Re: One more thing on fixation

[Guest guest]

And correct me if I'm wrong, Bob, or anybody else -- but I think

that there are some cuts that require the wiring. One, I believe, is

a particular vertical cut for lower jaw work. I think it's farther

back, and doesn't involve that canal that holds the alveolar nerve

as much, which is why some surgeons prefer it -- they believe it

less likely to cause long-term (or even short-term, I suppose)

numbness.

And I'd also think it makes a heckuva lot of difference whether

you're advancing a jaw by 5 mm (as mine was) or 20, as some have

needed.

That said, I can tell you that my amazing surgeon did the BSSO on

me, screwed my jaws in place, and left me with no numbness, no

problems, no wires -- but a danged splint wired into my upper brace

for 7 long weeks.

And what you said, Bob, about the movement of the jaws trying the

screws' endurance, makes sense. THAT's probably why he kept saying

to me: " You like to talk, A LOT! DON'T TALK!!! "

Cammie

[Guest guest]

Cammie,

You may be right about the other mandibular advancement techniques. I

only familiarized myself with the one being performed on me. There

are usually several different methods described in the literature for

each type of surgical procedure.

I would think a 20mm advancement would inflict serious trauma on the

inferior alveolar nerve using the BSSO technique. Maybe that is why

your surgeon chose another technique. Sounds like it was a success as

you never lost sensation to your lower lip.

Bob

>

> And correct me if I'm wrong, Bob, or anybody else -- but I think

> that there are some cuts that require the wiring. One, I believe,

is

> a particular vertical cut for lower jaw work. I think it's farther

> back, and doesn't involve that canal that holds the alveolar nerve

> as much, which is why some surgeons prefer it -- they believe it

> less likely to cause long-term (or even short-term, I suppose)

> numbness.

>

> And I'd also think it makes a heckuva lot of difference whether

> you're advancing a jaw by 5 mm (as mine was) or 20, as some have

> needed.

>

> That said, I can tell you that my amazing surgeon did the BSSO on

> me, screwed my jaws in place, and left me with no numbness, no

> problems, no wires -- but a danged splint wired into my upper brace

> for 7 long weeks.

>

> And what you said, Bob, about the movement of the jaws trying the

> screws' endurance, makes sense. THAT's probably why he kept saying

> to me: " You like to talk, A LOT! DON'T TALK!!! "

>

> Cammie

[Guest guest]

My surgery involved a cut that was behind the alveolar nerve and my

dr said they did that to try to avoid longterm/shortterm nerve

damage. And I am wired of course. I had the bottom moved 3 mm.

Jane

>

> And correct me if I'm wrong, Bob, or anybody else -- but I think

> that there are some cuts that require the wiring. One, I believe,

is

> a particular vertical cut for lower jaw work. I think it's farther

> back, and doesn't involve that canal that holds the alveolar nerve

> as much, which is why some surgeons prefer it -- they believe it

> less likely to cause long-term (or even short-term, I suppose)

> numbness.

>

> And I'd also think it makes a heckuva lot of difference whether

> you're advancing a jaw by 5 mm (as mine was) or 20, as some have

> needed.

>

> That said, I can tell you that my amazing surgeon did the BSSO on

> me, screwed my jaws in place, and left me with no numbness, no

> problems, no wires -- but a danged splint wired into my upper brace

> for 7 long weeks.

>

> And what you said, Bob, about the movement of the jaws trying the

> screws' endurance, makes sense. THAT's probably why he kept saying

> to me: " You like to talk, A LOT! DON'T TALK!!! "

>

> Cammie

[Guest guest]

Sorry to be confusing. I am not the person who needed 20 mm

advancement. That's (Minirascal) and it was indeed too much to

do with the BSSO, so her surgeon used osteogenic distraction for a

lot of the advancement. (Ouch!)

And my surgeon did use the BSSO, but I wasn't numb, anyhow. Maybe

because it was a small advancement. Or maybe because the gods were

just smiling on both of us that morning. He had done more than 1,700

of them before he got to me, and that was almost three years ago,

now.

He's an enthusiastic sort of guy, anyhow, and I do remember him

bounding over to my bedside just as I came to, to ask whether I had

numbness...

He grinned when I said I might have some altered sensation in one

place, but nothing more. As it turned out, that was a false alarm,

too!

Cammie

> >

> > And correct me if I'm wrong, Bob, or anybody else -- but I think

> > that there are some cuts that require the wiring. One, I

believe,

> is

> > a particular vertical cut for lower jaw work. I think it's

farther

> > back, and doesn't involve that canal that holds the alveolar

nerve

> > as much, which is why some surgeons prefer it -- they believe it

> > less likely to cause long-term (or even short-term, I suppose)

> > numbness.

> >

> > And I'd also think it makes a heckuva lot of difference whether

> > you're advancing a jaw by 5 mm (as mine was) or 20, as some have

> > needed.

> >

> > That said, I can tell you that my amazing surgeon did the BSSO

on

> > me, screwed my jaws in place, and left me with no numbness, no

> > problems, no wires -- but a danged splint wired into my upper

brace

> > for 7 long weeks.

> >

> > And what you said, Bob, about the movement of the jaws trying

the

> > screws' endurance, makes sense. THAT's probably why he kept

saying

> > to me: " You like to talk, A LOT! DON'T TALK!!! "

> >

> > Cammie