Principles of the BSSO – Clinical Aspects

Peter Kessler*, Nicolas Hardt, Suen An Nynke Lie

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterAcademic

Abstract

The bilateral splitting osteotomy—BSSO— according to Obwegeser–Dal Pont has become the standard therapy worldwide for cutting the mandible in all forms of mandibular positional correction (Obwegeser Dtsch Zahn Mund Kieferheilk 23:1, 1955; DalPont Minerva chir 1, 1958). The success of this technique depends on anatomical conditions, but also on the technically correct execution. An exact analysis of the local conditions intraoperatively, but also the choice of instruments plays a role. The main goal of the step-shaped sagittal splitting of the lower jaw with intraoral access was on the one hand to reduce the complication rate of previous techniques using extraoral approaches, on the other hand to eliminate the problem of insufficient contact surfaces of the osteotomized bone segments and a reduction in the risk of inferior alveolar nerve damage.
Original languageEnglish
Title of host publicationIllustrated Manual of Orthognathic Surgery
Subtitle of host publicationOsteotomies of the Mandible
EditorsPeter Kessler , Nicolas Hardt , Kensuke Yamauchi
PublisherSpringer
Pages109-111
Number of pages3
ISBN (Electronic)9783031069789
ISBN (Print)9783031069772
DOIs
Publication statusPublished - 1 Jan 2024

Keywords

  • Access to the spaces
  • Bilateral sagittal splitting osteotomy
  • Dal pont
  • Epker
  • General rules in sagittal splitting
  • Hunsuck
  • Obwegeser
  • Principles of BSSO
  • Transoral approach

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