This will further facilitate the counterclockwise rotation of the mandible ultimately minimizing the risk of surgical relapse. The distal mandible is placed into occlusion through a prefabricated inter- mediate splint and the jaws are wired together by means of 0.4 or 0.5 mm surgical steel wire loops. After removal of possible bony interferences between the proximal and distal mandibular fragments, the proximal segment of the mandible is fixated to the distal mandible by means of straight miniplates. Some surgeons prefer fixation with bicortical minscrews. However, this may result in a less optimal surgical stability.