Mercier J, Delaire J
Rev Stomatol Chir Maxillofac. 1984;85(2):94-101.
Two patients developed complications, one a facial palsy and one a carotid artery pseudo-aneurysm, following sagittal osteotomy of the rami of the mandible, as previously described by Trauner - Obwegeser and Dalpont . The responsibility of compressive phenomena provoked by mandibular retraction in the appearance of these complications is evoked, together with the risk of recurrence. To avoid this compression of retromandibular soft tissues a technique of sagittal osteotomy of the rami of the mandible is performed, based on the lines first described by Dalpont in 1961 and adopted by Epker in 1977. This well-founded procedure is a result of applying the anatomical structure of the mandible and its muscle insertions to the development of the surgical procedure.
两名患者在进行下颌支矢状劈开截骨术后出现了并发症，一名出现面神经麻痹，另一名出现颈动脉假性动脉瘤，如Trauner - Obwegeser和Dalpont之前所描述的那样。文中提到了下颌后缩引发的压迫现象在这些并发症出现中的作用，以及复发风险。为避免下颌后软组织受到这种压迫，一种基于Dalpont于1961年首次描述并由Epker于1977年采用的线的下颌支矢状劈开截骨技术得以实施。这种有充分依据的手术方法是将下颌骨的解剖结构及其肌肉附着点应用于手术发展的结果。
