{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T09:05:02Z","timestamp":1792487102213,"version":"4.5.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>The Rationale:<\/jats:title>\n                    <jats:p>Oscillating saw breakage during intraoral vertical ramus osteotomy (IVRO) is a rare complication but with potential risk for patients\u2019 safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Concerns:<\/jats:title>\n                    <jats:p>This is a case of oscillating saw breakage during an IVRO in a 25-year-old female patient. Attempts were made with different manoeuvres to retrieve the broken blade without success.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnosis:<\/jats:title>\n                    <jats:p>Postoperative Computed Tomography (CT) images showed the broken blade embedded in the upper part of the right vertical ramus osteotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Treatment:<\/jats:title>\n                    <jats:p>Six weeks following the initial surgery, the patient underwent a new surgical procedure to extract the saw.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome:<\/jats:title>\n                    <jats:p>The broken saw was pushed laterally from the medial aspect of the ramus using a periosteal elevator and retrieved from the lateral aspect of the mandible with curved haemostatic forceps without complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Take-away Lessons:<\/jats:title>\n                    <jats:p>To prevent this undesirable event, it is crucial to avoid improper manoeuvres that could overstrain the saw during the osteotomy, as well as oscillating saws with multiple prior uses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ams.ams_155_24","type":"journal-article","created":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T05:57:43Z","timestamp":1743746263000},"page":"118-120","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Breakage of Oscillating Saw during Intraoral Vertical Ramus Osteotomy - A Case Report"],"prefix":"10.4103","volume":"15","author":[{"given":"Emilio","family":"Ramos","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Dr Cesar Milstein Hospital, Buenos Aires, Argentina"},{"name":"Department of Oral and Maxillofacial Surgery I, School of Dentistry, University of Buenos Aires (Facultad de Odontologia, Universidad de Buenos Aires), Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uriel","family":"Gr\u00fcmberg","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Dr Cesar Milstein Hospital, Buenos Aires, Argentina"},{"name":"Department of Oral and Maxillofacial Surgery I, School of Dentistry, University of Buenos Aires (Facultad de Odontologia, Universidad de Buenos Aires), Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josefina","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Dr Cesar Milstein Hospital, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Pezza","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Dr Cesar Milstein Hospital, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,4]]},"reference":[{"key":"R1-20250710","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.cxom.2015.10.002","article-title":"Intraoral vertical ramus osteotomy procedure and technique","volume":"24","author":"McKenna","year":"2016","journal-title":"Atlas Oral Maxillofac Surg Clin North Am"},{"key":"R2-20250710","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2021\/4439867","article-title":"Intraoperative blood loss and postoperative pain in the sagittal split ramus osteotomy and intraoral vertical ramus osteotomy: A literature review","volume":"2021","author":"Lee","year":"2021","journal-title":"Biomed Res Int"},{"key":"R3-20250710","doi-asserted-by":"crossref","first-page":"10171","DOI":"10.3390\/ijerph191610171","article-title":"Vertical ramus osteotomy, is it still a valid tool in orthognathic surgery?","volume":"19","author":"Peleg","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"R4-20250710","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/S0901-5027(87)80050-4","article-title":"Intra-operative complications in sagittal and vertical ramus osteotomies","volume":"16","author":"van Merkesteyn","year":"1987","journal-title":"Int J Oral Maxillofac Surg"},{"key":"R5-20250710","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1016\/j.oooo.2021.01.008","article-title":"Complications after mandibular setback with intraoral vertical ramus osteotomies: A retrospective cohort analysis of 133 patients","volume":"131","author":"Pedersen","year":"2021","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"key":"R6-20250710","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.joms.2012.04.032","article-title":"Twist technique for pterygomaxillary dysjunction in minimally invasive Le Fort I osteotomy","volume":"71","author":"Hern\u00e1ndez-Alfaro","year":"2013","journal-title":"J Oral Maxillofac Surg"},{"key":"R7-20250710","doi-asserted-by":"crossref","first-page":"2412","DOI":"10.1016\/j.joms.2007.12.043","article-title":"An approach to retrieve a broken saw blade in an intraoral vertical ramus mandibular osteotomy","volume":"66","author":"Tabariai","year":"2008","journal-title":"J Oral Maxillofac Surg"},{"key":"R8-20250710","doi-asserted-by":"crossref","first-page":"2442","DOI":"10.1016\/j.joms.2010.12.047","article-title":"Incidence and consequences of bur breakage in orthognathic surgery: A retrospective study with discussion of 2 interesting clinical situations","volume":"69","author":"Manikandhan","year":"2011","journal-title":"J Oral Maxillofac Surg"},{"key":"R9-20250710","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/j.jcms.2021.04.006","article-title":"Orthognathic surgery complications: The 10-year experience of a single center","volume":"49","author":"Peleg","year":"2021","journal-title":"J Craniomaxillofac Surg"},{"key":"R10-20250710","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1055\/s-0038-1670702","article-title":"Foreign body removal in the craniomaxillofacial complex: Indications, techniques, and treatment","volume":"2","author":"Suresh","year":"2018","journal-title":"Craniomaxillofac Trauma Reconstr Open"},{"key":"R11-20250710","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.1097\/SCS.0000000000010411","article-title":"Anatomy of the buccal space: Surgical and radiological perspectives","volume":"35","author":"Kim","year":"2024","journal-title":"J Craniofac Surg"}],"container-title":["Annals of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_155_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:58:49Z","timestamp":1786647529000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_155_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ams.ams_155_24","relation":{},"ISSN":["2231-0746","2249-3816"],"issn-type":[{"value":"2231-0746","type":"print"},{"value":"2249-3816","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-08-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}