Unusual cause of dysarthria in a patient with cerebrovascular disease.
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Biomedical subjects
Publications and source records attributed to W M Wyatt.
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The sagittal ramus split osteotomy could be the procedure which defined the evolution of the specialty of oral surgery, the art, to the specialty of oral and maxillofacial surgery, the science. The basic design of the sagittal ramus split surgical procedure evolved very quickly. The elimination of the problems encountered has taken longer. Some of these problems are yet to be satisfactorily resolved. This paper presents a review of the literature which appears to define the evolution of this procedure. With this information in mind, a minor modification in the traditional mandibular sagittal ramus technique is presented. This modification has proven to be valuable in our hands.
Multiple mandibular canals of the bifid variety characterized by a single foramen and two nearly equal canals are unusual (occurrence less than 1%) but not rare. A more unusual case, the occurrence of two separate canals, has been mentioned only twice in the literature, once without documentation. An example of this condition has been found on a routine preoperative radiograph, and no other published examples of this condition could be found in a review of the literature. This case serves as a reminder that multiple canals do occur with some regularity.
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