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dc.contributor.authorSüzen, Muazzez
dc.contributor.authorUçkan, Sina
dc.contributor.authorMünevveroğlu, Sümer
dc.contributor.authorÖzel, Abdullah
dc.date.accessioned2021-08-03T07:17:50Z
dc.date.available2021-08-03T07:17:50Z
dc.date.issued2021en_US
dc.identifier.citationSüzen, M., Uçkan, S., Münevveroğlu, S. ve Özel, A. (2021). Effect of horizontal osteotomy level on complication rates and neurosensory deficits after sagittal split ramus osteotomy. Journal of Craniofacial Surgery, 32(5), 1712-1715. https://dx.doi.org/10.1097/SCS.0000000000007404en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.urihttps://dx.doi.org/10.1097/SCS.0000000000007404
dc.identifier.urihttps://hdl.handle.net/20.500.12511/7653
dc.description.abstractHorizontal osteotomy is one of the most critical step at sagittal split ramus osteotomy (SSRO) and determination of the ideal height of this horizontal osteotomy is essential to avoid nerve and vessel injury. Purpose: The aim of this study was to evaluate the level of the medial horizontal ramus cut as a risk factor for unfavorable outcomes in the SSRO. Materials and Methods: Sixty-four patients with dentofacial deformity who applied to Oral & Maxillofacial Surgery Department between August 2018 and August 2019 and undergone orthognathic surgery were evaluated. Out of 64, 49 patients had SSRO with or without maxillary surgery and genioplasty. Twenty-six patient had postoperative computed tomography scan with 6-months follow-up. Finally, 26 patient with 52 SSRO sides were included in this study. Computed tomography scans were evaluated and classification according to osteotomy levels was made. Postoperative neurosensory deficit, bleeding, and intraoperative complications such as bad split, visible damage to inferior alveolar bundle were assessed. Age, gender, neurosensory deficit, bad splits were analyzed and correlated with the level of the osteotomies. Results: Fifteen osteotomies were above lingula, 24 between apex and base of lingula, and 14 below lingula. One bad split occurred, and no visible damage to the inferior alveolar bundle was seen. There was no significant difference between osteotomy groups in terms of visual analogue scale (VAS) scores (P > 0.05) but in all groups; women's VAS scores are statistically significantly higher than men. (P: 0.036) Conclusion: There is no correlation between the horizontal osteotomy level and intraoperative or postoperative complications. The low medial horizontal osteotomy can be safely performed in SSRO.en_US
dc.language.isoengen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectComplicationen_US
dc.subjectHorizontal Osteotomyen_US
dc.subjectSagittal Split Ramus Osteotomyen_US
dc.titleEffect of horizontal osteotomy level on complication rates and neurosensory deficits after sagittal split ramus osteotomyen_US
dc.typearticleen_US
dc.relation.journalJournal of Craniofacial Surgeryen_US
dc.departmentİstanbul Medipol Üniversitesi, Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi Ana Bilim Dalıen_US
dc.authorid0000-0001-5121-9158en_US
dc.authorid0000-0003-1077-7342en_US
dc.authorid0000-0002-1466-5869en_US
dc.identifier.volume32en_US
dc.identifier.issue5en_US
dc.identifier.startpage1712en_US
dc.identifier.endpage1715en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1097/SCS.0000000000007404en_US


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