Two similar "bad splits" and how they were treated. Report of two cases.
Two high fractures of the proximal segments during separate sagittal split osteotomies were treated by a modification of the "Obwegeser II" technique and screw osteosynthesis. Careful wedging of the large spreading osteotome in a more superior position while splitting up to the posterior border will probably prevent such complications.
Mommaerts
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Division of Maxillo-Facial Surgery, General Hospital St. Jan, Bruges, Belgium.
D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008334:Mandible / Q000601:surgery*; D008335:Mandibular Condyle / Q000293:injuries; D008337:Mandibular Fractures / Q000209:etiology* / Q000601:surgery*; D010027:Osteotomy / Q000009:adverse effects* / Q000379:methods