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Review
. 2017 Sep;10(3):244-245.
doi: 10.1055/s-0036-1584889. Epub 2016 Jun 30.

Narrow-Bladed "Endo" Sagittal Split Osteotomy Retractor

Affiliations
Review

Narrow-Bladed "Endo" Sagittal Split Osteotomy Retractor

Maurice Yves Mommaerts. Craniomaxillofac Trauma Reconstr. 2017 Sep.

Abstract

A modification of the Obwegeser sagittal split retractor is presented. It is slender while still protecting the soft tissues and is particularly suitable for endoscopically assisted surgery.

Keywords: instrument; osteotomy; sagittal split ramus; surgical.

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Figures

Fig. 1
Fig. 1
3D graphical representation of the “endo BSSO retractor.” The lower shaft is 7 mm wide.
Fig. 2
Fig. 2
Angle of attack to the bony surface and the sharp tip.
Fig. 3
Fig. 3
The instrument fits well around the mandibular border and prevents soft-tissue prolapse into the danger area.
Fig. 4
Fig. 4
The “endo BSSO retractor” providing efficient access and effective soft-tissue protection from the Lindemann bur (endoscopic view in the lingual tunnel—arrow is pointing at the fat pad surrounding the mandibular foramen).

References

    1. Trauner R, Obwegeser H. The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. I. Surgical procedures to correct mandibular prognathism and reshaping of the chin. Oral Surg Oral Med Oral Pathol. 1957;10(07):677–689. - PubMed
    1. Obwegeser H L. Berlin, Heidelberg: Springer-Verlag; 2001. Mandibular Growth Anomalies; p. 382.
    1. Matsushita K. Wide-bladed mandibular channel retractor efficiently secures surgical manoeuvres during ramus osteotomy. Br J Oral Maxillofac Surg. 2015;53(02):210–211. - PubMed
    1. Mommaerts M Y. Endoscopically assisted sagittal split osteotomy for mandibular lengthening: technical note and initial experience. J Craniomaxillofac Surg. 2010;38(02):108–112. - PubMed
    1. Mommaerts M Y. The surgical art of facial makeover. Volume I. Planning and operative techniques. Chapter “Endoscopic bilateral sagittal split osteotomy (endo-BSSO)”. Sint Martens Latem. 2013:189–196.

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