Breakage of Oscillating Saw during Intraoral Vertical Ramus Osteotomy - A Case Report.

Q2 Dentistry

Annals of Maxillofacial Surgery Pub Date : 2025-01-01 Epub Date: 2025-04-04 DOI:10.4103/ams.ams_155_24

Emilio Ramos, Uriel Grümberg, Josefina Gutierrez, Victoria Pezza

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Abstract

The rationale: Oscillating saw breakage during intraoral vertical ramus osteotomy (IVRO) is a rare complication but with potential risk for patients' safety.

Patient concerns: This is a case of oscillating saw breakage during an IVRO in a 25-year-old female patient. Attempts were made with different manoeuvres to retrieve the broken blade without success.

Diagnosis: Postoperative Computed Tomography (CT) images showed the broken blade embedded in the upper part of the right vertical ramus osteotomy.

Treatment: Six weeks following the initial surgery, the patient underwent a new surgical procedure to extract the saw.

Outcome: The broken saw was pushed laterally from the medial aspect of the ramus using a periosteal elevator and retrieved from the lateral aspect of the mandible with curved haemostatic forceps without complications.

Take-away lessons: To prevent this undesirable event, it is crucial to avoid improper manoeuvres that could overstrain the saw during the osteotomy, as well as oscillating saws with multiple prior uses.

Abstract Image

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口内垂直支截骨术中振荡锯断裂1例。

理由：在口腔内垂直支截骨术（IVRO）中振荡锯断裂是一种罕见的并发症，但对患者的安全有潜在的风险。患者关注：这是一例25岁女性患者在IVRO中出现的振荡锯断裂。尝试了不同的动作来取回破碎的刀片，但没有成功。诊断：术后计算机断层扫描（CT）图像显示骨折刀片嵌埋在右侧垂直支截骨的上部。治疗：初次手术后六周，患者接受了新的外科手术以取出锯。结果：使用骨膜提升器从分支内侧向外侧推断锯，并使用弯曲止血钳从下颌骨外侧取出锯，无并发症。教训：为了防止这种不希望发生的事件，关键是要避免在截骨过程中不当的操作可能会使锯过度紧张，以及多次使用振荡锯。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Maxillofacial Surgery Medicine-Surgery

CiteScore

1.20

自引率

0.00%

发文量