fernandobrocolli
Bronze
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- Sep 25, 2020
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FIGURE 7-1 A 17-year-old boy who was born with a nonprogressive congenital myopathy was referred by an orthodontist for surgical evaluation. The lack of masticatory muscle strength resulted in a constant open mouth posture. The long face growth pattern is characterized by vertical maxillary excess; a clockwise-rotated retrusive mandible; a vertically long and retrusive chin; and an Angle Class II anterior open-bite malocclusion. The patient underwent a combined orthodontic and surgical approach. Four bicuspid extractions relieved dental crowding. This was followed by surgery that included a maxillary Le Fort I osteotomy (vertical intrusion and horizontal advancement); bilateral sagittal split osteotomies of the mandible (horizontal advancement and counterclockwise rotation); and osseous genioplasty (vertical reduction and horizontal advancement). A, Profile views before and after reconstruction. B, Frontal views with smile before and after reconstruction.
doctor: Jeffrey C. Posnick
He had nothing but orthognathic surgery done and skinmaxxing