jawsurgeryforums.com

General Category => Functional Surgery Questions => Topic started by: slysurfz on March 01, 2017, 12:38:47 PM

Title: Another Ceph Analysis request
Post by: slysurfz on March 01, 2017, 12:38:47 PM

Please provide your opinion

[attachment deleted by admin]

Title: Re: Another Ceph Analysis request
Post by: stupidjaws on March 01, 2017, 05:45:38 PM

short face class II any max fac can treat this: linear advancement is required.

Title: Re: Another Ceph Analysis request
Post by: slysurfz on March 02, 2017, 12:33:08 PM

Thank you. I figure the same but will vertical and horizontal lengthening be required? How is that analyzed?
I have seen a couple cases where 3 piece lefort was done for horizontal and vertical lengthening.

Title: Re: Another Ceph Analysis request
Post by: kjohnt on March 02, 2017, 01:53:22 PM

Sectional lefort is done for transverse discrepancies, not horizontal or vertical.  Edit: perhaps used to flatten maxillary occlusal plane in some open bite cases?  Not sure.

For aesthetic improvement, you will need genioplasty to reduce chin projection and/or CW rotation as part of whatever else is done, likely bimax advancement.

Title: Re: Another Ceph Analysis request
Post by: CCW on March 02, 2017, 02:34:35 PM

I would say you need some CW rotation because your OP is so flat, which will probably be enough to cancel out the need for a reduction genio. Bimax advancement since you have sleep apnea. Your case shouldn't be too hard.