title: The medial surface of the mandible as an alternative source of bone grafts in orthognathic surgery.
abstract: A technique of harvesting bone grafts from the medial surface of the angle of the mandible during a bilateral sagittal split osteotomy procedure is described. In 20 patients who underwent mandibular setback for the correction of class III dentofacial deformities, bone grafts were harvested from the medial mandibular angle and used for simultaneous augmentation of the midface or for interpositioning and stabilization of the maxilla after LeFort I maxillary anterior or inferior repositioning. The mean postoperative follow-up was 6 months (range, 3-12 months). No complications occurred, and postoperative morbidity was similar to that encountered by patients who undergo sagittal split osteotomy without bone harvest. The technique described shows that the medial mandibular angle is a suitable donor site for membranous bone grafts in patients who undergo sagittal split osteotomy.
authors.affiliation: Craniofacial Center, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, 5 Fu-Hsing Street, Kwei-shan, Tao-Yuan 333, Taiwan.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Honda
authors.forename: Cheng-Hui
authors.initials: CH
authors.lastname: Lin
authors.forename: Chung-Chih
authors.initials: CC
authors.lastname: Yu
authors.forename: Frank
authors.initials: F
authors.lastname: Heller
authors.forename: Yu-Ray
authors.initials: YR
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008313:Malocclusion, Angle Class III / Q000601:surgery; D008334:Mandible / Q000601:surgery*; D008437:Maxilla / Q000601:surgery; D009296:Nasal Cavity / Q000601:surgery; D009915:Orbit / Q000601:surgery; D010027:Osteotomy / Q000379:methods; D019340:Osteotomy, Le Fort / Q000379:methods; D011378:Prognathism / Q000601:surgery; D020858:Tissue and Organ Harvesting / Q000379:methods*