See this video at the timestamp:
https://youtu.be/zTTgRJEWb7k?t=428I have a situation similar to this man. Short face requiring CW rotation and anterior downgrafting. My case however does not require such a huge downgraft (but still substantial, maybe 5mm) or as much rotation (less than 5 degrees whilst i think his is 10+ degrees).
In the section I have highlighted the Dr said that he did not use bonegrafts and just used the titanium plates from a traditional le fort 1 osteotomy...This to me seems quite crazy because I thought even if only 2-3mm of a gap is created from rotation, bonegrafts are used posteriorly and anteriorly. And even with bonegrafts this kind of vertical lengthening is known to have stability issues. Wouldn't this man have a dramatically heightened chance of relapse...
Does anyone have some insight to share about this, big vertical movement of the maxilla without downgrafts being used and its stability. I am going to a consult with a surgeon soon and want to comment about this. In time I might end up going for a video consult with dr antipov as well to clarify this..
Ty