title: Short Lingual Osteotomy Using a Piezosurgery Ultrasonic Bone-Cutting Device During Sagittal Split Ramus Osteotomy.
abstract: Short lingual osteotomy is a useful method for the performance of sagittal split ramus osteotomy involving interference between the proximal and distal bone fragments when lateral differences exist in the setback distance. However, this procedure occasionally results in abnormal fracture and nerve injury; expert surgical skill is thus required. We herein describe a novel technique involving the use of an ultrasonic bone-cutting device (Piezosurgery; Mectron Medical Technology, Carasco, Italy) for vertical osteotomy posterior to the mandibular foramen. Successful short lingual osteotomy was performed using this technique with avoidance of abnormal fracture and neurovascular bundle damage.
authors.affiliation: *Department of Oral and Maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital, Tokyo †Department of Dentistry, Oral and Maxillofacial Surgery, Jichi Medical Univeristy, Shimotsuke, Japan.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Kawase-Koga
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Mori
authors.forename: Yuki
authors.initials: Y
authors.lastname: Kanno
authors.forename: Kazuto
authors.initials: K
authors.lastname: Hoshi
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Takato
mesh_terms: D001860:Bone Plates; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008334:Mandible / Q000002:abnormalities / Q000098:blood supply / Q000294:innervation; D008340:Mandibular Nerve / Q000502:physiology; D063168:Mandibular Osteotomy / Q000295:instrumentation / Q000379:methods*; D061646:Operative Time; D059229:Osteotomy, Sagittal Split Ramus / Q000295:instrumentation / Q000379:methods*; D010521:Periosteum / Q000601:surgery; D059745:Piezosurgery / Q000295:instrumentation / Q000379:methods*