Author Topic: I had modified lefort iii  (Read 134122 times)

Rico

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Re: I had modified lefort iii
« Reply #180 on: May 30, 2015, 05:20:38 AM »
no problem. I read in english perfectly, only writing and speaking are little worse ;)
I never read all of his posts - too many. I just asked him about it and no answer...that's all.  Somewhere I read his post about eyes...and I answered myself for him :) it's not about my english. I would have problem with this also in my primary with one who never can answer on simply questions... :( OK so now I know, but...

I'M ASKING 2ND TIME. EARL: DID YOU TALK TO DR SINN ABOUT NAVIGATION SYSTEM DURING SURGERY ? HOW HE KNEW THE BONE IS SET PROPERLY IF YOU BECAME SWELLED SOON AFTER SURGERY STARTED

Please also answer to Optimistic's question (a few posts above). I'm curious about it too
« Last Edit: May 30, 2015, 05:45:16 AM by Rico :) »

Mark505

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Re: I had modified lefort iii
« Reply #181 on: May 30, 2015, 05:48:49 AM »
English is not Rico's first language.
neither is mine.

Quote
Earl's "eye problems" are aesthetic and were not caused by surgery.  While the surgery helped, he still thinks they are too prominent.

lol rico, what are you writing man. I thought he's describing post surgery problems like diplopia or other nerve-related issues.

...

I'M ASKING 2ND TIME. EARL: DID YOU TALK TO DR SINN ABOUT NAVIGATION SYSTEM DURING SURGERY ? HOW HE KNEW THE BONE IS SET PROPERLY IF YOU BECAME SWELLED SOON AFTER SURGERY STARTED
...

What has swelling to do with proper bone placement? Also good luck with Earl since it's greater chance that we'll see color images of loch ness monster, rather than seeing his stuff.

Rico

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Re: I had modified lefort iii
« Reply #182 on: May 30, 2015, 05:55:39 AM »
no dipliplia etc, I meant something minor.... sorry for making chaos ;) or perhaps he had temporarly.. dunno... had he ?

Quote
What has swelling to do with proper bone placement?

You can't see the result during surgery. It's not surgery on jaw or lefort 1
Midface is much more difficult to set. Less reference points.

This is why some surgeons perform CAS on midface. Very well known surgeons with good opinions in Germany or Switzerland (mostly in these countries) or perhaps the others can do it manually ??.... but I spoke to someone from Germany who had CAS after bad first treatment - malar repositions needed and he told me they corrected it perfectly by using this method. CAS is not superior method, but many surgeons claim it helps. This is why I'm asking Earl about this

2-3 surgeons told me, there is too little movement to perform CAS
on the oher side, others says it's too little movement to do it manually ;)

Well known rule in maxfac specialisation says, better to undercorrect then to overcorrect

heh


« Last Edit: May 30, 2015, 06:07:12 AM by Rico :) »

Optimistic

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Re: I had modified lefort iii
« Reply #183 on: May 30, 2015, 06:01:58 AM »
neither is mine.

lol rico, what are you writing man. I thought he's describing post surgery problems like diplopia or other nerve-related issues.

What has swelling to do with proper bone placement? Also good luck with Earl since it's greater chance that we'll see color images of loch ness monster, rather than seeing his stuff.


Because you it's like Rico says, you don't have a fest reference point. Less to work off. Once operation begins so does the swelling, meaning he can't tell how it's going to look without all the swelling. So he would presumably have to rely on exact movements planned out pre-op, and thus, Computer Assisted Surgery.

Earl did mention that Sinn made a practice operation on a cast of his skull before the real thing, so I'm guessing he did have exact movements in mind, and tested those out. Just how CAS might differ to what Sinn did I don't know. Perhaps this was CAS?
01/10/14 - Last night I spilt spaghetti sauce on my chin for the very first time in my life and cried.

Rico

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Re: I had modified lefort iii
« Reply #184 on: May 30, 2015, 06:05:14 AM »
Quote
Just how CAS might differ to what Sinn did I don't know. Perhaps this was CAS?

good question so we have to wait for Earl's answer.
I wrote PM asking him to look at this thread...I hope he is gonna answer

PloskoPlus

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Re: I had modified lefort iii
« Reply #185 on: May 30, 2015, 03:59:03 PM »

Because you it's like Rico says, you don't have a fest reference point. Less to work off. Once operation begins so does the swelling, meaning he can't tell how it's going to look without all the swelling. So he would presumably have to rely on exact movements planned out pre-op, and thus, Computer Assisted Surgery.

Earl did mention that Sinn made a practice operation on a cast of his skull before the real thing, so I'm guessing he did have exact movements in mind, and tested those out. Just how CAS might differ to what Sinn did I don't know. Perhaps this was CAS?
The swelling does not set in for a couple of hours. I guess with a coronal incision, there are more reference points as well.

earl25

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Re: I had modified lefort iii
« Reply #186 on: May 30, 2015, 06:50:17 PM »
dr. sinn didnt use CAS during thr surgery

Rico

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Re: I had modified lefort iii
« Reply #187 on: May 30, 2015, 08:11:56 PM »
dr. sinn didnt use CAS during thr surgery

any other things connected with planning / measurements ? how he was sure about postop effect ?

Optimistic's question: Hi Earl, how is your sensation post-op? Have you regained full sensation? Did Sinn mention this much to you?
« Last Edit: May 30, 2015, 08:28:59 PM by Rico :) »

PloskoPlus

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Re: I had modified lefort iii
« Reply #188 on: May 30, 2015, 08:13:55 PM »
any other things connectec with planning / measurments ? how he was sure about postop effect ?

A max-fac textbook I have says upper mid face advancement has MORE PREDICTABLE RESULTS than implants or alloplast onlay augmenation, but REQUIRES MORE PLANNING.

Rico

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Re: I had modified lefort iii
« Reply #189 on: May 30, 2015, 08:20:13 PM »
more predictible does not sounds like 100% or even 99%

upper midface ?

tell me the title of that book , please

earl25

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Re: I had modified lefort iii
« Reply #190 on: May 30, 2015, 08:21:27 PM »
any other things connectec with planning / measurments ? how he was sure about postop effect ?

Optimistic's question: Hi Earl, how is your sensation post-op? Have you regained full sensation? Did Sinn mention this much to you?

i have regained full sensation.only planning tools was a wax bite,teeth mold and skull model made

Rico

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Re: I had modified lefort iii
« Reply #191 on: May 30, 2015, 08:30:09 PM »
Thank you ,last questions from my side:

Quote
teeth mold and skull model made

Can you write something more how he did it ? what he used during surgery - what kind of measurements tools

How you assess (do you find) the effect ? ok, very good, perfect ?

Changing position of zygoma and maxilla / moving orbital rims have not given you enough for your eye issue - why ? it was not planned ?

Full feeling back - you mean 100% of feeling, not 99.9%...just how it was before surgery?  after surgery how much it was dimnished ?
« Last Edit: May 30, 2015, 08:39:22 PM by Rico :) »

meeshi

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Re: I had modified lefort iii
« Reply #192 on: June 05, 2015, 12:52:40 PM »
Hey Earl25,
First of all, thanks for sharing your story.  I've really enjoyed reading it and I can see that it has interested a lot of people.  My twin and I are in the same boat...perfect bite but flat upper face.  My twin sister has it worse than I do, actually.  She had teeth extracted when she was younger, maybe that's why.  It seems like you've done a lot of research on the subject; do I understand correctly that this modified type of surgery is really the only treatment for people who don't have malocclusion?  I've seen pics of people who got cheek implants and I don't think its a good look.
Meesh

Lazlo

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Re: I had modified lefort iii
« Reply #193 on: June 05, 2015, 05:38:27 PM »
Thank you ,last questions from my side:
 
Can you write something more how he did it ? what he used during surgery - what kind of measurements tools

How you assess (do you find) the effect ? ok, very good, perfect ?

Changing position of zygoma and maxilla / moving orbital rims have not given you enough for your eye issue - why ? it was not planned ?

Full feeling back - you mean 100% of feeling, not 99.9%...just how it was before surgery?  after surgery how much it was dimnished ?

What the f**k Rico, Earl isn't a f**king doctor. Go ask Sinn yourself.

Lazlo

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Re: I had modified lefort iii
« Reply #194 on: June 05, 2015, 05:39:54 PM »
Hey Earl25,
First of all, thanks for sharing your story.  I've really enjoyed reading it and I can see that it has interested a lot of people.  My twin and I are in the same boat...perfect bite but flat upper face.  My twin sister has it worse than I do, actually.  She had teeth extracted when she was younger, maybe that's why.  It seems like you've done a lot of research on the subject; do I understand correctly that this modified type of surgery is really the only treatment for people who don't have malocclusion?  I've seen pics of people who got cheek implants and I don't think its a good look.
Meesh


I've seen your pics Meeshi you definitely don't need this surgery so don't worry about it. You are a bit deficient in the maxillary area that covers a lefort 1 osteotomy (the maxilla under the nose).