{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T19:51:38Z","timestamp":1789674698181,"version":"4.0.1"},"reference-count":32,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100005283","name":"Funda\u00e7\u00e3o Cearense de Apoio ao Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005283","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","joms.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Oral and Maxillofacial Surgery"],"published-print":{"date-parts":[[2023,4]]},"DOI":"10.1016\/j.joms.2023.01.001","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T10:15:17Z","timestamp":1674123317000},"page":"396-405","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Are There Differences in Fracture Patterns in Mandibular Ramus Sagittal Osteotomies Between Hunsuck\/Epker, Wolford, and Posnick Modifications?"],"prefix":"10.1016","volume":"81","author":[{"given":"J\u00e9ferson Martins Pereira Lucena","family":"Franco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivo Cavalcante","family":"Pita Neto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamile de Melo Casado","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Goberl\u00e2nio de Barros","family":"Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovana Radomille","family":"Tofoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00e1cio Pinheiro","family":"Bezerra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.joms.2023.01.001_bib1","doi-asserted-by":"crossref","first-page":"2792","DOI":"10.1016\/j.joms.2010.04.020","article-title":"Soft tissue profile changes after bilateral sagittal split osteotomy for mandibular setback: A systematic review","volume":"68","author":"Joss","year":"2010","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib2","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.joms.2023.01.001_bib3","doi-asserted-by":"crossref","first-page":"2275","DOI":"10.1097\/SCS.0000000000005653","article-title":"Is bilateral sagittal split osteotomy of the mandible with no step possible? A modification in the technique","volume":"30","author":"Mont'Alverne","year":"2019","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib4","series-title":"Orthognathic Surgery E-Book: Principles and Practice","first-page":"498","author":"Posnick","year":"2022"},{"key":"10.1016\/j.joms.2023.01.001_bib5","doi-asserted-by":"crossref","first-page":"2466","DOI":"10.1016\/j.joms.2018.09.006","article-title":"A history of orthognathic surgery in North America","volume":"76","author":"Bell","year":"2018","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib6","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1016\/0030-4220(51)90417-3","article-title":"The treatment of mandibular prognathism with special reference to edentulous patients","volume":"4","author":"Kazanjian","year":"1951","journal-title":"Oral Surg Oral Med Oral Pathol"},{"key":"10.1016\/j.joms.2023.01.001_bib7","first-page":"11","article-title":"ZurOperationstechnikbei der Progenia und anderenUnterkieferanomalien","volume":"23","author":"Trauner","year":"1955","journal-title":"Dtsch Zahn MundKieferheilkd"},{"key":"10.1016\/j.joms.2023.01.001_bib8","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1016\/S0030-4220(57)80041-3","article-title":"The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. II. Operating methods for microgenia and distoclusion","volume":"10","author":"Trauner","year":"1957","journal-title":"Oral Surg Oral Med Oral Pathol"},{"key":"10.1016\/j.joms.2023.01.001_bib9","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.joms.2023.01.001_bib10","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.joms.2023.01.001_bib11","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.joms.2023.01.001_bib12","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/0278-2391(90)90190-D","article-title":"The mandibular inferior border split: A modification in the sagittal split osteotomy","volume":"48","author":"Wolford","year":"1990","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib13","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1016\/j.ijom.2016.05.003","article-title":"Occurrence of a 'bad' split and success of initial mandibular healing: A review of 524 sagittal ramus osteotomies in 262 patients","volume":"45","author":"Posnick","year":"2016","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib14","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.bjoms.2007.09.011","article-title":"Risk factors for a bad split during sagittal split osteotomy","volume":"46","author":"Kriwalsky","year":"2008","journal-title":"Br J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib15","doi-asserted-by":"crossref","first-page":"2508","DOI":"10.1016\/j.joms.2014.05.008","article-title":"Relationship between mandibular anatomy and the occurrence of a bad split upon sagittal split osteotomy","volume":"72","author":"Aarabi","year":"2014","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib16","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/S1079-2104(99)70230-1","article-title":"Unfavorable splits in sagittal split osteotomy","volume":"87","author":"Akhtar","year":"1999","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiolendod"},{"key":"10.1016\/j.joms.2023.01.001_bib17","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.joms.2023.01.001_bib18","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.jcms.2010.04.002","article-title":"Pilot study of modification of the bilateral sagittal split osteotomy (BSSO) in pig mandibles","volume":"39","author":"B\u00f6ckmann","year":"2011","journal-title":"J Craniomaxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib19","doi-asserted-by":"crossref","first-page":"1742.e1","DOI":"10.1016\/j.joms.2017.04.009","article-title":"An in\u00a0vitro comparison study of the use of a drill or a saw in the Hunsuck-Dal Pont modification of the Obwegeser sagittal split osteotomy in pig mandibles","volume":"75","author":"B\u00f6ckmann","year":"2017","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib20","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.joms.2023.01.001_bib21","doi-asserted-by":"crossref","first-page":"1994","DOI":"10.1016\/j.joms.2015.03.023","article-title":"Influence of osteotomy design on bilateral mandibular ramus sagittal split osteotomy","volume":"73","author":"Wolford","year":"2015","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib22","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.1016\/j.ijom.2009.07.013","article-title":"3D evaluation of the lingual fracture line after a bilateral sagittal split osteotomy of the mandible","volume":"38","author":"Plooij","year":"2009","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib23","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.jcms.2016.01.024","article-title":"Moving the mandible in orthognathic surgery - a multicenter analysis","volume":"44","author":"Thiele","year":"2016","journal-title":"J Craniomaxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib24","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.joms.2014.08.005","article-title":"In\u00a0vitro comparison of the sagittal split osteotomy with and without inferior border osteotomy","volume":"73","author":"B\u00f6ckmann","year":"2015","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib25","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/1471-2288-5-13","article-title":"Estimating the mean and variance from the median, range, and the size of a sample","volume":"20","author":"Hozo","year":"2005","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.joms.2023.01.001_bib26","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1016\/j.jcms.2017.02.012","article-title":"Fracture patterns after bilateral sagittal split osteotomy of the mandibular ramus according to the Obwegeser\/Dal Pont and Hunsuck\/Epker modifications","volume":"45","author":"M\u00f6hlhenrich","year":"2017","journal-title":"J Craniomaxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib27","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.joms.2020.09.009","article-title":"Mandibular foramen position predicts inferior alveolar nerve location after sagittal split osteotomy with a low medial cut","volume":"79","author":"Hopper","year":"2020","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib28","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/j.joms.2018.06.029","article-title":"Starch-jensen T: Neurosensory disturbances after bilateral sagittal split osteotomy using piezoelectric surgery: A systematic review","volume":"77","author":"Rude","year":"2019","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib29","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.joms.2023.01.001_bib30","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.ijom.2014.08.002","article-title":"The effects of steroids in preventing facial oedema, pain, and neurosensory disturbances after bilateral sagittal split osteotomy: A randomized controlled trial","volume":"44","author":"Widar","year":"2015","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib31","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/j.ijom.2004.10.021","article-title":"Neurosensory function of the inferior alveolar nerve after bilateral sagittal ramus osteotomy: A retrospective study of 68 patients","volume":"34","author":"Nesari","year":"2005","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2023.01.001_bib32","doi-asserted-by":"crossref","first-page":"1382","DOI":"10.1016\/j.joms.2020.03.008","article-title":"Is it necessary to free the inferior alveolar nerve from the proximal segment in the sagittal split osteotomy?","volume":"78","author":"Susarla","year":"2020","journal-title":"J Oral Maxillofac Surg"}],"container-title":["Journal of Oral and Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278239123000010?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278239123000010?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T17:06:55Z","timestamp":1759511215000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0278239123000010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["S0278239123000010"],"URL":"https:\/\/doi.org\/10.1016\/j.joms.2023.01.001","relation":{},"ISSN":["0278-2391"],"issn-type":[{"value":"0278-2391","type":"print"}],"subject":[],"published":{"date-parts":[[2023,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Are There Differences in Fracture Patterns in Mandibular Ramus Sagittal Osteotomies Between Hunsuck\/Epker, Wolford, and Posnick Modifications?","name":"articletitle","label":"Article Title"},{"value":"Journal of Oral and Maxillofacial Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.joms.2023.01.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 American Association of Oral and Maxillofacial Surgeons","name":"copyright","label":"Copyright"}]}}