Ramus Lengthening

[ChristianChad]

@tesseract is there DO for Ramus?

 

[Deleted member 18361]

@tesseract is there DO for Ramus?

it did exist, but the distraction arms are extremely unpractical:

when the ramus being distracted downward, there’s resistance of the masseter muscles.

 

[poopmaster22]

it did exist, but the distraction arms are extremely unpractical:
View attachment 1777679View attachment 1777680

when the ramus being distracted downward, there’s resistance of the masseter muscles.

This just does movements correct a doctor won’t add ccw and genio if they are using this system?

 

[FreakkForLife]

it did exist, but the distraction arms are extremely unpractical:
View attachment 1777679View attachment 1777680

when the ramus being distracted downward, there’s resistance of the masseter muscles.

Do u think ching wing can help in ramus lengthening?


2.also,what do u think of uhwmpe implants and peek implants?
@Jade mentioned that they are permanent and don't get resorbed and don't cause bone erosion

 

[FreakkForLife]

look at B the ramus drops downward and forwardView attachment 563029

@tesseract this is bsso Surgery.
This guy is saying that bsso can help in ramus lengthening as shown in (b) of the picture

 

[Jade]

Do u think ching wing can help in ramus lengthening?


2.also,what do u think of uhwmpe implants and peek implants?
@Jade mentioned that they are permanent and don't get resorbed and don't cause bone erosion

Almost anything can be achieved when you cut and "glue" bone back together.

Of course, you can get Ramus vertical lengthening, but when you follow a specific technique, other bone movements come into play.

When you cut and extend one way, other parts of your bones need to adjust too! Your doctor needs to find the best compromise.

If you do not want to use implants at all, your doctor needs to find the least invasive solution for your specific case.

Assuming that ONLY your ramus needs vertical lengthening, heck, your doctor could cut your Ramus in two sections and position it in a way that makes sense for you.

Imagine a chin osteotomy for your Ramus.!

No. PEEK, (UHMWPE) or even Silicon do not cause the issues you are concerned about. Instead, it is the movement and friction (force).

Silicon is malleable and unstable. Your muscles press against it, and that causes the bone to deteriorate - IT IS NOT THE MATERIAL ITSELF.

Imagine you had silicone implants and never ever move your face again; well, those silicon implants will not cause any issues at all. Unless, of course, your body develops a reaction to them.

 

[FreakkForLife]

Almost anything can be achieved when you cut and "glue" bone back together.

Of course, you can get Ramus vertical lengthening, but when you follow a specific technique, other bone movements come into play.

When you cut and extend one way, other parts of your bones need to adjust too! Your doctor needs to find the best compromise.

If you do not want to use implants at all, your doctor needs to find the least invasive solution for your specific case.

Assuming that ONLY your ramus needs vertical lengthening, heck, your doctor could cut your Ramus in two sections and position it in a way that makes sense for you.

Imagine a chin osteotomy for your Ramus.!

No. PEEK, (UHMWPE) or even Silicon do not cause the issues you are concerned about. Instead, it is the movement and friction (force).

Silicon is malleable and unstable. Your muscles press against it, and that causes the bone to deteriorate - IT IS NOT THE MATERIAL ITSELF.

Imagine you had silicone implants and never ever move your face again; well, those silicon implants will not cause any issues at all. Unless, of course, your body develops a reaction to them.

Another informative post from mr.Jade,thank u very much bro!

U are a lifefuel for all ramuscels,even those who will read your old posts in the future

 

[FreakkForLife]

Almost anything can be achieved when you cut and "glue" bone back together.

Of course, you can get Ramus vertical lengthening, but when you follow a specific technique, other bone movements come into play.

When you cut and extend one way, other parts of your bones need to adjust too! Your doctor needs to find the best compromise.

If you do not want to use implants at all, your doctor needs to find the least invasive solution for your specific case.

Assuming that ONLY your ramus needs vertical lengthening, heck, your doctor could cut your Ramus in two sections and position it in a way that makes sense for you.

Imagine a chin osteotomy for your Ramus.!

No. PEEK, (UHMWPE) or even Silicon do not cause the issues you are concerned about. Instead, it is the movement and friction (force).

Silicon is malleable and unstable. Your muscles press against it, and that causes the bone to deteriorate - IT IS NOT THE MATERIAL ITSELF.

Imagine you had silicone implants and never ever move your face again; well, those silicon implants will not cause any issues at all. Unless, of course, your body develops a reaction to them.

Btw,could increasing the ramus length thorough side wing cause change in occlusion plane?

 

[Jade]

Btw,could increasing the ramus length thorough side wing cause change in occlusion plane?

Of course.

That is why I suggested that your doctor makes two or so cuts so that it doesn't change the occlusion plane. You would be re-structuring the ramus part only, and the rest is intact. (The back of your jaw only)

Can you influence the occlusion plane and have mechanical issues as you open and close your mouth?
Maybe. But that is a question for your surgeon. I do not think so because the cuts and bone repositioning would act as extra pieces such as jaw angle implants.

The problem is getting the exact look you expect to have because you have a rather short ramus, and likely, your jawline looks as if it starts right under your ears towards your chin.

So, getting an aesthetically pleasing result from cutting and repositioning bones is challenging.

Is it possible to get a nice 120 to 135-degree angle or something? Sure, but I do not know how much your doctor can manipulate your bones and how many cuts and connections he must make for that.

What if you don't like the result?

 

[FreakkForLife]

problem is getting the exact look you expect to have because you have a rather short ramus, and likely, your jawline looks as if it starts right under your ears towards your chin.

I don't have a too short ramus, I would say its similar to Hernan drago 's ramus in length,it's just my ramus is short for my long skull