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Location of the mandibular canal was investigated with 6 axial scans at a 4mm interval below the mandibular foramen, and the cases were classified into 3 types (separated, contact and fused). Separated type was regarded as clearance between the mandibular canal and the buccal cortical bone in the mandible, contact type as the bony plate of the mandibular canal touching the inner surface of the buccal cortical bone, and fused type as the bony plate of the mandibular canal being fused to the buccal cortical bone. The results were as follows; 1. In the separated, contact and fused types, LSP had incidences of 19% (24 of 71 cases), 64% (9 of 14 cases) and 84% (16 of 19 cases), respectively. In the separated type, there was no clear difference in the incidence of LSP based on the shortest distance between the mandibular canal and inner surface of buccal cortical bone. 2. In the relationship between LSP and the number of scans with no clearance between the mandibular canal and buccal cortical bone in the mandible, in the cases with one scan, two scans, three scans, four scans, five scans and six scans had LSP incidences of 50%, 71%, 80%, 100%, 75% and 100%, respectively. 3. There was a strong tendency for LSP in the fused type to continue at a severe degree for more than one year postoperatively. In conclusion, it is important to evaluate the location of the mandibular canal by CT before performing sagittal split osteotomy to prevent 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