Author Topic: Rec OMS doing agressive CCW + Inverted L-Osteo ?  (Read 427 times)

XXRyanXXL

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Rec OMS doing agressive CCW + Inverted L-Osteo ?
« on: May 26, 2025, 09:11:28 AM »
Looking for a list of recommendations for U.S. surgeons who are currently doing CCW rotation and Inverted L-Osteo?
I only have on my list Wolford and Alfini in Texas. Any others?
Went and saw A&G and they told me I need CCW but they won't do it (and said Inverted L would benefit but doesnt do it nor ever did). He just wanted bill me $85k for a revision genio which does nothing for my dental-facial deformity and underlining health issues.
Honestly been calling offices all over U.S. and the OMS is either out of business or I get the runaround, like "I believe my collegeue can help you" which turns out they been out of business for 30+ years.
I actually have cash to afford the procedure, so I don't have to worry about the "in network" or "out of network" BS runaround that always declines you anyways even if its medically necessary (which I have in hand like the sleep study, CPAP patient, and Recs from sleep study and barium swallow tests I failed in spectacular fashion). 
Please any recs?

kavan

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Re: Rec OMS doing agressive CCW + Inverted L-Osteo ?
« Reply #1 on: May 26, 2025, 12:03:33 PM »
One way to find leads to doctors who do inverted L osteo is to Google for images of it which will resolve to authors of papers about the procedure.

The upper diagrams I found show cuts with no rotation to the mandible which looks like they can lop off excess length to the ramus of the mandible which they also can do with inverted L cut.


The lower diagram is a very straight forward geometrical observation I've done (via colored lines) on a diagram I found by 2 authors who perform the procedure. The diagram shows an added CCW-r can be done separately to the mandible in addition to what ever CCW-r they do to the maxilla via the inverted L cut. So, it would be the additional CCW-r to the mandible that would account for the technique providing more CCW-r than CCW-r isolated to the maxilla could provide. The relationship to the additional CCW-r to the mandible also provides a longer lower facial third . It t doesn't shorten a long lower third. It lengthens short lower third).



« Last Edit: May 26, 2025, 05:47:54 PM by kavan »
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