Jaw Surgery, a look at the before and after - Case 4

Bite and Nasal Base Correction
11 Dec 2015

Corrective jaw surgery and bite correction profile view no smile
Corrective jaw surgery and bite correction three quaters view with smile
Corrective jaw surgery and bite correction front view with smile
Corrective jaw surgery and bite correction front view with no smile
Corrective jaw surgery and bite correction profile view CT-Scan Before
Corrective jaw surgery and bite correction profile view CT-Scan After
Orthodontist referred the jaw surgery. Patient with severe facial deformity, mandibular hypoplasia (small lower jaw) and maxillary vertical excess (long upper jaw). Also patients exibits facial assymetry in the nose, upper lip and chin. Occlusal plane of this patient is extremely steep and requires surgery for both jaws with conterclockwise rotation of occlusal plane (imaginary plane where the teeth meet in sagital plane-side view). Midline corrections will be build into virtual surgical planning. During the surgery nasal and lip reconstruction is important to establish upper face balance. Bilateral Sagital split osteotomy for mandibular advancement and genioplasty for chin progection. Bone grafting for mandibular angle reconstruction. Major airway advancement is achived with this bymaxillary advancement and facial skeleton rotation. This is the only permanent treatment for obstractive sleep apnea.

Surgical solution
Bite Correction
Nasal Base Correction, nose reconstruction
Mandibular advancement via bilateral sagital split osteotomy
Genioplasty advancement
Bone grafting for mandibular angle reconstruction

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