' consensus on precaution and treatment for complications of sagittal split ramus osteotomy

Affiliations

Experts' consensus on precaution and treatment for complications of sagittal split ramus osteotomy

Authors

Affiliations

Abstract
in English, Chinese

Conflict of interest statement

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References

LinkOut - more resources

Full Text Sources

Abstract in English, Chinese

Conflict of interest statement

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References

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Abstract
in English, Chinese