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Burring and Holes Connecting Ostectomy for the Correction of Prominent Mandible Angle

Park, Jong Lim MD, PhD*†; Oh, Chang Hyun MD, PhD*†; Hwang, Kun MD, PhD; Park, Chul Gyoo MD, PhD

Journal of Craniofacial Surgery: May 2014 - Volume 25 - Issue 3 - p 1025–1027
doi: 10.1097/SCS.0000000000000768
Technical Strategies

Abstract: The aim of this study was to introduce a safe ostectomy method for the correction of prominent mandibular angles via a “burring and holes connecting technique.”

A subperiosteal dissection was conducted, and the mandibular angle was exposed. Using a 7-mm–diameter burr, 3 to 5 holes were made on the predicted ostectomy line. The consecutive holes were connected using an oscillating saw. A bone fragment was removed, and irregularities were smoothened through light burring.

Twenty-three patients (2 men, 21 women; mean age, 28.4 y) were operated on. The mean trace observation period was 11 months. Among the 23 patients, no subcondylar fracture or hematoma occurred. In x-ray comparisons, there was no excessive or insufficient reduction of the mandibular angle.

We think this burring and holes connecting ostectomy might be a safe method for the correction of prominent mandible angles even for inexperienced surgeons.

From the *Banobagi Aesthetic Plastic Surgical Clinic, Seoul; †Department of Plastic Surgery, Inha University School of Medicine, Incheon; and ‡Department of Plastic Surgery, National Medical Center, Seoul, South Korea.

Received December 10, 2013.

Accepted for publication January 15, 2014.

Address correspondence and reprint requests to Dr. Kun Hwang, Department of Plastic Surgery, Inha University School of Medicine, 27 Inhang-ro, Jung-gu, Incheon, 400-711, South Korea; E-mail: jokerhg@inha.ac.kr

Supported by a grant from Inha University (Inha University Research Grant).

The authors report no conflicts of interest.

© 2014 by Mutaz B. Habal, MD.