Title: Minimial invasive osteotomy of mandible in orthognathic surgery
Abstract: The aim of this report is to present preliminary results, experiences and technique in bilateral sagittal split osteotomies of the mandible with particular attention to possible damages to the inferior alveolar nerve. Two hundred and three patients (104 bimaxillary surgery, 99 only mandible) with class II or class III malocclusion were treated by a modified technique of short oblique osteotomy (BSOO—Bad Homburg short oblique osteotomy) with a conventional combined orthognathic and surgical approach. The osteotomy was carried out using an oscillating saw (Aesculap). Compared to the conventional techniques using saws, chisels or burs by high sagittal split osteotomy (HSSO—Hamburg high sagittal split osteotomy) the BSOO technique shows a lot of advantages like minimal trauma, protection of nerve, minimal risk of unfavorable fracture, minimal dislocation of TMJ, no removal of wisdom-teeth necessary and a good control of the surgical procedure with a high level of precision. Patients were treated with the CAD-Plate (Mondeal). Obwegeser Dal Pont technique was compared with Perthes Schloessmann in subjective neurosensory disturbances of the inferior alveolar nerve (IAN).
Publication Year: 2007
Publication Date: 2007-11-01
Language: en
Type: article
Indexed In: ['crossref']
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