is orbital box osteotomy that risky if only one mm

[sub5inchcel]

yeah just one mm apart

 

[RealSurgerymax]

No it isnt, because 1mm can be done extracranial like this:



By avoiding going transcranial (through brain cavity) the worst risks (dying from brain injury, neurosurgical meningitis, massive blood loss from sagittal sinus, air embolism from sucking SS Injury etc ) are greatly reduced or removed.

Theres still risks but they are comparable to double jaw surgery.

Most surgeons cannot keep an OBO Subcranial though.

 

[ifyouwannabemylover]

No it isnt, because 1mm can be done extracranial like this:



By avoiding going transcranial (through brain cavity) the worst risks (dying from brain injury, neurosurgical meningitis, massive blood loss from sagittal sinus, air embolism from sucking SS Injury etc ) are greatly reduced or removed.

Theres still risks but they are comparable to double jaw surgery.

Most surgeons cannot keep an OBO Subcranial though.

this is kinda random and off-topic but how hard is it really to remove old genioplasty plates? say 3+ years old plates

 

[RealSurgerymax]

this is kinda random and off-topic but how hard is it really to remove old genioplasty plates? say 3+ years old plates

Depends if bine grew over them. Only with removal of they are causing pain because of a screw in a minor nerve branch

 

[ifyouwannabemylover]

Depends if bine grew over them. Only with removal of they are causing pain because of a screw in a minor nerve branch

what if the incision is gonna get opened again anyway for another jaw surgery procedure? best to leave old plates even then?

I'm wondering because some surgeons make it sound like removing old plates with overgrowth is like a herculean task or something.

 

[RealSurgerymax]

what if the incision is gonna get opened again anyway for another jaw surgery procedure? best to leave old plates even then?

I'm wondering because some surgeons make it sound like removing old plates with overgrowth is like a herculean task or something.

Really depends on the specifics of the case

 

[ifyouwannabemylover]

Really depends on the specifics of the case

I guess. ideally I'd want all hardware out eventually tbh but we'll see. really appreciate it as always.

 

[sub5inchcel]

No it isnt, because 1mm can be done extracranial like this:



By avoiding going transcranial (through brain cavity) the worst risks (dying from brain injury, neurosurgical meningitis, massive blood loss from sagittal sinus, air embolism from sucking SS Injury etc ) are greatly reduced or removed.

Theres still risks but they are comparable to double jaw surgery.

Most surgeons cannot keep an OBO Subcranial though.

interesting but you said it had to atleast be 3mm to be justified can you elab what you meant

 

[RealSurgerymax]

interesting but you said it had to atleast be 3mm to be justified can you elab what you meant

1.5mm per box