The Nine-Step Joystick Technique of Osseous Genioplasty

This article presents the "nine-step joystick technique" for osseous genioplasty designed to improve intraoperative control and efficiency. The procedure addresses the significant challenge of posterior muscle traction on the inferior genial segment after osteotomy, which can make accurate positioning and stable fixation difficult and time-consuming. The technique involves partially inserting a midline sagittal screw into the mobile segment. This screw then acts as a "joystick" when manipulated with Allis forceps, providing the surgeon with a stable and precise handle to maneuver the bone. This method allows for effortless alignment and fixation, preventing segment shifting and reducing the need for multiple drill attempts. Applicable to various types of genioplasty, this reproducible technique simplifies the procedure, reduces operative time, and enhances the overall cosmetic and functional outcomes.