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Document type:
Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
Author(s):
Schoen, P; Frotscher, M; Eggeler, G; Kessler, P; Wolff, KD; Boeckmann, R
Title:
Modification of the bilateral sagittal split osteotomy (BSSO) in a study using pig mandibles.
Abstract:
In a bilateral sagittal split osteotomy (BSSO) mechanical irritation of the inferior alveolar nerve (IAN) (e.g. by chiselling) should be avoided to prevent neural damage. A modification of the Obwegeser-Dal Pont operation technique was studied by splitting 100 pig mandibles ex vivo. An additional osteotomy at the caudal border of the mandible was used to facilitate the sagittal split by means of a locus of minor resistance. The chisel was inserted distal to the second molar and far away from the IAN. The mandible was split by torque. The modified technique reduced the required torque to split the mandible about 30% compared with the original technique (paired t-test, t(69)=-12.89; p<0.05). 75% of all mandibles split by the modified technique were classified as bad splits compared with 100% using the original technique using the same protocol without the additional osteotomy.
Journal title abbreviation:
Int J Oral Maxillofac Surg
Year:
2011
Journal volume:
40
Journal issue:
5
Pages contribution:
516-20
Language:
eng
Fulltext / DOI:
doi:10.1016/j.ijom.2010.09.028
Pubmed ID:
http://view.ncbi.nlm.nih.gov/pubmed/21255979
Print-ISSN:
0901-5027
TUM Institution:
Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie
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