Temporary protective glossorrhaphy for controlling tongue size and position during intraoperative intermaxillary fixation in orthognathic surgery.

Abstract

This technical note introduces the protective glossorrhaphy as a method for repositioning the tongue during orthognathic surgery to maintain central alignment and prevent interference with occlusal splints. The procedure involves placing 2-0 cotton sutures at the level of the molars and canines, approximating the lateral borders of the tongue while preserving vascularization and function. The glossorrhaphy is maintained throughout the jaw repositioning stages and removed only after verifying the final occlusion. By temporarily approximating the lateral borders of the tongue with sutures, this technique aids in the accurate placement of the occlusal guide. The temporary glossorrhaphy offers a straightforward and effective solution, ensuring proper occlusal splint adaptation and reducing the risk of postoperative complications. This minimally invasive approach enhances outcomes in orthognathic surgery by addressing challenges related to tongue positioning.