Hugo Obwegeser, describing his first case of sagittal splitting of the ramus under General Anaesthesia, 1956:

'The operation itself was more stressful than I had experienced previously when I had performed it with the patient under local anaesthesia and general sedation. In addition, I had to battle with the anaesthesiologist and my assisting pessimistic chief during the surgery. The former was concerned that I would pull the tube out of the patient's nose by turning her head. 

On the second postoperative day and even more on the third, the girl's face was swollen and blue from bruising so much that I feared serious complications. On the following day, I went to the wonderful Baroque monastery church of Einsiedeln and prayed, and promised I would never do a sagittal splitting again if that girl got away without complications. Finally she had a wonderful result and I became a recidivist, like any sinner, doing many more cases.'

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