Ecchymosis in the Chest After Bilateral Sagittal Split Osteotomy and Genioplasty: A Case Report and Literature Review

Bilateral sagittal split osteotomy (BSSO) is a corrective jaw surgery that repositions the mandible. Potential complications include unexpected fractures, unfavorable splits, avascular necrosis, condylar resorption, and malposition of the proximal segment. Chest ecchymosis following BSSO is a rare complication. Ecchymosis, the leakage of blood into subcutaneous tissues, typically occurs near the surgical site, such as the face or neck. This can result from arterial damage during surgery or postoperative factors, such as the formation of a hematoma. In this case report, we demonstrate a case of an unusual post-surgical complication of chest ecchymosis following BSSO and genioplasty. The patient was further treated with analgesics, monitoring vitals and airway and encouraging oral intake and bed rest.