[2025-10-02T09:21:14.776283] [QUERYOME] Starting research for query 2491: 'Instructions:
 Answer the question below. First, respond with the single best option letter (A, B, C, or D). Then provide a concise reasoning (1–3 sentences). Use both the retrieved evidence and your own medical knowledge to choose the most accurate answer.

Question:
For >10 mm setback of mandible, which of these surgeries is most suitable:

Options:
A. Sagittal split ramus osteotomy
B. Vertical ramus osteotomy
C. Subapical osteotomy
D. Body osteotomy  with extraction of premolars'
[2025-10-02T09:21:14.821940] [PI] Starting research for query: 'Instructions:
 Answer the question below. First, respond with the single best option letter (A, B, C, or D). Then provide a concise reasoning (1–3 sentences). Use both the retrieved evidence and your own medical knowledge to choose the most accurate answer.

Question:
For >10 mm setback of mandible, which of these surgeries is most suitable:

Options:
A. Sagittal split ramus osteotomy
B. Vertical ramus osteotomy
C. Subapical osteotomy
D. Body osteotomy  with extraction of premolars'
[2025-10-02T09:21:14.823934] Saving text to bench_final/run1/medmcqa/medmcqa_4051/pi_initial_prompt.txt
[2025-10-02T09:21:14.829207] [PI] Calling o3 for initial analysis...
[2025-10-02T09:21:29.012754] [PI] Reasoning iteration 1
[2025-10-02T09:21:29.015711] [PI reasoning] **Evaluating mandibular setback options**

I need to select the best surgical option for a >10 mm mandibular setback. For this, Bilateral Sagittal Split Ramus Osteotomy (BSSRO) is commonly used but may pose risks for larger setbacks. Some sources suggest opting for Intraoral Vertical Ramus Osteotomy (IVRO) for its stability and lower neurosensory risk. There are guidelines recommending IVRO for setbacks over 7 mm due to better contact area, but I need to consider the potential for condylar position issues and relapse.
[2025-10-02T09:21:29.017569] [PI] Executing function call 1: hybrid_search
[2025-10-02T09:21:29.019292] [PI] Function arguments: {'query': 'mandibular setback greater than 10 mm preferred vertical ramus osteotomy versus sagittal split', 'k': 10, 'faiss_weight': 0.6, 'bm25_weight': 0.4, 'use_rrf': True}
[2025-10-02T09:21:29.021978] Saving JSON to bench_final/run1/medmcqa/medmcqa_4051/pi_iteration_1_tool_call_2_hybrid_search.json
[2025-10-02T09:21:29.637413] [PI] Function hybrid_search executed successfully
[2025-10-02T09:21:29.639539] Saving JSON to bench_final/run1/medmcqa/medmcqa_4051/pi_iteration_1_tool_result_2_hybrid_search.json
[2025-10-02T09:21:29.651362] [PI] Continuing reasoning with 1 function responses...
[2025-10-02T09:21:43.883238] [PI] Reasoning iteration 2
[2025-10-02T09:21:43.886267] [PI] No function calls found in response
[2025-10-02T09:21:43.888422] [PI] No more function calls - research complete
[2025-10-02T09:21:43.891517] Saving text to bench_final/run1/medmcqa/medmcqa_4051/pi_final_answer.txt
[2025-10-02T09:21:43.896398] [QUERYOME] Query completed successfully
