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TMJ Disorder -TemporoMandibular Joint Message Board

Needing a BSSO

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Old 05-27-2005, 04:33 PM   #1
Junior Member
Join Date: May 2005
Posts: 13
tanglefoot HB User
Question Needing a BSSO


I need some information on anyone who has had a bilateral sagital split osteotomy. I have had TMJ for 12 years and have worn a splint for most of that time, not including the 2 years that I wore braces. I underwent an Intraoral Vertical Ramus Osteotomy 2 years ago. The result was 100% failure. I had a perfect bite before surgery and now only 2 teeth touch. I have severe malalignment to the right. It has caused my cervical vertabra to rotate out of alignment. I now have a herniated disc at C5-6 which doesn't help the situation, I am in chronic pain. To top it off, my bone is now dying. My Maxillofacial Surgeon states that he can fix it but he will not touch me for 6 months. He wants to repeat an MRI to see if my bone has gone into remission. He wants to do a BSSO with bone-plates and transfer some cartilage. This man is very conservation and has a wonderful reputation. The last speacialist that I saw wanted to do a total joint replacement. The only thing that really bothers me is why wait for a MRI and not order a bone scan which would show active bone loss??? I wish someone with some medical knowledge could answer this. I an unable to get a second opinion due to my insurance and severity of the case. If anyone has any suggestions for me....I am all ears. I know I need to have a surgery to fix this but is the BSSO the way to go?? Thanks a lot,


Last edited by tanglefoot; 05-27-2005 at 04:43 PM.

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Old 05-31-2005, 08:19 AM   #2
Join Date: May 2004
Posts: 93
juulie HB User
Re: Needing a BSSO

Hi Tanglefoot, sorry you are in so much pain. I am suffering too and recently had four surgical opinions. I have not heard of the term BSSO. Can you tell me what it is? I know and understand arthroplasty, discectomy, etc. but don't know about BSSO.


Old 05-31-2005, 10:53 AM   #3
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Join Date: May 2005
Posts: 13
tanglefoot HB User
Re: Needing a BSSO

A BSSO is a orthognathic surg. They split the mandible on both sides and move the condyles to their appropriate positions. They use bone plates/ screws etc.. to fixate and stablize the mandible. If you want full details, go to google and type in Bilateral Sagital Split Osteotomy. I am only having this to get my jaws back together. If you just have a disc problem, then this probably isn't the surg for you. Thanks for your reply.


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