West China Journal of Stomatology ›› 2022, Vol. 40 ›› Issue (3): 247-254.doi: 10.7518/hxkq.2022.03.001

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Experts’ consensus on precaution and treatment for complications of sagittal split ramus osteotomy

Zhu Songsong1(), Wang Xudong2, Yang Xuewen3, Wang Xiaoxia4, Tian Lei5, Liu Shuguang6, Zheng Guangsen7, Tang Zhenglong8, Wu Guomin9, Li Zhiyong10, Bai Xiaofeng11, Huang Xuanping12, Huang Li13, Xi Weihong14, Zhu Yaomin15   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    2.Dept. of Oral and Craniomaxillofacial Surgery, Shanghai Ninth Peoples Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, China
    3.Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
    4.Dept. of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China
    5.Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, Dept. of Oral and Maxillofacial Surgery, School of Stomatology, The Air Force Medical University, Xi’an 710032, China
    6.Dept. of Oral and Maxillofacial Surgery, Stomatology Hospital, Southern Medicine University, Guangzhou 510280, China
    7.Dept. of Oral and Maxillofacial Surgery, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
    8.Dept. of Oral and Maxillofacial Surgery, Stomatological Hospital of Guizhou Medical University, Guiyang 550004, China
    9.Dept. of Oral and Maxillofacial Surgery, Stomatology Hospital, Jilin University, Changchun 130021, China
    10.The Affiliated Stomatology Hospital, Zhejiang University School of Medicine; Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China
    11.Dept. of Oral and Maxillofacial Surgery, China Medical University School and Hospital of Stomatology, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang 110002, China
    12.Guangxi Medical University College of Stomatology, Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction, Guangxi Clinical Research Center for Craniofacial Deformity, Guangxi Key Laboratory of Oral and Maxillofacial Surgery Disease Treatment, Nanning 530021, China
    13.Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Laboratory of Facial Rehabilitation and Reconstruction, Fujian Medical University, Fuzhou 350005, China
    14.Dept. of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Nanchang University, The Key Laboratory of Oral Biomedicine Jiangxi Province, Nanchang 330006, China
    15.Dept. of Oral and Maxillofacial Surgery, Shenzhen University General Hospital, Shenzhen 518000, China
  • Received:2021-12-21 Revised:2022-04-14 Online:2022-06-01 Published:2022-06-01
  • Contact: Zhu Songsong E-mail:zss_1977@163.com
  • Supported by:
    Frontier Clinical Technology Research Project of West China Hospital of Stomatology, Sichuan University(LCYJ2020-YF-1);Correspondence: Zhu Songsong, E-mail: zss_1977@163.com

Abstract:

Sagittal split ramus osteotomy (SSRO) is a versatile orthognathic procedure for correcting mandibular deformities. Various complications can possibly occur when performing SSRO, and it can even cause serious adverse consequences because of the complexity of anatomy and operative procedures. The types of complications and their accompanying clinical manifestations are closely related to the choice of diagnosis and treatment strategies and clinical outcomes. To discuss the causes, prevention, and treatment measures of various common complications of SSRO, domestic orthognathic surgery experts prepared this consensus to increase the awareness of SSRO complications, thereby ensuring safe surgical procedure and good results.

Key words: sagittal split ramus osteotomy, orthognathic surgery, complications, experts’ consensus, dentofacial deformity

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