Journal Reviews

Wisdom teeth and mandibular osteotomies

3 November 2022 | | Head and Neck | intraoperative complications, orthognathic surgery, postoperative complications, sagittal split ramus osteotomy, third molar

This is a systemic review and meta-analysis from Italy and Brazil where they try to clarify the role of wisdom teeth and complications in a sagittal split mandibular osteotomy. Whilst, like many other papers, they outline the quality of evidence...

Effects on the nasal cavity and maxillary sinus after a Le Fort I osteotomy

3 November 2022 | | Head and Neck | cone-beam computed tomography, maxillary osteotomy, maxillary sinus, nasal cavity, orthognathic surgery

This paper from Turkey divided 28 patients into three groups: those having a maxillary advancement osteotomy, those with a maxillary advancement and impaction, and those that underwent advancement with a yaw rotation. They found that pure advancement movement of the...

Piezoelectric saw reducing sensory disturbance in mandibular osteotomies

5 July 2022 | | Head and Neck | inferior alveolar nerve, mandibular osteotomy, orthognathic surgery, piezosurgery, sagittal split ramus osteotomy

This paper from Seattle in the United States looked at 20 patients with a mean age of 19.9 +/- 3.2 years with a fairly standard surgical movement. They found that functional sensory recovery of the inferior alveolar nerve resulted in...

Bone thickness and split pattern in mandibular osteotomies

30 April 2020 | | Maxillofacial Surgery | bilateral sagittal split osteotomy, computed tomography, maxillofacial surgery, orthognathic surgery

This paper looked at 63 sagittal split ramus osteotomy sites. The type of split was classified according to the Plooij paper and bone measurements were taken at four sites. Of these sites, the thickness of the bone in one point,...

Long-term quality outcomes of bimaxillary surgery of obstructive sleep apnoea

1 September 2019 | | Head and Neck | apnoea–hypopnoea index, long-term, maxillomandibular advancement osteotomy, obstructive sleep apnoea syndrome, quality of life

This is a review of 12 patients at two years postoperatively and again at at least 17 years. Successful outcome of a decrease in apnoea-hypopnoea index (AHI) of greater than 50% was thought to be success. Eight of the initial...

Cinch suture: Does it work?

1 March 2018 | | Le Fort I osteotomy, alar base width, cinch suture, nasal width, stability

Flaring of the nostrils is a common side-effect of a maxillary osteotomy. At times flaring is minimal or of no significance. In some instances, it can be a significant postoperative concern to the patient, even to the extent of declining...

Surgery for snoring

1 September 2017 | | Sleep-disordered breathing, snoring surgery, functional expansion pharyngoplasty, osteotomy, septoplasty, somnoplasty

The prevalence of sleep-disordered breathing is rapidly increasing. There is variable evidence for surgical treatments for snoring currently. This Belgian study was a retrospective review of 84 patients who underwent surgery for snoring between May 2011 and December 2015. A...

Maxillary osteotomy stability

1 January 2017 | | Le Fort, orthognathic surgery, osteotomy, recurrence

This systematic review assesses inferior repositioning of the maxilla six months after surgery. Two articles were identified with a total of 22 patients. The repositioning was of a mean of 3.2 to 4.5mm anteriorly and 0.1 to 1.8mm posteriorly. Six...

Bad splits

1 November 2016 | | age, bad split, bilateral sagittal split osteotomy, intraoperative complications, mandibular fracture, orthognathic surgery, risk factors, sagittal ramus osteotomy, surgical technique, third molar

This is a meta-analysis of reported risk factors of a ‘bad split’ in a sagittal split mandibular osteotomy. They identified 30 observational articles and therefore acknowledged it is based on low quality studies. It is compounded by the definition of...