I'm not sure how to upload the actual ceph - it's an i-CAT vision disk. Is there a guide/sticky thread posted anywhere on the forum for how to structure these posts?
Yes, I'm not interested in extraction orthodontics at all. Unfortunately I live in a small city and it's relatively limited as far as how developed the field is here. The head of the oral surgery department at the local university only recently did his first couple MARPE cases after I spent months hounding him about it because I refuse to do a SARPE.
As far as MARPE, I have seen people talk about using cortical puncturing to ensure a split of the suture - I did watch a presentation on its use in nasal obstruction in OSA and it seemed promising but I'm now watching a video from the forum about its limitations. I'm just not really sure how to proceed - I would like to just find a very esteemed jaw surgeon in the field and let them tell me how to proceed. I just want to be able to breathe better and any aesthetic improvements are icing on the cake.
No, there's no sticky as to how to reformat a ceph from a medical document into a jpg or jpeg image. I'm not sure how others manage to do it or if they get the surgeons to send the files so they can be used without having to take photos of them. Just saying, photos of cephs will have distortions and I personally decline giving advice when that is so. Also, I don't keep X different tabs open, each with a different photo/file when all could be put on the same IMGUR link.
If you are looking for highly esteemed doctors, well, they have their names tossed around on this board a lot. But as a mod here, I don't want to be the one to name them because I want to avoid appearing like I'm giving a personal recommendation or a promotion.
As to expansion of a narrow palate, there are TONS of different devices. I gave a link to those on the string where you probably found the video about limitations of one of the MSE devices. However, since you want to avoid SARPE which involves a bone born device (involving surgical installation) that doesn't tip the teeth and is KNOWN to expand the palate, you could be avoiding a solution. So, I'm hard pressed to help people who are avoiding a possible solution if one of the problems is narrow palate.
As to a 'plan', the way I look at it, a PLAN is something I can SEE like a document from the doctor with a displacement proposal on it (contour diagram of before overlayed with a contour diagram of the after) in addition to a read out of all the planned displacements. 'Have a Lefort or extractions' doesn't translate to me as a 'PLAN'.
