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Performed by Fanny Grimaud and Jean Philippe Perrin in Department of stomatology and maxillofacial surgery, university hospital center of Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France.
So really close to me thank God
Abstract
Introduction
Several surgical procedures have been proposed for the treatment of hyperdivergent dentoskeletal deformities. We propose a new osteotomy technique allowing for lengthening and advancement of the mandibular ramus by intra-oral approach.
Surgical procedure
This technique differs from the conventional sagittal split osteotomyin that which the anterior osteotomy line is not continued until the basilar edge but stopped 5–6 mm above it. Cutting of the pterygomasseteric sling is systematically done allowing for the lowering of the mandibular angle. Osteosynthesis is performed by transjugal and intra-oral approaches, using two adjustable miniplates. Our supra-angular technique allows for both elongation of the ramus and advancement of the mandible. Unlike the vertical ramus osteotomy proposed by Caldwell-Letterman, external incision and intraoperative cervical hyperextension are not required
This with posterior downgraft and anterior shortening of maxilla will ascend me so hard and my mandible will no longer be a problem.
Still wouldn't do what is on my avi unfortunately but there is nothing wrong . Wide PFL and IPD save me.
Before you say muh you will never get this , jfl we will see
So really close to me thank God
Abstract
Introduction
Several surgical procedures have been proposed for the treatment of hyperdivergent dentoskeletal deformities. We propose a new osteotomy technique allowing for lengthening and advancement of the mandibular ramus by intra-oral approach.
Surgical procedure
This technique differs from the conventional sagittal split osteotomyin that which the anterior osteotomy line is not continued until the basilar edge but stopped 5–6 mm above it. Cutting of the pterygomasseteric sling is systematically done allowing for the lowering of the mandibular angle. Osteosynthesis is performed by transjugal and intra-oral approaches, using two adjustable miniplates. Our supra-angular technique allows for both elongation of the ramus and advancement of the mandible. Unlike the vertical ramus osteotomy proposed by Caldwell-Letterman, external incision and intraoperative cervical hyperextension are not required
This with posterior downgraft and anterior shortening of maxilla will ascend me so hard and my mandible will no longer be a problem.
Still wouldn't do what is on my avi unfortunately but there is nothing wrong . Wide PFL and IPD save me.
Before you say muh you will never get this , jfl we will see
