jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: molestrip on August 24, 2015, 01:00:43 AM
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I noticed Dr Wolford published a paper (http://www.ncbi.nlm.nih.gov/pubmed/25891656) earlier this year with another modification to the BSSO. You can sort of read it on a mobile page it seems, if someone wants to buy it I'd love to read the actual article. In it he claims that a new cut avoids notching on larger movements (like my MMA, ahem) and reduces risk of damage to IAN. I still have trouble visualizing what this notch is. Anyway, what do you all think of the paper? Significant? Should I bug my surgeon about it? I hear mixed opinions about the notch.
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i will look for it
is it rotation or advancement or both
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I realize now that the technique for avoiding the notch was described in 1990, the inferior border osteotomy. Most surgeons still don't perform it, I think it's just not worth their trouble for a small number of patients but I'm still suspicious there may be other reasons. This new modification is interesting but not a game changer I think. It removes some hardware at the expense of bony overlap. The mandible splits more easily but I think most of the damage is done by stretching rather than splitting.