A unique case of a vertical fracture of the mandibular posterior ramus border secondary to the stress of the rigid internal fixation material is described in this study. We think that the surgeon's experience and awareness play a key role in avoidance of such a complication.
O'ConnellJMurphyCIkeagwuaniOAdleyCKearnsGThe fate of titanium miniplates and screws used in maxillofacial surgery: a 10 year retrospective studyInt J Oral Maxillofac Surg2009387731–735
2.
Van SickelsJERichardsonDAStability of orthognathic surgery: a review of rigid fixationBr J Oral Maxillofac Surg1996344279–285
3.
ChungIHYooCKLeeEK, et al. Postoperative stability after sagittal split ramus osteotomies for a mandibular setback with monocortical plate fixation or bicortical screw fixationJ Oral Maxillofac Surg2008663446–452
4.
HerfordASHoffmanRDemirdjiS, et al. A comparison of synovial fluid pressure after immediate versus gradual mandibular advancement in the miniature pigJ Oral Maxillofac Surg2005636775–785
5.
KimYIChoBHJungYHSonWSParkSBCone-beam computerized tomography evaluation of condylar changes and stability following two-jaw surgery: Le Fort I osteotomy and mandibular setback surgery with rigid fixationOral Surg Oral Med Oral Pathol Oral Radiol Endod20111116681–687
6.
MaviliMECanterHISaglam-AydinatayBSemirigid fixation of mandible and maxilla in orthognathic surgery: stability and advantagesAnn Plast Surg2009634396–403
7.
TakahashiHMoriyamaSFurutaHMatsunagaHSakamotoYKikutaTThree lateral osteotomy designs for bilateral sagittal split osteotomy: biomechanical evaluation with three-dimensional finite element analysisHead Face Med201064