mandibulotomies
Mandibulotomies are surgical procedures that involve cutting and temporarily dividing the mandible (lower jaw) to gain access to the oral cavity, oropharynx, base of the skull, or other adjacent structures. They are used mainly in maxillofacial and head and neck surgery for tumor resections, reconstruction, trauma management, and certain complex resections where alternative approaches provide insufficient exposure.
The two principal variants are midline sagittal (symphyseal) mandibulotomy and paramedian mandibulotomy. In a sagittal split,
Preoperative planning typically includes imaging and dental evaluation to map anatomy and protect structures such as
Complications can include malocclusion or instability at the osteotomy site, nonunion or fracture, infection, fistula formation,