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Kraken
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Individuals With a Long Face Growth Pattern and Excess Inferior Scleral Exposure: Is There Improvement After Maxillary (Le Fort I) Advancement and Vertical Shortening? - PubMed
For the individual with a long face jaw growth pattern and pre-existing excessive lower eyelid sclera show, surgical correction through maxillary advancement and vertical shortening will create a more favorable relation among the orbits, ocular globes, and lower eyelids.
pubmed.ncbi.nlm.nih.gov
The study group of 10 patients (7 female and 3 male) with excess scleral show was derived from a larger group of 46 patients with long face. Their ages ranged from 15 to 35 years at operation (mean, 23 yr). Maxillary surgical change averaged 6-mm advancement at the incisors (range, 4 to 10 mm), 3-mm vertical shortening at the incisors (range, 1 to 6 mm), and 3-mm vertical shortening at the molars (range, 1 to 6 mm). Average decreases in scleral show of 8 and 6% compared with total eye height were noted in the right and left eyes, respectively. These results were statistically significant (P < .05). Four of the 10 patients achieved complete correction of inferior sclera exposure. All 10 achieved a decrease of their total eye height. None of the patients required or requested further cosmetic improvement in the zygomatico-orbital skeletal or adnexal soft tissue region.