Annals of maxillofacial surgery · 2025
Breakage of Oscillating Saw during Intraoral Vertical Ramus Osteotomy - A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ramos Emilio, Grümberg Uriel, Gutierrez Josefina, Pezza Victoria
Аннотация
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.
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.