Kawase-Koga Yoko, Shibata Kaoru, Kimoto Akira, Watanabe Masato, Chikazu Daichi
Department of Oral and Maxillofacial Surgery, Tokyo Medical University Hospital, Tokyo, Japan.
J Craniofac Surg. 2018 Jun;29(4):e404-e405. doi: 10.1097/SCS.0000000000004409.
Sagittal split ramus osteotomy and intraoral vertical ramus osteotomy are commonly performed for the correction of jaw deformities. However, during mandibular orthognathic surgeries such as sagittal split ramus osteotomy and intraoral vertical ramus osteotomy , the authors sometimes encounter exposure of the buccal fat pad (BFP), which decreases the surgical field. The exposed BFP makes it difficult to perform these operations, may result in unexpected complications, and may increase the operation time. Therefore, the authors herein describe a simple, safe, and convenient technique for reducing the volume of the exposed BFP during mandibular orthognathic surgery using an electric knife in the coagulation mode.
矢状劈开下颌支截骨术和口内垂直下颌支截骨术常用于矫正颌骨畸形。然而，在矢状劈开下颌支截骨术和口内垂直下颌支截骨术等下颌正颌手术中，术者有时会遇到颊脂垫（BFP）暴露的情况，这会减小手术视野。暴露的颊脂垫会使这些手术难以进行，可能导致意外并发症，并可能增加手术时间。因此，本文作者描述了一种简单、安全且便捷的技术，即在正颌手术中使用处于凝血模式的电刀来减少暴露的颊脂垫体积。
