Chinwing or sliding genio

[berback]

I heard some chinwing or sliding genio patients complain about impaired lower lip mobility after chinwing or sliding genio. Does anyone have this and did it resolve

[Lefortitude]

Its likely from stretching or impingement of the mandibular nerve.  Sometimes its permanent.  Nerves regenerate VERY slow. 

[Lazlo]

That may explain it, thanks. That it can be permanent sounds not good though. I wish more patients that had chinwing would chime in about this. But then again: we don't have too many patients here that actually got the chinwing, just one patient that is thrilled after repeated chinwings and recommends it to basically everyone, and others that had the procedure and are less thrilled and hardly appear to post afterwards anymore.

i just had genio and have permanent impairment.

[Lefortitude]

i just had genio and have permanent impairment.

Are you sure its from the genio and not from the BSSO? IIRC the way you described it seemed like it would have been a product of the actual bone split, which takes place in a rather uncontrolled manner (if you watch some videos of bssos being performed, youll see what im talking about.)

Genio alone has a SUPER low risk of injury to the mandibular nerve, like basically unheardof, unless the surgeon was rather careless.  Rather, if you believe your nerve injury was genio, it would be damage to the mental nerve formen, which provides some sensation to the lower lip (but not motor function). 

I really do wish chin wing was a more common procedure. If we could see all the european surgeons on a board like RATEMDs with hundreds of peoples experience and ratings, it would be much easier to make an informed decision and the surgeons practices would likely benifit.  Word of mouth is only so reliable...