Another Ceph Analysis request

[slysurfz]

Please provide your opinion

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[stupidjaws]

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

[slysurfz]

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.

[kjohnt]

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.

[CCW]

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.