I did read this description.
"When paranasal deficiencies are not accompanied by occlusal alterations, mobilization of the maxilla via Le Fort I osteotomy may not be justified."
To me, the first part sounded like this is something that can be performed when the occlusion should not be altered, which I asked if I understood correctly.
The other part sounded like the procedure can mimic the effects of a le fort 1 osteotomy and be a less invasive alternative. Else I don't understand why one would bring up that this can be done when le fort 1 is not justified. Hence my question, what kind of movements that can come out of a le fort osteotomy that seems to be somewhat like what this procedure can do. The only thing I could think of was straight advancement.
What I don't understand when addressing the things you don't understand is the 'neuro-linquistic connections' you make with things where you tend to get confused a lot. What I do understand is what is meant when a doctor conveys information about what he's doing. But the best I can do here is describe how I understand what he's conveying. One more try:
He's saying that this is NOT a Lefort 1 and only advancement of the paranasal area.
He's saying he can ISOLATE one part of an area (paranasal) that gets advanced in a Lefort 1
He's saying that one does NOT have to get a Lefort 1 to get that isolated area advanced
he's saying this procedure will work for people who have a recessed paranasal area who don't need the whole Lefort 1 area advanced out.
He's saying isolated paranasal deficiencies in the absence of any occlusion problems or in the absence of any need to advance the WHOLE Lefort 1 area are NOT (may not be) a justification to move the WHOLE Lefort 1 area and because that is so, he has a surgery JUST FOR THAT.
He's saying it's an alternative to a Lefort 1 for people who DON'T NEED the whole L1 but only need the paranasal area advanced out; people who have paranasal deficiencies that are NOT co-existing with occlusal problems.
ETA: It doesn't move the teeth as would the L1.