Re: Vertical osteotomy versus saggital split?

[Guest guest]

Hello, Holly, and welcome to this group! I'm having surgery to

correct my underbite, but I will be having the BSSO procedure rather

than the IVRO, which is what the surgeon you went to performs. The

major drawback with having a IVRO (IntraOral Vertical Ramus

Osteotomy) is that you will have to be wired shut for six to eight

weeks. Wiring someone shut for this amount of time makes recovery

that much harder because the jaw muscles become very weak. My OMS is

doing a BSSO (Bilateral Sagittal Split (Ramus) Osteotomy) because he

doesn't believe in wiring anyone shut, but uses a splint and bands to

stabilize my jaws. My OMS will also be doing a LeFort Maxillary

Osteotomy because I have Maxillary Hypoplasia as well. I'm 47, BTW.

Usually a BSSO is done behind the 2nd molars, so your wisdom teeth

would be removed. There is another procedure that could remove excess

mandible between your 1st molars and wisdoms; it's called a

Mandibular Body Osteotomy, I think. The surgeon who does

the " traditional " procedure probably has done these in his career

too. I went to a surgeon many years ago who wanted to do this to me,

because I had 1st molars that were baby-teeth, and he thought he'd

remove those teeth and remove the mandibular bone beneath them too.

Yikes! - I said no thanks.// Well, I hope this helps.~~ Diane (Idaho)-

- In orthognathicsurgerysupport , holly_1948

<no_reply@y...> wrote:

>

> Hi everyone,

> I got an evaluation and quote from a surgeon in San Francisco

> yesterday for a Ramus set back - to fix severe underbite - class 3

> malocclusion.

>

> This particular surgeon does only " traditional " osteotomy using no

> plates, screws etc. He believes that to be " right " whereas saggital

> (sp?) split does not produce as satisfactory an outcome. And his

price

> is excellent for self-pay. By traditional osteotomy I mean vertical

> cut and set back of the Ramus aft of the wisdom teeth. He readily

> acknowledges that SS has some advantages but not enough for him. And

> he offered a referral to a local surgeon who does the SS.

>

> One particular problem I have is that I'm older (57) still my wisdom

> teeth but have lost the lower molars forward of the wisdom teeth.

>

> I'm wondering - with saggital split is the jaw cut forward of the

> wisdom teeth thus partially closing the gap between the molars and

the

> canines?

>

> thanks,

> Holly

> PS the surgeon is Ousterhout who has an excellent

reputation -

> but for more controversial kinds of surgery ;-)

>

[Guest guest]

Hi Holly,

I will be wired for 3 weeks after my vertical osteotomy, then banded

for the final three weeks. Each week of the last 3, the surgeon will

make the bands looser so that I can chew soft foods. The benefit is

reduced numbness. He said that I may not be numb at all after the

surgery! The reason that he chose this route for me is my age. (42)

He does different procedures depending on the needs of the patient.

Sue

> >

> > Hi everyone,

> > I got an evaluation and quote from a surgeon in San Francisco

> > yesterday for a Ramus set back - to fix severe underbite - class 3

> > malocclusion.

> >

> > This particular surgeon does only " traditional " osteotomy using no

> > plates, screws etc. He believes that to be " right " whereas

saggital

> > (sp?) split does not produce as satisfactory an outcome. And his

> price

> > is excellent for self-pay. By traditional osteotomy I mean

vertical

> > cut and set back of the Ramus aft of the wisdom teeth. He readily

> > acknowledges that SS has some advantages but not enough for him.

And

> > he offered a referral to a local surgeon who does the SS.

> >

> > One particular problem I have is that I'm older (57) still my

wisdom

> > teeth but have lost the lower molars forward of the wisdom teeth.

> >

> > I'm wondering - with saggital split is the jaw cut forward of the

> > wisdom teeth thus partially closing the gap between the molars

and

> the

> > canines?

> >

> > thanks,

> > Holly

> > PS the surgeon is Ousterhout who has an excellent

> reputation -

> > but for more controversial kinds of surgery ;-)

> >

>