Neurosensory disturbances one year after bilateral sagittal split mandibular ramus osteotomy performed with separators.
BACKGROUND
The most frequently performed osteotomy for correction of mandibular retrognathia is a bilateral sagittal split ramus osteotomy. Permanent neurosensory disturbance of the inferior alveolar nerve is one of the most frequently and severe complications. Many authors have reported this, but the incidence differs widely. In the recent literature, only four authors have reported a percentage of less than 10% after 1 year follow-up.


OBJECTIVE
To determine the incidence of permanent neurosensory disturbance of the inferior alveolar nerve after bilateral sagittal split ramus osteotomy, and possible influences of the technique used.


METHODS
A series of 109 patients is reported who underwent a bilateral sagittal split mandibular ramus osteotomy with the use of separators and without the use of chisels. The segments were hold by rigid transbuccal screw fixation.


RESULTS
The incidence of neurosensory disturbances 1 year after surgery was 8.3%.


CONCLUSIONS
The use of sagittal split separators without the use of chisels, may play an important role in the relatively low percentage of persistent hypoaesthesia of the inferior alveolar nerve.
Department of Oral & Maxillofacial Surgery, Leiden University Medical Centre, Leiden, The Netherlands. j.p.r.van_merkesteyn@lumc.nl
J P Richard
JP
van Merkesteyn
Albert
A
Zweers
Johan E M
JE
Corputty
D000328:Adult; D001863:Bone Screws; D003389:Cranial Nerve Diseases / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006987:Hypesthesia / Q000209:etiology*; D019248:Jaw Fixation Techniques; D008297:Male; D008313:Malocclusion, Angle Class III / Q000601:surgery; D008334:Mandible / Q000601:surgery*; D008340:Mandibular Nerve / Q000503:physiopathology*; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D011183:Postoperative Complications; D063173:Retrognathia / Q000601:surgery