Strategic Surgical Approach and Technical Details

Peter Kessler; Nicolas Hardt

doi:10.1007/978-3-031-06978-9_17

Strategic Surgical Approach and Technical Details

Peter Kessler^*, Nicolas Hardt

^*Corresponding author for this work

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

Abstract

The splitting technique, which has been modified and perfected over decades, has largely eliminated previous complications such as vascular bleeding, irregular osteotomy procedures, and unexpected fractures, as well as postoperative malpositioning of the mandibular condyles resulting in postoperative relapse. There is still a residual surgical risk of temporary and sometimes unavoidable permanent an- or hypoesthesia of the lip and chin. This is due to the immediate proximity of the alveolar neurovascular bundle to the osteotomy site, which may result in a lesion of the nerve even with the utmost caution.

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	137-154
Number of pages	18
ISBN (Electronic)	9783031069789
ISBN (Print)	9783031069772
DOIs	https://doi.org/10.1007/978-3-031-06978-9_17
Publication status	Published - 1 Jan 2024

Keywords

Anatomical reference points in BSSO
Anatomy of the mandible
BSSO relevant clinical and topographic anatomy
Horizontal lingual osteotomy
Identification of the mandibular foramen
Incision
Lindemann burr
Lingual tunnel
Lingula
Mandibular margin
Mandibular split
Osteotomes
Osteotomy lines
Piezo surgery
Sagittal osteotomy
Sagittal split
Spreader
Surgical approach
Topography
Vertical buccal osteotomy

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10.1007/978-3-031-06978-9_17

Cite this

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title = "Strategic Surgical Approach and Technical Details",

abstract = "The splitting technique, which has been modified and perfected over decades, has largely eliminated previous complications such as vascular bleeding, irregular osteotomy procedures, and unexpected fractures, as well as postoperative malpositioning of the mandibular condyles resulting in postoperative relapse. There is still a residual surgical risk of temporary and sometimes unavoidable permanent an- or hypoesthesia of the lip and chin. This is due to the immediate proximity of the alveolar neurovascular bundle to the osteotomy site, which may result in a lesion of the nerve even with the utmost caution.",

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AU - Hardt, Nicolas

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N2 - The splitting technique, which has been modified and perfected over decades, has largely eliminated previous complications such as vascular bleeding, irregular osteotomy procedures, and unexpected fractures, as well as postoperative malpositioning of the mandibular condyles resulting in postoperative relapse. There is still a residual surgical risk of temporary and sometimes unavoidable permanent an- or hypoesthesia of the lip and chin. This is due to the immediate proximity of the alveolar neurovascular bundle to the osteotomy site, which may result in a lesion of the nerve even with the utmost caution.

AB - The splitting technique, which has been modified and perfected over decades, has largely eliminated previous complications such as vascular bleeding, irregular osteotomy procedures, and unexpected fractures, as well as postoperative malpositioning of the mandibular condyles resulting in postoperative relapse. There is still a residual surgical risk of temporary and sometimes unavoidable permanent an- or hypoesthesia of the lip and chin. This is due to the immediate proximity of the alveolar neurovascular bundle to the osteotomy site, which may result in a lesion of the nerve even with the utmost caution.

KW - Anatomical reference points in BSSO

KW - Anatomy of the mandible

KW - BSSO relevant clinical and topographic anatomy

KW - Horizontal lingual osteotomy

KW - Identification of the mandibular foramen

KW - Incision

KW - Lindemann burr

KW - Lingual tunnel

KW - Lingula

KW - Mandibular margin

KW - Mandibular split

KW - Osteotomes

KW - Osteotomy lines

KW - Piezo surgery

KW - Sagittal osteotomy

KW - Sagittal split

KW - Spreader

KW - Surgical approach

KW - Topography

KW - Vertical buccal osteotomy

U2 - 10.1007/978-3-031-06978-9_17

DO - 10.1007/978-3-031-06978-9_17

M3 - Chapter

SN - 9783031069772

SP - 137

EP - 154

BT - Illustrated Manual of Orthognathic Surgery

A2 - , Peter Kessler

A2 - , Nicolas Hardt

A2 - , Kensuke Yamauchi

PB - Springer

ER -

Strategic Surgical Approach and Technical Details

Abstract

Keywords

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