Paul would it be possible to see a followup picture of the case above? As you can see there already relapse of the tissue. Consider that a flap would have allowed you to see the bone and creat an adequate  space for the BW. Rebound is quite common if there is not an adequate space for the BW.
For years in the 80’s I tried to beat the BW surgery with a bur, by not removing enough bone. I documented all those cases and they all relapsed. When I present cases I never leave this section out because it is very sobering.
YOU CANNOT BEAT BIOLOGY-at least I have never won a battle yet with the BW.
Danny
Thanks,
Danny

(Edited by Dan Melker at 11:01 pm on April 23, 2004)