General Rules in Sagittal Splitting – Five Steps

Peter Kessler; Nicolas Hardt; Suen An Nynke Lie

doi:10.1007/978-3-031-06978-9_15

General Rules in Sagittal Splitting – Five Steps

Peter Kessler^*, Nicolas Hardt, Suen An Nynke Lie

^*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceeding › Chapter › Academic

Abstract

The operation for sagittal splitting of the mandible is composed of a logical sequence of surgical steps that must be consistently followed during each splitting procedure in order to operate successfully, with clarity and safely. Five surgical steps can be distinguished, from incision to osteosynthesis. Even the incision can be decisive for obtaining a sufficient overview of the surgical area, which is located on both sides of the ascending mandibular branch. The spaces between the masticatory muscles and the mandible must be created technically in such a way that the overview is not impeded or even made impossible by bleeding or remaining soft tissue attachments. The identification of the vascular and nerve bundle at the mandibular foramen must be ensured. Only then is the mandible split with usually three osteotomy lines lingually, buccally and the connection cut successful.

Original language	English
Title of host publication	Illustrated Manual of Orthognathic Surgery
Subtitle of host publication	Osteotomies of the Mandible
Editors	Peter Kessler , Nicolas Hardt , Kensuke Yamauchi
Publisher	Springer
Pages	121-125
Number of pages	5
ISBN (Electronic)	9783031069789
ISBN (Print)	9783031069772
DOIs	https://doi.org/10.1007/978-3-031-06978-9_15
Publication status	Published - 1 Jan 2024

Keywords

Access to the spaces
Anatomical reference points in BSSO
Avoidance of caudal mandibular step formation
Avoidance of iatrogenic fractures
Bilateral sagittal splitting osteotomy (BSSO)
BSSO relevant clinical and topographic anatomy
Creation of bone cuts
Identification of the mandibular foramen
Instruments
Mandibular canal
Mucoperiosteal incision
Principles of the BSSO
Surgical steps
Systematic approach
Transoral approach

Access to Document

10.1007/978-3-031-06978-9_15

Cite this

@inbook{d6e5c3d871ec41b9b305b078dd07dcee,

title = "General Rules in Sagittal Splitting – Five Steps",

abstract = "The operation for sagittal splitting of the mandible is composed of a logical sequence of surgical steps that must be consistently followed during each splitting procedure in order to operate successfully, with clarity and safely. Five surgical steps can be distinguished, from incision to osteosynthesis. Even the incision can be decisive for obtaining a sufficient overview of the surgical area, which is located on both sides of the ascending mandibular branch. The spaces between the masticatory muscles and the mandible must be created technically in such a way that the overview is not impeded or even made impossible by bleeding or remaining soft tissue attachments. The identification of the vascular and nerve bundle at the mandibular foramen must be ensured. Only then is the mandible split with usually three osteotomy lines lingually, buccally and the connection cut successful.",

keywords = "Access to the spaces, Anatomical reference points in BSSO, Avoidance of caudal mandibular step formation, Avoidance of iatrogenic fractures, Bilateral sagittal splitting osteotomy (BSSO), BSSO relevant clinical and topographic anatomy, Creation of bone cuts, Identification of the mandibular foramen, Instruments, Mandibular canal, Mucoperiosteal incision, Principles of the BSSO, Surgical steps, Systematic approach, Transoral approach",

author = "Peter Kessler and Nicolas Hardt and Lie, {Suen An Nynke}",

note = "Publisher Copyright: {\textcopyright} The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2024.",

year = "2024",

month = jan,

day = "1",

doi = "10.1007/978-3-031-06978-9_15",

language = "English",

isbn = "9783031069772",

pages = "121--125",

editor = "{Peter Kessler} and {Nicolas Hardt} and {Kensuke Yamauchi}",

booktitle = "Illustrated Manual of Orthognathic Surgery",

publisher = "Springer",

address = "United States",

}

TY - CHAP

T1 - General Rules in Sagittal Splitting – Five Steps

AU - Kessler, Peter

AU - Hardt, Nicolas

AU - Lie, Suen An Nynke

N1 - Publisher Copyright: © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2024.

PY - 2024/1/1

Y1 - 2024/1/1

N2 - The operation for sagittal splitting of the mandible is composed of a logical sequence of surgical steps that must be consistently followed during each splitting procedure in order to operate successfully, with clarity and safely. Five surgical steps can be distinguished, from incision to osteosynthesis. Even the incision can be decisive for obtaining a sufficient overview of the surgical area, which is located on both sides of the ascending mandibular branch. The spaces between the masticatory muscles and the mandible must be created technically in such a way that the overview is not impeded or even made impossible by bleeding or remaining soft tissue attachments. The identification of the vascular and nerve bundle at the mandibular foramen must be ensured. Only then is the mandible split with usually three osteotomy lines lingually, buccally and the connection cut successful.

AB - The operation for sagittal splitting of the mandible is composed of a logical sequence of surgical steps that must be consistently followed during each splitting procedure in order to operate successfully, with clarity and safely. Five surgical steps can be distinguished, from incision to osteosynthesis. Even the incision can be decisive for obtaining a sufficient overview of the surgical area, which is located on both sides of the ascending mandibular branch. The spaces between the masticatory muscles and the mandible must be created technically in such a way that the overview is not impeded or even made impossible by bleeding or remaining soft tissue attachments. The identification of the vascular and nerve bundle at the mandibular foramen must be ensured. Only then is the mandible split with usually three osteotomy lines lingually, buccally and the connection cut successful.

KW - Access to the spaces

KW - Anatomical reference points in BSSO

KW - Avoidance of caudal mandibular step formation

KW - Avoidance of iatrogenic fractures

KW - Bilateral sagittal splitting osteotomy (BSSO)

KW - BSSO relevant clinical and topographic anatomy

KW - Creation of bone cuts

KW - Identification of the mandibular foramen

KW - Instruments

KW - Mandibular canal

KW - Mucoperiosteal incision

KW - Principles of the BSSO

KW - Surgical steps

KW - Systematic approach

KW - Transoral approach

U2 - 10.1007/978-3-031-06978-9_15

DO - 10.1007/978-3-031-06978-9_15

M3 - Chapter

SN - 9783031069772

SP - 121

EP - 125

BT - Illustrated Manual of Orthognathic Surgery

A2 - , Peter Kessler

A2 - , Nicolas Hardt

A2 - , Kensuke Yamauchi

PB - Springer

ER -

General Rules in Sagittal Splitting – Five Steps

Abstract

Keywords

Access to Document

Fingerprint

Cite this