{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:25:39Z","timestamp":1787171139755,"version":"build-2736575974"},"reference-count":40,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["bjoms.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Oral and Maxillofacial Surgery"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.bjoms.2026.01.004","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T07:42:25Z","timestamp":1768376545000},"page":"579-584","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral sagittal split osteotomy buccal cut classification. Indications: pros and cons"],"prefix":"10.1016","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4065-7405","authenticated-orcid":false,"given":"Adaia","family":"Valls-Onta\u00f1\u00f3n","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5315-7605","authenticated-orcid":false,"given":"Ana","family":"Ortiz-Guti\u00e9rrez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2806-5434","authenticated-orcid":false,"given":"Francesc","family":"Duran-Vall\u00e9s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Giralt-Hernando","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Hern\u00e1ndez-Alfaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjoms.2026.01.004_b0005","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1016\/S0030-4220(57)80063-2","article-title":"The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. I. Surgical procedures to correct mandibular prognathism and reshaping of the chin","volume":"10","author":"Trauner","year":"1957","journal-title":"Oral Surg Oral Med Oral Pathol"},{"key":"10.1016\/j.bjoms.2026.01.004_b0010","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1016\/j.bjoms.2022.04.001","article-title":"Effect of modified bilateral sagittal split osteotomy on inferior alveolar nerve neurosensory disturbance","volume":"60","author":"Schlund","year":"2022","journal-title":"Br J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0015","first-page":"42","article-title":"Retromolar osteotomy for the correction of prognathism","volume":"19","author":"Dal Pont","year":"1961","journal-title":"J Oral Surg Anesth Hosp Dent Serv"},{"key":"10.1016\/j.bjoms.2026.01.004_b0020","first-page":"250","article-title":"A modified intraoral sagittal splitting technic for correction of mandibular prognathism","volume":"26","author":"Hunsuck","year":"1968","journal-title":"J Oral Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0025","first-page":"157","article-title":"Modifications in the sagittal osteotomy of the mandible","volume":"35","author":"Epker","year":"1977","journal-title":"J Oral Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0030","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/0030-4220(87)90080-6","article-title":"Modification of the mandibular ramus sagittal split osteotomy","volume":"64","author":"Wolford","year":"1987","journal-title":"Oral Surg Oral Med Oral Pathol"},{"key":"10.1016\/j.bjoms.2026.01.004_b0035","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1186\/s13005-024-00468-4","article-title":"Biomechanical evaluation of stability after mandibular sagittal split osteotomy for advancement by Obwegeser\u2013Dal Pont and Puricelli techniques using three-dimensional finite elements","volume":"20","author":"Szydloski","year":"2024","journal-title":"Head Face Med"},{"key":"10.1016\/j.bjoms.2026.01.004_b0040","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1007\/s00784-019-03017-5","article-title":"Optimizing mandibular sagittal split of large maxillomandibular advancements for obstructive sleep apnea: patient and surgical factors","volume":"24","author":"Chen","year":"2020","journal-title":"Clin Oral Investig"},{"key":"10.1016\/j.bjoms.2026.01.004_b0045","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1055\/s-0038-1666788","article-title":"A new hybrid technique for performing a safer bilateral sagittal split osteotomy: combining reciprocating saw and piezoelectric devices","volume":"34","author":"Raffaini","year":"2018","journal-title":"Facial Plast Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0050","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/j.ijom.2016.02.011","article-title":"Bad splits in bilateral sagittal split osteotomy: systematic review and meta-analysis of reported risk factors","volume":"45","author":"Steenen","year":"2016","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0055","doi-asserted-by":"crossref","first-page":"1620","DOI":"10.1016\/j.joms.2020.04.036","article-title":"How to prevent mandibular lower border notching after bilateral sagittal split osteotomies for major advancements: analysis of 168 osteotomies","volume":"78","author":"Raffaini","year":"2020","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0060","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/j.joms.2012.07.003","article-title":"Risk factors for the development of lower border defects after bilateral sagittal split osteotomy","volume":"71","author":"Agbaje","year":"2013","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0065","doi-asserted-by":"crossref","first-page":"1983","DOI":"10.1016\/j.joms.2015.02.030","article-title":"Angled osteotomy design aimed to influence the lingual fracture line in bilateral sagittal split osteotomy: a human cadaveric study","volume":"73","author":"Verweij","year":"2015","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0070","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.joms.2007.06.657","article-title":"Posterior vertical deficiencies of the mandible: presentation of a new corrective technique and retrospective study of 21 cases","volume":"66","author":"Ferri","year":"2008","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0075","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1016\/j.jcms.2025.03.021","article-title":"Impact of different lingual split patterns on inferior alveolar nerve recovery after bilateral sagittal split osteotomy in patients with skeletal class III malocclusion","volume":"53","author":"Li","year":"2025","journal-title":"J Craniomaxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0080","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1016\/j.ijom.2010.09.028","article-title":"Modification of the bilateral sagittal split osteotomy (BSSO) in a study using pig mandibles","volume":"40","author":"Schoen","year":"2011","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0085","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.joms.2005.12.064","article-title":"Skeletal stability after simultaneous mandibular angle resection and sagittal split ramus osteotomy for correction of mandible prognathism","volume":"65","author":"Kim","year":"2007","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0090","doi-asserted-by":"crossref","first-page":"2434","DOI":"10.1016\/j.joms.2008.06.016","article-title":"Changes in masseter muscle following curved ostectomy of the prominent mandibular angle: an initial study with real-time 3D ultrasonography","volume":"66","author":"Min","year":"2008","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0095","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.jcms.2023.11.010","article-title":"Skeletal stability after mandible bilateral sagittal split osteotomy \u2013 comparison of patient-specific implant and mini-plate fixation: a retrospective study","volume":"52","author":"Merta","year":"2024","journal-title":"J Craniomaxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0100","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.jormas.2019.08.003","article-title":"The intermediate length BSSO: finding the balance between the classical and short designs","volume":"121","author":"Cordier","year":"2020","journal-title":"J Stomatol Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0105","doi-asserted-by":"crossref","first-page":"3438","DOI":"10.3390\/jcm13123438","article-title":"Hanna\u2019s modified sagittal split osteotomy (HSSO): an alternative to inverted L osteotomy\u2014merging function and aesthetics for enhanced stability, attractiveness, and nerve protection","volume":"13","author":"Hanna","year":"2024","journal-title":"J Clin Med"},{"key":"10.1016\/j.bjoms.2026.01.004_b0110","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1097\/SCS.0000000000005092","article-title":"Modified mandibular sagittal split osteotomy","volume":"30","author":"Ferri","year":"2019","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0115","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.jormas.2017.03.009","article-title":"Modified technique used for sagittal splitting of the mandible","volume":"118","author":"Loncle","year":"2017","journal-title":"J Stomatol Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0120","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jormas.2016.12.003","article-title":"Vertical ramus elongation and mandibular advancement by endobuccal approach: presentation of a new osteotomy technique","volume":"118","author":"Grimaud","year":"2017","journal-title":"J Stomatol Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0125","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1016\/j.ijom.2015.06.003","article-title":"Reinventing the wheel: a modern perspective on the bilateral inverted \u201cL\u201d osteotomy","volume":"44","author":"Greaney","year":"2015","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0130","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/j.jcms.2017.01.019","article-title":"Genetic response in masseter muscle after orthognathic surgery in comparison with healthy controls \u2013 a microarray study","volume":"45","author":"Marewski","year":"2017","journal-title":"J Craniomaxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0135","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/j.bjoms.2012.11.009","article-title":"Genetic stretching factors in masseter muscle after orthognathic surgery","volume":"51","author":"Breuel","year":"2013","journal-title":"Br J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0140","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.ijom.2017.09.004","article-title":"Stability of intraoral vertical ramus osteotomies for mandibular setback: a longitudinal study","volume":"47","author":"Kung","year":"2018","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0145","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.1016\/j.joms.2016.12.041","article-title":"Three-dimensional analysis of long-term stability after bilateral sagittal split ramus osteotomy fixed with a single miniplate with 4 monocortical screws and 1 bicortical screw: a retrospective 2-center study","volume":"75","author":"Hern\u00e1ndez-Alfaro","year":"2017","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0150","doi-asserted-by":"crossref","first-page":"3000","DOI":"10.1038\/s41598-019-39250-x","article-title":"One-year postoperative skeletal stability of 3D planned bimaxillary osteotomies: maxilla-first versus mandible-first surgery","volume":"9","author":"Liebregts","year":"2019","journal-title":"Sci Rep"},{"key":"10.1016\/j.bjoms.2026.01.004_b0155","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1097\/SCS.0000000000005251","article-title":"Does piezosurgery influence the severity of neurosensory disturbance following bilateral sagittal split osteotomy?","volume":"30","author":"D\u2019Agostino","year":"2019","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0160","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/j.jcms.2022.06.009","article-title":"Bad splits in bilateral sagittal split osteotomy: a retrospective comparative analysis of the use of different tools","volume":"50","author":"Salzano","year":"2022","journal-title":"J Craniomaxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0165","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/j.oooo.2022.04.002","article-title":"Risk factors of neurosensory disturbances at 1 year postoperatively after bilateral sagittal split osteotomy","volume":"134","author":"Shibata","year":"2022","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"key":"10.1016\/j.bjoms.2026.01.004_b0170","doi-asserted-by":"crossref","first-page":"e706","DOI":"10.1097\/SCS.0000000000009688","article-title":"Avoiding inferior alveolar nerve injury during sagittal split ramus osteotomy","volume":"34","author":"Hattori","year":"2023","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0175","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1016\/j.bjoms.2018.10.279","article-title":"Is injury to the inferior alveolar nerve still common during orthognathic surgery? Manual twist technique for sagittal split ramus osteotomy","volume":"56","author":"Choi","year":"2018","journal-title":"Br J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0180","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1007\/s00276-019-02379-5","article-title":"Surgical implications of the anatomic situation of the mandibular canal for mandibular osteotomies: a cone beam computed tomographic study","volume":"42","author":"Nicol","year":"2020","journal-title":"Surg Radiol Anat"},{"key":"10.1016\/j.bjoms.2026.01.004_b0185","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1016\/j.jcms.2017.06.011","article-title":"Piezoelectric versus conventional techniques for orthognathic surgery: systematic review and meta-analysis","volume":"45","author":"Pagotto","year":"2017","journal-title":"J Craniomaxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0190","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/j.ijom.2016.01.002","article-title":"Early changes in condylar position after mandibular advancement: a three-dimensional analysis","volume":"45","author":"M\u00e9ndez-Manj\u00f3n","year":"2016","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0195","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1016\/j.ijom.2024.04.007","article-title":"Minimally invasive sagittal osteotomy\u2014technical note","volume":"53","author":"Parente","year":"2024","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjoms.2026.01.004_b0200","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.4103\/joacp.JOACP_238_16","article-title":"Enhanced recovery after surgery: an anesthesiologist\u2019s perspective","volume":"35","author":"Moningi","year":"2019","journal-title":"J Anaesthesiol Clin Pharmacol"}],"container-title":["British Journal of Oral and Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266435626000057?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266435626000057?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:50:52Z","timestamp":1787169052000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0266435626000057"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":40,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S0266435626000057"],"URL":"https:\/\/doi.org\/10.1016\/j.bjoms.2026.01.004","relation":{},"ISSN":["0266-4356"],"issn-type":[{"value":"0266-4356","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Bilateral sagittal split osteotomy buccal cut classification. Indications: pros and cons","name":"articletitle","label":"Article Title"},{"value":"British Journal of Oral and Maxillofacial Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjoms.2026.01.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}