Pay attention to this when getting osteotomy ( zero effort thread )

[ScientiaAeterna]

And still you need to fill the gaps with bone graft.
The way they cut the mandible will determine how prominent it will be.
Take in mind every case has its own indication depending on the kind of BSSO u need which is thought on your personal anatomy.

 

[RealSurgerymax]

- B is how the osteotomy should be. It's called the Inferior J and has to do with making a complete ostoeotmy on the inferior border.

- The diagram seems to portray more of a defect with the B type osteotomy when actually the A type osteotomy has more of one after healing.

- Bone grafting is usually not necessary it is almost never done routinely in BSSO and I have seen with my own eyes, large (15+mm) BSSO after less than a year of healing (re exposure for jaw angles) where the bone regenerated and healed as if nothing ever happened. This is because the Ramus and Mandibular body has high regenerative capability, filled with stem cell rich bone marrow.

- Howveer in some cases there are defects left in the gap area which can be visible through the skin


- To further reduce risk of post-BSSO defects I invented the No-Defect "Grippy" BSSO plate. One feature of it is that it overs the lateral and inferior border of the mandible to cover any bone gap and guide the bone regeneration area.

- They can be filled with with bone chips optionally. However in normal cases it is not necessary. Its more the surgeons choice but if a patient requests I think most will do it (have to cover the costs of the bone graft material)

 

[yussimania]

- B is how the osteotomy should be. It's called the Inferior J and has to do with making a complete ostoeotmy on the inferior border.

The argument for the other cut is to do with step offs but with big rotations they will happen regardless of which cut you use because you can't rotate the proximal segments as much as you do the distal ones so there will be a break in the inferior border and will no longer be continuous

Is there a protocol you've developed to mitigate inward CW notches or outward CCW corners (as shown above) in this specific context? Could you directly address the notch with something or does it have to be jaw angles

 

[Lookologist003]

I invented the No-Defect "Grippy" BSSO plate

But I've seen gap implants in brochures. Is this a patent of yours?

 

[RealSurgerymax]

But I've seen gap implants in brochures. Is this a patent of yours?

That is not a fixation plate. The gap implants you see in brochures are just implant with no structural stability.

Mine is both a gap implant and bsso fixation plate

Yes patent pending

 

[Lookologist003]

That is not a fixation plate. The gap implants you see in brochures are just implant with no structural stability.

OK. Please excuse my retardation. Thanks for the lesson.