Minimizing the Risk of Complications in Sagittal Split Osteotomies

Sagittal split osteotomies of the mandible are used to address skeletal malocclusions and obstructive sleep apnea. This approach can also provide access to the inferior alveolar nerve for micro-neurosurgical procedures. This versatile procedure is used frequently. In addition to complications inherent to surgery, such as pain, swelling, bleeding, and infection, potential complications include malocclusion, TMJ dysfunction, need for hardware removal, temporary or permanent altered sensation in the lingual and inferior alveolar nerve distributions, and unfavourable fractures. Strategies to minimize the risk of complications will be reviewed.