Is there really no one locally who can perform the decompression surgery? Is it not a standard type of procedure?
Seems to me that you need to get that addressed first, then you can concentrate on augmentation.
Decompression is not a big problem. Locally i found one surgeon who can did that, also Dr Z is able to...... Problem is to move the whole bone to restore cheek prominence.
I can go with decompression only. but I will feel good when I find full solution
at the same time Doctors advice to do it all at once.
Probably If I dont find full solution till end of the year I will make only decompression.
But still I will be a little not like me
However decompression procedure looke like this:
Incision through the mouth and foramen osteotomy - the most simple thing
but there is also possibility (not big in my case) that the compression is deeper in the canal. CT doesnt show that exactly.
So If after the first stage of decompression nothing will change after for example half a year , then surgeon has to perfom second surgery and remove orbital floor which after fracture cover the nerve. That surgical approach requires accessing to orbital which is more risky...so
So when you do full osteotomy in my case you also do full decompression which give you a certainty that there is no compression for sure and if that wont help then irreversible nerve damage occured and nothing can be done more
at the same time if you do it all at once can be a little more risky.
very difficult
You know what I think. Kinda funny is that, some not well known surgeon without any opinions [good or bad] can do that better than the most famous one. ITs just a gamble
There is too few opinions. In Poland I found one surgeon who can perfoem decompression only, and 2 who can perfom full osteotomy, but one of them is Monster like MM
the second has got good opinions generally but cant find anything about opinions in such cases