LeFort 2 / 3 -> Malar osteotomy

[Rico]

I found interesting abstract. I will try to find full text

http://www.ncbi.nlm.nih.gov/pubmed/12016500

but it correlates with this what I know. it shows that every maxfac clinics have at least 2-3 cases a year like mine. 
I had consultation with Prof Iannetti, who is mentioned in the research.
What you think ?  I have to choose between some surgeons, but I found only that one of them who made research about delayed  or inadeuately treated fractures. Should I put this surgeon on first place ?  or it doesn't matter ?

[terry947]

Say if you were to get a lefort I, would it be possible to still get a lefort III in the future without recutting the lower jaw?

[PloskoPlus]

Say if you were to get a lefort I, would it be possible to still get a lefort III in the future without recutting the lower jaw?

Yes.

[Gregor Samsa]

Lazlo: I'm curious why you've ruled out Keller? He has a lot of experience and even offered you the type of surgery you're after.

[Lazlo]

Lazlo: I'm curious why you've ruled out Keller? He has a lot of experience and even offered you the type of surgery you're after.

it has to do with the mayo clinic and certain bureaucratic issues.

[Gregor Samsa]

it has to do with the mayo clinic and certain bureaucratic issues.

I read your post about them requiring 7000 USD up front for a consultation so I'm guessing bulls**t like that runs through their system? Would you mind sending me a PM if you don't want to post the details here? The Mayo hospital is known for being really good in general and I know that it has world leading surgeons in at least one other field. Considering how hard it is to find a competent surgeon that is willing to do the right procedure then I'm not sure we can afford to dismiss a surgeon for issues like this.

[Alue]

for more teeth show.

Is lowering the front of the maxilla commonly done in conjunction with CCW?  To achieve the rotation you either need to lower the posterior of the maxilla as you move forward, or in the case of gummy smile / long face syndrome, impact the anterior border of the maxilla as you rotate and move forward.  If you were to lower the front giving more teeth show and rotating counterclockwise you would need to lower the back of the maxilla even further.  I'm just wondering how much this would effect stability, especially with the masseter muscle pulling on it. 

[Balanced]

What you think about such INTERNATIONAL clinics ?

http://www.ukaachen.de/fileadmin/files/global/user_upload/MKG_Englisch_final.pdf

there works one of the main German maxfac surgeon.

Interesting article (download PDF link) : https://www.google.pl/url?sa=t&rct=j&q=&esrc=s&source=web&cd=8&cad=rja&uact=8&ved=0CFsQFjAH&url=http%3A%2F%2Frepub.eur.nl%2Fpub%2F21397%2F101119_Nout%2C%2520Erik.pdf&ei=gHezVLTwDNHaaq2XgcAI&usg=AFQjCNHixN1meUHiFIRlJ9uXuNBE9iRbMA&sig2=-tnVEemCH0IshYzErcWEbA&bvm=bv.83339334,d.d2s

This article is very interesting. Thank you Rico for posting it.

[Rico]

Balanced:  Have you ever heard about these surgeons from the article ?

[Balanced]

Nope, but i would not conclude anything from that. Im only learning here too.

In general i think surgeons seem to be better in their articles than in practice!

I am unable to give you any help with those scans, sorry.

[Rico]

Everyone who is looking for experienced surgeon in malar (zygomatic) osteotomies, should look at this.

http://rd.springer.com/article/10.1007/s00266-002-1484-1#page-1

Here you can see 2 pages in preview. If it does not appear, then click 'Look inside' under the title
it's interesting. Prof. Iannetti (Italy) and his team has performed malar osteotomies at least in many cases, so now even  more - I guess 150 at least... Probably, there are no photos but notes, if patients were satisfied or not

I'm thinking about buying this article, but do not know if it's gonna give me something more

I wonder if I should choose him automaticaly when he has malar osteotomies documented....... or perhaps that means nothing
Another surgeon also claims he performs that, but no data

Even many other researches connected with malar fracture etc.. are related to this Iannetti team research .. like this: http://www.curresweb.com/csi/2014/51-64.pdf

Every little advice is very important to me

[terry947]

I'd say for you to buy it, if this is the procedure that you want to receive then the information within the article could help you, maybe you'll learn something new.

[PloskoPlus]

Buy it, you're about to spend thousands anyway.

[Rico]

New techniques in midface osteotomy. I bought the article, but do not know If I can share


http://dx.doi.org/10.1016/j.jcms.2014.12.014
or
http://www.jcmfs.com/article/S1010-5182%2814%2900370-9/abstract
 
 
Professeur Patrick GOUDOT
Service de Stomatologie et Chirurgie maxillo-faciale

He is probably well known, but not mentioned on the forum before...

PS Here, more info about sandwich osteotomy: http://jawsurgeryforums.com/index.php/topic,3933.msg31978.html#new

[Lazlo]

rico, just share the before and after pics from the article, you can attach them.