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A Novel Modification of the Sagittal Split Osteotomy as an Access Osteotomy
Pathologies present in the central zone of the mandible are difficult to access, primarily because of the presence of the inferior alveolar nerve (IAN) and the need to remove a large corticocancellous component to reach the area of interest. Many times, this bony window is replaced as a free graft a...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7943990/ https://www.ncbi.nlm.nih.gov/pubmed/33708596 http://dx.doi.org/10.4103/ams.ams_264_19 |
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author | Kumaran, P. Satish Manikandan, G. Anuradha, V. Satish, Preeti BalaMurugan, R. Kumar, Abhinav Anil |
author_facet | Kumaran, P. Satish Manikandan, G. Anuradha, V. Satish, Preeti BalaMurugan, R. Kumar, Abhinav Anil |
author_sort | Kumaran, P. Satish |
collection | PubMed |
description | Pathologies present in the central zone of the mandible are difficult to access, primarily because of the presence of the inferior alveolar nerve (IAN) and the need to remove a large corticocancellous component to reach the area of interest. Many times, this bony window is replaced as a free graft and there is complete resorption in the long term or even rejection of the graft causing a bony defect which can weaken the mandible. Furthermore, the damage to the IAN is profound. To try and avoid these comorbidities the traditional sagittal split osteotomy was modified to access a central osteoma impinging on the IAN and the successful removal of the same without any comorbidities such as paraesthesia or loss of bone structure. We believe that this modification can be used for other scenarios such as benign cysts and difficult presentations of impacted teeth. |
format | Online Article Text |
id | pubmed-7943990 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-79439902021-03-10 A Novel Modification of the Sagittal Split Osteotomy as an Access Osteotomy Kumaran, P. Satish Manikandan, G. Anuradha, V. Satish, Preeti BalaMurugan, R. Kumar, Abhinav Anil Ann Maxillofac Surg Technical Note Pathologies present in the central zone of the mandible are difficult to access, primarily because of the presence of the inferior alveolar nerve (IAN) and the need to remove a large corticocancellous component to reach the area of interest. Many times, this bony window is replaced as a free graft and there is complete resorption in the long term or even rejection of the graft causing a bony defect which can weaken the mandible. Furthermore, the damage to the IAN is profound. To try and avoid these comorbidities the traditional sagittal split osteotomy was modified to access a central osteoma impinging on the IAN and the successful removal of the same without any comorbidities such as paraesthesia or loss of bone structure. We believe that this modification can be used for other scenarios such as benign cysts and difficult presentations of impacted teeth. Wolters Kluwer - Medknow 2020 2020-12-23 /pmc/articles/PMC7943990/ /pubmed/33708596 http://dx.doi.org/10.4103/ams.ams_264_19 Text en Copyright: © 2020 Annals of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Technical Note Kumaran, P. Satish Manikandan, G. Anuradha, V. Satish, Preeti BalaMurugan, R. Kumar, Abhinav Anil A Novel Modification of the Sagittal Split Osteotomy as an Access Osteotomy |
title | A Novel Modification of the Sagittal Split Osteotomy as an Access Osteotomy |
title_full | A Novel Modification of the Sagittal Split Osteotomy as an Access Osteotomy |
title_fullStr | A Novel Modification of the Sagittal Split Osteotomy as an Access Osteotomy |
title_full_unstemmed | A Novel Modification of the Sagittal Split Osteotomy as an Access Osteotomy |
title_short | A Novel Modification of the Sagittal Split Osteotomy as an Access Osteotomy |
title_sort | novel modification of the sagittal split osteotomy as an access osteotomy |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7943990/ https://www.ncbi.nlm.nih.gov/pubmed/33708596 http://dx.doi.org/10.4103/ams.ams_264_19 |
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