Abstract

Intraoral vertical ramus osteotomy (IVRO) is a simple and frequently used procedure for correcting mandibular prognathism.1 Although IVRO has many advantages over sagittal split ramus osteotomy, it has not been widely used because it inevitably involves a blind osteotomy procedure of the medial cortex of the ramus. IVRO may damage the inferior alveolar neurovascular bundles and branches of the maxillary artery. Even the most experienced surgeons worry about these damages during a ramal osteotomy, although reports are rare.

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