Two-stage orthognathic treatment of severe class III malocclusion: report of a case

Autor: Toshikatsu Horiuchi, Nobuo Ohtani, Yoshiki Nakamura, Mitsuyoshi Iino, Masayuki Fukuda, Kouta Niitsu
Rok vydání: 2004
Předmět:
Zdroj: British Journal of Oral and Maxillofacial Surgery. 42:170-172
ISSN: 0266-4356
DOI: 10.1016/s0266-4356(03)00255-9
Popis: We report a two-stage orthognathic operation for a 16-year-old boy with a repaired isolated cleft palate. He had a severe class III malocclusion with an overjet of 20.4 mm. In the first stage, we did an anterior subapical segmental osteotomy with symphyseal ostectomy to reposition the mandibular anterior segment posteriorly and to reduce the transverse width of the mandible. During the second stage, we did a maxillary advancement by Le Fort I osteotomy, mandibular set-back by sagittal split osteotomy, reduction genioplasty, and shortening of the tongue. This unique two-stage surgical and orthodontic treatment considerably improved his overall facial aesthetics and occlusion.
Databáze: OpenAIRE