Please give advice fme + djs

[bonesymmetry]

I’m currently recovering from a right TMJ arthroscopy as I write this. I had the procedure because I’ve had a locked jaw from disc displacement without reduction, and could only open about 5 mm.

I also have about 0.2 mm of condylar resorption, an intermolar width of only 27 mm, a high, narrow palate, chronic inability to breathe through my nose, and a deviated septum.

I was actually supposed to get FME back in December, but because my jaw was locked I couldn’t open wide enough to have the appliance placed. That’s why my surgeon recommended doing the arthroscopy first.

According to my surgeon, my very steep mandibular plane combined with my narrow upper jaw are major contributors to my TMJ problems. His recommended treatment plan is:
- FME (expand the upper jaw)
- Double jaw surgery with cw rotation
- Septorhinoplasty
- Genioplasty

I’m scared that after all of these procedures I could end up looking worse instead of better. I’ve attached photos because I’d really appreciate honest opinions from people who have been through jaw surgery or are knowledgeable about it.

 

[Shirobon]

I’m currently recovering from a right TMJ arthroscopy as I write this. I had the procedure because I’ve had a locked jaw from disc displacement without reduction, and could only open about 5 mm.

I also have about 0.2 mm of condylar resorption, an intermolar width of only 27 mm, a high, narrow palate, chronic inability to breathe through my nose, and a deviated septum.

I was actually supposed to get FME back in December, but because my jaw was locked I couldn’t open wide enough to have the appliance placed. That’s why my surgeon recommended doing the arthroscopy first.

According to my surgeon, my very steep mandibular plane combined with my narrow upper jaw are major contributors to my TMJ problems. His recommended treatment plan is:
- FME (expand the upper jaw)
- Double jaw surgery with cw rotation
- Septorhinoplasty
- Genioplasty

I’m scared that after all of these procedures I could end up looking worse instead of better. I’ve attached photos because I’d really appreciate honest opinions from people who have been through jaw surgery or are knowledgeable about it.

getting fme would be pointless if ur getting djs

 

[bonesymmetry]

getting fme would be pointless if ur getting djs

i need expansion for my breathing + my intermolar width is only 27mm.

i know i could do a segmental le fort for the expansion, but when you need that much expansion, a segemental cut has a higher chance at relapsing.

 

[Shirobon]

i need expansion for my breathing + my intermolar width is only 27mm.

i know i could do a segmental le fort for the expansion, but when you need that much expansion, a segemental cut has a higher chance at relapsing.

27 pretty narrow yea

 

[bonesymmetry]

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[bonesymmetry]

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