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exercise as bone heals; orthodontic finishing continues.","restrictions":["Avoid impact to the jaw until cleared"]},{"phase":"Months 3-12","description":"Residual swelling resolves and sensation gradually recovers.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for eating, speaking and daily activity after a typical bilateral sagittal split osteotomy."},"result_longevity":"Skeletal correction is generally long-lasting once healed and stable, though some relapse can occur depending on the movement and technique.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Reoperation for hardware removal, relapse, bad split or infection within about 2 years."},"scars":"Usually performed through intraoral incisions, leaving no visible facial scar; small external incisions are occasionally used for specific techniques.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical procedure; orthodontic treatment before and after is separate."},"stages":[{"code":"mandibular_osteotomy","label":"Mandibular osteotomy surgery under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure, after presurgical orthodontics."}}],"qualifier":"Standalone mandibular osteotomy; combined bimaxillary surgery is excluded."},"success":{"metric":"Achieving planned skeletal correction and stable bite","value":90,"unit":"percent of patients","horizon":"1 year after surgery","population":"Adults with mandibular deformity undergoing standalone BSSO after presurgical orthodontics","evidence_status":"limited"},"techniques":[{"name":"Bilateral sagittal split osteotomy (BSSO)","suits_whom":"Most common; for mandibular advancement or setback and asymmetry correction.","recovery":"Swelling for weeks, soft diet for about 4-6 weeks, temporary lip numbness common."},{"name":"Intraoral vertical ramus osteotomy","suits_whom":"Mandibular setback in selected patients.","recovery":"Often needs a period of jaw immobilization or guiding elastics; lower nerve injury risk but TMJ concerns."},{"name":"Genioplasty (chin osteotomy)","suits_whom":"Chin contour correction, sometimes added to jaw surgery.","recovery":"Swelling and chin numbness for weeks; soft diet briefly."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Typical standalone bilateral sagittal split osteotomy, operative time under general anesthesia."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Lateral cephalometric X-ray","Front and side face photos","Photos of bite from front and sides","Dental or orthodontist treatment plan","Jaw CBCT scan (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single trip for surgery after local presurgical orthodontics; stay 7-10 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the 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