Abstract

In corrective surgery for mandibular prognathism, intraoral vertical ramus osteotomy (IVRO) is a simple technique that divides the mandibular ramus from the sigmoid notch down to the angular region, with many advantages over sagittal split ramus osteotomy (SSRO) in terms of lower incidence of inferior alveolar nerve damage and improved temporomandibular joint (TMJ) function.1-8 A minimally invasive approach to the facial skeleton through endoscopic assistance has gained acceptance recently. Such an approach allows the surgeon to treat several pathologies in the maxillo-facial area with effectiveness and minimal morbidity: orbital surgery, fracture repair, salivary gland surgery, paranasal sinuses functional surgery.

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