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General Category => Functional Surgery Questions => Topic started by: Lefortitude on September 21, 2020, 07:02:59 AM

Title: Alfaro claims to be modify mandible width via osteotomy
Post by: Lefortitude on September 21, 2020, 07:02:59 AM
In his post on IG

https://www.instagram.com/p/CFQEA8elVIn/?igshid=19k3itqqvoprv

He shows a case where the mandibular arch was narrowed via osteotomy and stabilized with bone grafting. Im not sure if the same can be done for widening the mandible, but i have seen some papers on it in the past.  Interesting case nonetheless
Title: Re: Alfaro claims to be modify mandible width via osteotomy
Post by: Sergio-OMS on September 21, 2020, 09:52:48 AM
Narrowing is easier than widening. But widening a bit isn’t impossible
Title: Re: Alfaro claims to be modify mandible width via osteotomy
Post by: kavan on September 21, 2020, 03:58:51 PM
In his post on IG

https://www.instagram.com/p/CFQEA8elVIn/?igshid=19k3itqqvoprv

He shows a case where the mandibular arch was narrowed via osteotomy and stabilized with bone grafting. Im not sure if the same can be done for widening the mandible, but i have seen some papers on it in the past.  Interesting case nonetheless

Thing is that photo kind of looks like he made a cut to separate and widen, put a graft in there and bolted down to keep things in place. Seems to me that narrowing would involve removing a section and pushing the sides in to close, in which case you would see the bone sections contacting each other as opposed to being separated by a graft. So, I'm STUMPED on this one as to why the photo depicts narrowing and not widening.