jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: Serra on June 18, 2015, 05:20:50 PM
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Would you say it lengthen's a person's face?
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absolutely. but in a good way.
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Ya this is legit a CCW Rotation. Where did you get this from?
The after is waaaaaaaaaay better
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Ya this is legit a CCW Rotation. Where did you get this from?
The after is waaaaaaaaaay better
http://www.oralmaxsurgery.theclinics.com/cms/attachment/2021519088/2041454482/gr3_lrg.jpg
Yeah. I just wonder how much of an effect it has when then you do that mandibular movement without the maxilla being touched, which is what I had along with a genio.
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It shortens the face because the mandibular angle decreases. Typically in cases like these a sliding genioplasty is needed too, to bring the chin forward and up a bit to be normal but sometimes small enough of a discrepancy it's not worth the extra morbidity. My plan is almost identical except my starting airway is 3x larger and I don't need the 3mm impaction. The latter property reduces my mandibular movement by 8-10mm, pretty crazy. Going to need a graft for a large movement like this. I wonder what the surgeon will do about that piece sticking out, shave it down I guess? The good news is that the lip thins with the advancement so that 7mm movement "should" have a net effect of only 3-4mm and the ANS is typically shaved to reduce tipping the nose however flaring of the nostrials is inevitable.
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regarding this diagram, isnt that kind of bsso risky? Is that an IVRO (i think thats what its called)?
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It shortens the face because the mandibular angle decreases. Typically in cases like these a sliding genioplasty is needed too, to bring the chin forward and up a bit to be normal but sometimes small enough of a discrepancy it's not worth the extra morbidity. My plan is almost identical except my starting airway is 3x larger and I don't need the 3mm impaction. The latter property reduces my mandibular movement by 8-10mm, pretty crazy. Going to need a graft for a large movement like this. I wonder what the surgeon will do about that piece sticking out, shave it down I guess? The good news is that the lip thins with the advancement so that 7mm movement "should" have a net effect of only 3-4mm and the ANS is typically shaved to reduce tipping the nose however flaring of the nostrials is inevitable.
Why does the lip thin? Why is this advantageous?
This is so confusing. Getting different answers again, just like with surgeons, if it decreases or increases the length.
Maybe the answer is both.
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regarding this diagram, isnt that kind of bsso risky? Is that an IVRO (i think thats what its called)?
I had a rotational lower jaw movement like that but it wasn't an IVRO.