The BSSO: Stepwise Procedure

Peter Kessler; Nicolas Hardt

doi:10.1007/978-3-031-73592-9_21

The BSSO: Stepwise Procedure

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 mal-positioning 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: Combined Bimaxillary Osteotomies in the Facial Skeleton
Editors	Peter Kessler, Nicolas Hardt, Kensuke Yamauchi
Publisher	Springer
Chapter	21
Pages	211-227
Number of pages	17
ISBN (Electronic)	9783031735929
ISBN (Print)	9783031735912
DOIs	https://doi.org/10.1007/978-3-031-73592-9_21
Publication status	Published - 1 Jan 2025

Keywords

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

Access to Document

10.1007/978-3-031-73592-9_21

Cite this

@inbook{2facf8114d2f4478b64ca09b7f76ab67,

title = "The BSSO: Stepwise Procedure",

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 mal-positioning 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.",

keywords = "Anatomical reference points, Anatomy of the mandible, BSSO, BSSO relevant clinical and topographic anatomy, Horizontal lingual osteotomy, Hunsuck, Identification of the mandibular foramen, Incision, Lindemann burr, Lingual tunnel, Lingula, Mandibular margin, Mandibular split, Obwegeser-DalPont, Osteotomes, Osteotomy lines, Piezo surgery, Sagittal osteotomy, Sagittal split, Spreader, Surgical approach, Vertical buccal osteotomy",

author = "Peter Kessler and Nicolas Hardt",

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

year = "2025",

month = jan,

day = "1",

doi = "10.1007/978-3-031-73592-9\_21",

language = "English",

isbn = "9783031735912",

pages = "211--227",

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

booktitle = "Illustrated Manual of Orthognathic Surgery: Combined Bimaxillary Osteotomies in the Facial Skeleton",

publisher = "Springer",

address = "United States",

}

TY - CHAP

T1 - The BSSO

T2 - Stepwise Procedure

AU - Kessler, Peter

AU - Hardt, Nicolas

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

PY - 2025/1/1

Y1 - 2025/1/1

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 mal-positioning 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 mal-positioning 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

KW - Anatomy of the mandible

KW - BSSO

KW - BSSO relevant clinical and topographic anatomy

KW - Horizontal lingual osteotomy

KW - Hunsuck

KW - Identification of the mandibular foramen

KW - Incision

KW - Lindemann burr

KW - Lingual tunnel

KW - Lingula

KW - Mandibular margin

KW - Mandibular split

KW - Obwegeser-DalPont

KW - Osteotomes

KW - Osteotomy lines

KW - Piezo surgery

KW - Sagittal osteotomy

KW - Sagittal split

KW - Spreader

KW - Surgical approach

KW - Vertical buccal osteotomy

U2 - 10.1007/978-3-031-73592-9_21

DO - 10.1007/978-3-031-73592-9_21

M3 - Chapter

SN - 9783031735912

SP - 211

EP - 227

BT - Illustrated Manual of Orthognathic Surgery: Combined Bimaxillary Osteotomies in the Facial Skeleton

A2 - Kessler, Peter

A2 - Hardt, Nicolas

A2 - Yamauchi, Kensuke

PB - Springer

ER -

The BSSO: Stepwise Procedure

Abstract

Keywords

Access to Document

Fingerprint

Cite this