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Author Topic: SSRO Discussion Thread (Sagittal Split Ramus Osteotomy)  (Read 9497 times)

Optimistic

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Re: SSRO Discussion Thread (Sagittal Split Ramus Osteotomy)
« Reply #15 on: October 05, 2013, 09:27:29 PM »
Look at what I just found too, claiming to be a BSSO. Now this kind of thing would be exactly what I need. Osteotomy of the ramus, move it back and down to improve gonial angle and ramus length. Then BSSO to advance forward and ccw rotate mandible.



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Tiny

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Re: SSRO Discussion Thread (Sagittal Split Ramus Osteotomy)
« Reply #16 on: October 06, 2013, 01:59:15 AM »
weakjawbrah, how would you plan to fit your teeth together if you lengthened the ramus?  Extrusion isn't really stable on adult patients


This pic, I don't think the dotted line means a osteotomy, but a visual separation of upper and lower planes.  Particularly as the after is showing only 1 break with a pin
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Optimistic

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Re: SSRO Discussion Thread (Sagittal Split Ramus Osteotomy)
« Reply #17 on: October 06, 2013, 02:14:00 AM »
Quote from: celticcavegirl on October 06, 2013, 01:59:15 AM
weakjawbrah, how would you plan to fit your teeth together if you lengthened the ramus?  Extrusion isn't really stable on adult patients


This pic, I don't think the dotted line means a osteotomy, but a visual separation of upper and lower planes.  Particularly as the after is showing only 1 break with a pin

According to the website it is an osteotomy.

And the teeth would fit together I suppose after the ramus is move back (thus decreasing height as angle changes). So I assume...
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Lurker25

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Re: SSRO Discussion Thread (Sagittal Split Ramus Osteotomy)
« Reply #18 on: March 31, 2016, 04:06:55 PM »
"Lengthening" of the ramus and angle change (gonial angle) via bimax surgery. "Bilateral stepwise body osteotomies and bilateral sagittal split osteotomies (Obwegeser)" on the mandible.

https://www2.aofoundation.org/wps/portal/!ut/p/a1/jY9LD4IwEIR_DVd2gUSNtx6U-AoHfEAvpsRSSLDblCKJv17kjI-57WS-zQxwyIBr8aiVcDVp0bxvPruGCWK8SXGXJMcAWboK4vMaEQ_REMi_BNj8Px4_iOEvfgtcNVSMVXOmi2ihgFtZSiut39nBrpwz7dJDD_u-D31BJXX6Ng70yarBNq2HhqybflJR6yCbZMHcT9lzLy8vkhZ3ng!!/dl5/d5/L2dJQSEvUUt3QS80SmlFL1o2XzJPMDBHSVMwS09PVDEwQVNFMUdWRjAwME0z/?approach=&bone=CMF&classification=95b-Special%20considerations&contentUrl=srg%2F95b%2F05-RedFix%2FP410-2JawSurg%2F02_Introduction.enl.jsp&implantstype=hidden&method=Special%20considerations&redfix_url=1340701672038&segment=Orthognathic&showPage=redfix&soloState=lb&step=1&subStep=11&treatment=











EDIT: You just need to find the right surgeon who is willing to perform the procedure. The following two images are of an extreme case of course:





https://www2.aofoundation.org/wps/portal/!ut/p/a1/04_Sj9CPykssy0xPLMnMz0vMAfGjzOKN_A0M3D2DDbz9_UMMDRyDXQ3dw9wMDAx8jYEKIvEocDQnTr8BDuBoQEi_l35Uek5-EtipkY55ScYW6fpRRalpqUWpRXqlRUDhjJKSgmIrVQNVg_Lycr30_Pz0nFS95PxcVQNsWjLyi0v0I1BV6hfkhkZU-aSGAwDYYmkN/dl5/d5/L2dJQSEvUUt3QS80SmlFL1o2XzJPMDBHSVMwS09PVDEwQVNFMUdWRjAwME0z/?approach=&bone=CMF&classification=95a-TCS%2C%20Treacher%20Collins%20Syndrome&contentUrl=%2Fsrg%2F95a%2F05-RedFix%2FTCS%2FP840-Orthogn%2F01-Conventional_Orthognathic.enl.jsp&implantstype=&method=Conventional%20orthognathic%20surgery&redfix_url=1345644282821&segment=Congenital&showPage=redfix&soloState=lb&step=1&subStep=11&treatment=
« Last Edit: March 31, 2016, 08:24:10 PM by Lurker25 »
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