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Removal of a broken saw blade
TECHNiCAL NOTES J Oral Maxillofac 43:995.
Surg
1985
Removal of a Broken Saw 5lade D. 6. TUINZING*
AND R. B. GREEBE*
The intraoral vertical ramus osteotomy is a reliable technique used in many countries around the world. As with any surgical procedure complications may arise. A minor problem that may occur while making the bone cut is breakage of the saw blade. Removal of the part left in the bone can be troublesome, especially when only a small part of the blade is visible. The use of a Kerrison forceps can be helpful in removing the broken part (Fig. 1).
* Department of Oral and Maxillofacial Surgery, Vrije Universiteit, PO. Box 7057, Amsterdam, The Netherlands. Address correspondence and reprint requests to Dr. Tuizing.
J Oral Maxillofac
Diagram showing use of Kerrison forceps to grasp and remove a broken saw blade.
Surg
43.995-998.1985
Modifications MICHAEL
in the Le Fort III Osteotomy
C. KINNEBREW,
DDS, MD,* AND WILLIAM
Some technical modifications that lead to ease of dysjunction and potentially enhanced stability of midfacial osteotomies are presented. Specific attention is accorded the osteotomy design in the areas of the posterior and lateral maxillary walls, the pterygomaxillary interface, and the lateral nasal wall.
R. DZYAK, DDSt
Means of effecting long-term stability are also discussed. The basic procedures for midfacial osteotomies were reported more than a decade ago. The classic works of Tessier’ depicting Le Fort III osteotomies and those of Henderson and Jackson for the Le Fort II osteotomy2 have served as a springboard for the widespread application of these operations to the treatment of various midfacial hypoplasias. With expanding experience it has been found that modifications of the original osteotomies often lead to the improved management of patients.3-6 Nonetheless, procedural difficulties remain, as do concerns regarding long-term stability of the results.7-”
*Clinical Associate Professor, Oral and Maxillofacial Surgery, Co-Director, Oral Facial Anomalies Group, Louisiana State University Medical Center, 1100 Florida Avenue, New Orleans, Louisiana 70119. Also in private practice at St. Jude Medical Center, Kenner, Louisiana. ? Former resident in oral and maxillofacial surgery, Louisiana State University Medical Center: currently in private practice in Pasadena, Maryland. Address correspondence and reprint requests to Dr. Kinnebrew.
995
Surg
1985
Removal of a Broken Saw 5lade D. 6. TUINZING*
AND R. B. GREEBE*
The intraoral vertical ramus osteotomy is a reliable technique used in many countries around the world. As with any surgical procedure complications may arise. A minor problem that may occur while making the bone cut is breakage of the saw blade. Removal of the part left in the bone can be troublesome, especially when only a small part of the blade is visible. The use of a Kerrison forceps can be helpful in removing the broken part (Fig. 1).
* Department of Oral and Maxillofacial Surgery, Vrije Universiteit, PO. Box 7057, Amsterdam, The Netherlands. Address correspondence and reprint requests to Dr. Tuizing.
J Oral Maxillofac
Diagram showing use of Kerrison forceps to grasp and remove a broken saw blade.
Surg
43.995-998.1985
Modifications MICHAEL
in the Le Fort III Osteotomy
C. KINNEBREW,
DDS, MD,* AND WILLIAM
Some technical modifications that lead to ease of dysjunction and potentially enhanced stability of midfacial osteotomies are presented. Specific attention is accorded the osteotomy design in the areas of the posterior and lateral maxillary walls, the pterygomaxillary interface, and the lateral nasal wall.
R. DZYAK, DDSt
Means of effecting long-term stability are also discussed. The basic procedures for midfacial osteotomies were reported more than a decade ago. The classic works of Tessier’ depicting Le Fort III osteotomies and those of Henderson and Jackson for the Le Fort II osteotomy2 have served as a springboard for the widespread application of these operations to the treatment of various midfacial hypoplasias. With expanding experience it has been found that modifications of the original osteotomies often lead to the improved management of patients.3-6 Nonetheless, procedural difficulties remain, as do concerns regarding long-term stability of the results.7-”
*Clinical Associate Professor, Oral and Maxillofacial Surgery, Co-Director, Oral Facial Anomalies Group, Louisiana State University Medical Center, 1100 Florida Avenue, New Orleans, Louisiana 70119. Also in private practice at St. Jude Medical Center, Kenner, Louisiana. ? Former resident in oral and maxillofacial surgery, Louisiana State University Medical Center: currently in private practice in Pasadena, Maryland. Address correspondence and reprint requests to Dr. Kinnebrew.
995