{"id":17306,"date":"2022-11-14T12:45:42","date_gmt":"2022-11-14T17:45:42","guid":{"rendered":"https:\/\/www.myface.org\/?page_id=17306"},"modified":"2023-07-06T12:06:31","modified_gmt":"2023-07-06T16:06:31","slug":"bilateral-sagittal-split-osteotomy","status":"publish","type":"page","link":"https:\/\/www.myface.org\/es\/surgeries\/bilateral-sagittal-split-osteotomy\/","title":{"rendered":"La Osteotom\u00eda Sagital Bilateral Mandibular (OSBM)"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"container\"><div class=\"sd-centered-wrapper\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"ult-spacer spacer-69d59a1fa9696\" data-id=\"69d59a1fa9696\" data-height=\"50\" data-height-mobile=\"20\" data-height-tab=\"\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h1 style=\"text-align: center; font-weight: 600; color: white;\"><b>Bilateral Sagittal Split Osteotomy (BSSO)<\/b><\/h1>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\"ult-spacer spacer-69d59a1fa970c\" data-id=\"69d59a1fa970c\" data-height=\"30\" data-height-mobile=\"20\" data-height-tab=\"\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><!-- Row Backgrounds --><div class=\"upb_color\" data-bg-override=\"0\" data-bg-color=\"#2fbed0\" data-fadeout=\"\" data-fadeout-percentage=\"30\" data-parallax-content=\"\" data-parallax-content-sense=\"30\" data-row-effect-mobile-disable=\"true\" data-img-parallax-mobile-disable=\"true\" data-rtl=\"false\"  data-custom-vc-row=\"\"  data-vc=\"8.0\"  data-is_old_vc=\"\"  data-theme-support=\"enable\"   data-overlay=\"false\" data-overlay-color=\"\" data-overlay-pattern=\"\" data-overlay-pattern-opacity=\"\" data-overlay-pattern-size=\"\"    ><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-10 vc_col-lg-offset-3 vc_col-lg-6 vc_col-md-offset-1 vc_col-md-10 vc_col-xs-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"ult-spacer spacer-69d59a1fa98de\" data-id=\"69d59a1fa98de\" data-height=\"15\" data-height-mobile=\"0\" data-height-tab=\"15\" data-height-tab-portrait=\"15\" data-height-mobile-landscape=\"15\" style=\"clear:both;display:block;\"><\/div><div class=\"vc_row wpb_row vc_inner vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"vc_empty_space\"   style=\"height: 32px\"><span class=\"vc_empty_space_inner\"><\/span><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div class=\"trp_language_switcher_shortcode\">\n<div class=\"trp-language-switcher trp-language-switcher-container\" data-no-translation >\n    <div class=\"trp-ls-shortcode-current-language\">\n        <a href=\"#\" class=\"trp-ls-shortcode-disabled-language trp-ls-disabled-language\" title=\"Espa\u00f1ol\" onclick=\"event.preventDefault()\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" class=\"trp-flag-image\" src=\"https:\/\/www.myface.org\/wp-content\/plugins\/translatepress-multilingual\/assets\/images\/flags\/es_ES.png\" width=\"18\" height=\"12\" alt=\"es_ES\" title=\"Espa\u00f1ol\"> Espa\u00f1ol\t\t<\/a>\n    <\/div>\n    <div class=\"trp-ls-shortcode-language\">\n                <a href=\"#\" class=\"trp-ls-shortcode-disabled-language trp-ls-disabled-language\"  title=\"Espa\u00f1ol\" onclick=\"event.preventDefault()\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" class=\"trp-flag-image\" src=\"https:\/\/www.myface.org\/wp-content\/plugins\/translatepress-multilingual\/assets\/images\/flags\/es_ES.png\" width=\"18\" height=\"12\" alt=\"es_ES\" title=\"Espa\u00f1ol\"> Espa\u00f1ol\t\t<\/a>\n                    <a href=\"https:\/\/www.myface.org\/es\/wp-json\/wp\/v2\/pages\/17306#TRPLINKPROCESSED\" title=\"English\">\n            <img loading=\"lazy\" decoding=\"async\" class=\"trp-flag-image\" src=\"https:\/\/www.myface.org\/wp-content\/plugins\/translatepress-multilingual\/assets\/images\/flags\/en_US.png\" width=\"18\" height=\"12\" alt=\"en_US\" title=\"English\"> English        <\/a>\n\n        <\/div>\n    <script type=\"application\/javascript\">\n        \/\/ need to have the same with set from JS on both divs. Otherwise it can push stuff around in HTML\n        var trp_ls_shortcodes = document.querySelectorAll('.trp_language_switcher_shortcode .trp-language-switcher');\n        if ( trp_ls_shortcodes.length > 0) {\n            \/\/ get the last language switcher added\n            var trp_el = trp_ls_shortcodes[trp_ls_shortcodes.length - 1];\n\n            var trp_shortcode_language_item = trp_el.querySelector( '.trp-ls-shortcode-language' )\n            \/\/ set width\n            var trp_ls_shortcode_width                                               = trp_shortcode_language_item.offsetWidth + 16;\n            trp_shortcode_language_item.style.width                                  = trp_ls_shortcode_width + 'px';\n            trp_el.querySelector( '.trp-ls-shortcode-current-language' ).style.width = trp_ls_shortcode_width + 'px';\n\n            \/\/ We're putting this on display: none after we have its width.\n            trp_shortcode_language_item.style.display = 'none';\n        }\n    <\/script>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2><span style=\"font-weight: 400;\">What is BSSO surgery?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A Bilateral Sagittal Split Osteotomy (or BSSO) is a type of jaw surgery where the lower jaw is separated from the face and repositioned. This repositioning is also called orthognathic surgery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some patients have a protruding jaw which will be set back using a BSSO. In other cases, the jaw can be set forward (if it is too far back) or set straight (if tilted to one side). This surgery is performed entirely inside the mouth so there is no visible scar on the face. A BSSO can be performed alone or in combination with an upper jaw or chin surgery.<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><!-- Row Backgrounds --><div class=\"upb_color\" data-bg-override=\"0\" data-bg-color=\"\" data-fadeout=\"\" data-fadeout-percentage=\"30\" data-parallax-content=\"\" data-parallax-content-sense=\"30\" data-row-effect-mobile-disable=\"true\" data-img-parallax-mobile-disable=\"true\" data-rtl=\"false\"  data-custom-vc-row=\"\"  data-vc=\"8.0\"  data-is_old_vc=\"\"  data-theme-support=\"enable\"   data-overlay=\"false\" data-overlay-color=\"\" data-overlay-pattern=\"\" data-overlay-pattern-opacity=\"\" data-overlay-pattern-size=\"\"    ><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-2 vc_col-lg-offset-3 vc_col-lg-6 vc_col-md-offset-1 vc_col-md-10 vc_col-xs-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"vc_row wpb_row vc_inner vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 style=\"text-align: center;\"><strong>Meet a member of the myFace community who went through a BSSO procedure.<\/strong><\/h3>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_video_widget wpb_content_element vc_clearfix   vc_video-aspect-ratio-169 vc_video-el-width-100 vc_video-align-left\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t\n\t\t\t<div class=\"wpb_video_wrapper\"><iframe loading=\"lazy\" title=\"BSSO patient\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/Z4GFkQgXMbY?feature=oembed&amp;hd=1;rel=0;showinfo=0&amp;theme=light&amp;modestbranding=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/div>\n\t\t<\/div>\n\t<\/div>\n<div class=\"vc_empty_space\"   style=\"height: 32px\"><span class=\"vc_empty_space_inner\"><\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wpb_column vc_column_container vc_col-sm-2\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><\/div><\/div><\/div><\/div><!-- Row Backgrounds --><div class=\"upb_color\" data-bg-override=\"0\" data-bg-color=\"\" data-fadeout=\"\" data-fadeout-percentage=\"30\" data-parallax-content=\"\" data-parallax-content-sense=\"30\" data-row-effect-mobile-disable=\"true\" data-img-parallax-mobile-disable=\"true\" data-rtl=\"false\"  data-custom-vc-row=\"\"  data-vc=\"8.0\"  data-is_old_vc=\"\"  data-theme-support=\"enable\"   data-overlay=\"false\" data-overlay-color=\"\" data-overlay-pattern=\"\" data-overlay-pattern-opacity=\"\" data-overlay-pattern-size=\"\"    ><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-2 vc_col-lg-offset-3 vc_col-lg-6 vc_col-md-offset-1 vc_col-md-10 vc_col-xs-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"vc_row wpb_row vc_inner vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 style=\"text-align: center;\">Stay up to date on all the latest goings-on at myFace by joining our newsletter.<\/h3>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\" ubtn-ctn-center \"><a class=\"ubtn-link ult-adjust-bottom-margin ubtn-center ubtn-large \" href=\"https:\/\/www.myface.org\/myface-newsletter-sign-up\/\" ><button type=\"button\" id=\"ubtn-9068\"  class=\"ubtn ult-adjust-bottom-margin ult-responsive ubtn-large ubtn-no-hover-bg  none  ubtn-center   tooltip-69d59a1faa2f5\"  data-hover=\"\" data-border-color=\"\" data-bg=\"#2fbed0\" data-hover-bg=\"\" data-border-hover=\"\" data-shadow-hover=\"\" data-shadow-click=\"none\" data-shadow=\"\" data-shd-shadow=\"\"  data-ultimate-target='#ubtn-9068'  data-responsive-json-new='{\"font-size\":\"desktop:18px;\",\"line-height\":\"\"}'  style=\"font-weight:normal;border:none;background: #2fbed0;color: #ffffff;\"><span class=\"ubtn-hover\" style=\"background-color:\"><\/span><span class=\"ubtn-data ubtn-text \" >Join the myFace Community<\/span><\/button><\/a><\/div><div class=\"vc_empty_space\"   style=\"height: 32px\"><span class=\"vc_empty_space_inner\"><\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wpb_column vc_column_container vc_col-sm-2\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><\/div><\/div><\/div><\/div><!-- Row Backgrounds --><div class=\"upb_color\" data-bg-override=\"0\" data-bg-color=\"\" data-fadeout=\"\" data-fadeout-percentage=\"30\" data-parallax-content=\"\" data-parallax-content-sense=\"30\" data-row-effect-mobile-disable=\"true\" data-img-parallax-mobile-disable=\"true\" data-rtl=\"false\"  data-custom-vc-row=\"\"  data-vc=\"8.0\"  data-is_old_vc=\"\"  data-theme-support=\"enable\"   data-overlay=\"false\" data-overlay-color=\"\" data-overlay-pattern=\"\" data-overlay-pattern-opacity=\"\" data-overlay-pattern-size=\"\"    ><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-2 vc_col-lg-offset-3 vc_col-lg-6 vc_col-md-offset-1 vc_col-md-10 vc_col-xs-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"vc_row wpb_row vc_inner vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h2><span style=\"font-weight: 400;\">The Process of a BSSO Procedure<\/span><\/h2>\n<h3><span style=\"font-weight: 800;\">Pre-Surgery<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Before surgery, you will likely undergo orthodontic therapy in the form of braces. This therapy can take several months to perform, and it is an important part of your treatment plan. The orthodontist will straighten and position your teeth in preparation for surgery. Positioning your teeth in preparation for surgery can take some time however it is a required step that helps make your surgery successful.<\/span><\/p>\n<h3><span style=\"font-weight: 800;\">Procedure<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Once you are asleep, the anesthesiologist will put a small tube inside your nose which will provide oxygen during the surgery. An opening is made inside the mouth on the jaw just behind and to the side of your last teeth of your lower jaw. This opening will be about 3 inches long and the resulting scar will be entirely within the mouth.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The back part of the jaw, which is behind and under the rearmost teeth, will be accessed through this opening. This is the part of the jaw which will be separated. A cut is made along the top and side edges of the jaw. The purpose of these cuts is to separate the jaw in such a way that will create a broad overlap of bone between the cut surfaces.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Through the cut bone edges, bone separators called \u201costeotomes\u201d are used to split the jaw. Once the bones are separated on both sides, the lower jaw can be moved into its new position. If the lower jaw is set back, a small strip of bone may have to be removed. The lower jaw is securely fixed into its new position using screws or a combination of plates and screws. In certain cases, the teeth may be wired together to help secure the lower jaw into place. The openings within the mouth are then closed with stitches that will slowly dissolve.<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_inner vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3>Watch Nurse Practitioner, Pat Chibbaro, of the myFace Center for Craniofacial Care at NYU Langone Health explain a BSSO procedure in detail:<\/h3>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_video_widget wpb_content_element vc_clearfix   vc_video-aspect-ratio-169 vc_video-el-width-100 vc_video-align-left\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t\n\t\t\t<div class=\"wpb_video_wrapper\"><iframe loading=\"lazy\" title=\"BSSO nurse\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/5IRCcHFXQ-k?feature=oembed&amp;hd=1;rel=0;showinfo=0&amp;theme=light&amp;modestbranding=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_inner vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3><span style=\"font-weight: 800;\">Post-Op &amp; Recovery<\/span><\/h3>\n<h4><span style=\"font-weight: 900;\">Swelling &amp; Numbness<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">The BSSO can produce a lot of swelling. If the BSSO is combined with a surgery to the upper jaw, such as a <\/span><span style=\"font-weight: 400;\">Le Fort I<\/span><span style=\"font-weight: 400;\">, you will have even more swelling. The swelling should peak after 2-3 days and can be dramatic. It may be difficult to speak or drink normally. Most of the swelling will resolve after about 2 weeks. The lower lip may be numb on one or both sides of the face. This is usually temporary; however, it may take several weeks or months for the numbness to the lower lip to disappear.<\/span><\/p>\n<h4><span style=\"font-weight: 900;\">Discomfort<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Most of the discomfort you will experience after the surgery will be from the swelling of the face rather than the pain from the surgery itself. You will receive medicine to help with discomfort. Cool compresses to the face and sleeping with the face raised above the heart will also help decrease the swelling. Lip moisturizer is recommended to prevent drying of the lips.<\/span><\/p>\n<h4><span style=\"font-weight: 900;\">BSSO Surgery Recovery<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">It is particularly important to listen to the surgeon\u2019s and orthodontist\u2019s directions regarding the types of foods you can eat following the surgery and when it is safe to eat them. Eating appropriate foods will help with the healing but eating hard foods too early can damage the surgery. As the swelling subsides, you will be able to move the jaw to a greater degree. Your orthodontic care will continue after surgery. This can take the form of rubber band therapy to help guide the lower jaw into the upper jaw. Braces may also continue for several months after the surgery. Speak to your orthodontist to find out your treatment plan.<\/span><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\"vc_empty_space\"   style=\"height: 32px\"><span class=\"vc_empty_space_inner\"><\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><!-- Row Backgrounds --><div class=\"upb_color\" data-bg-override=\"0\" data-bg-color=\"\" data-fadeout=\"\" data-fadeout-percentage=\"30\" data-parallax-content=\"\" data-parallax-content-sense=\"30\" data-row-effect-mobile-disable=\"true\" data-img-parallax-mobile-disable=\"true\" data-rtl=\"false\"  data-custom-vc-row=\"\"  data-vc=\"8.0\"  data-is_old_vc=\"\"  data-theme-support=\"enable\"   data-overlay=\"false\" data-overlay-color=\"\" data-overlay-pattern=\"\" data-overlay-pattern-opacity=\"\" data-overlay-pattern-size=\"\"    ><\/div><!-- Row Backgrounds --><div class=\"upb_color\" data-bg-override=\"0\" data-bg-color=\"\" data-fadeout=\"\" data-fadeout-percentage=\"30\" data-parallax-content=\"\" data-parallax-content-sense=\"30\" data-row-effect-mobile-disable=\"true\" data-img-parallax-mobile-disable=\"true\" data-rtl=\"false\"  data-custom-vc-row=\"\"  data-vc=\"8.0\"  data-is_old_vc=\"\"  data-theme-support=\"enable\"   data-overlay=\"false\" data-overlay-color=\"\" data-overlay-pattern=\"\" data-overlay-pattern-opacity=\"\" data-overlay-pattern-size=\"\"    ><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p><a class=\"sd-more sd-all-trans\" href=\"https:\/\/www.myface.org\/es\/surgeries\/bilateral-sagittal-split-osteotomy\/#more-17306\">Leer m\u00e1s<\/a><\/p>","protected":false},"author":14,"featured_media":0,"parent":17303,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full-width-page.php","meta":{"footnotes":""},"class_list":["post-17306","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ 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