Vertical ramus elongation and mandibular advancement

[Elias]

Vertical ramus elongation and mandibular advancement by endobuccal approach: Presentation of a new osteotomy technique

Several surgical procedures have been proposed for the treatment of hyperdivergent dentoskeletal deformities. We propose a new osteotomy technique all…

www.sciencedirect.com

A new osteotomy to vertically increase ramus length.

This technique differs from the conventional sagittal split osteotomy in 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.

Fig.1. Osteotomy drawing line.

Fig.2. Visualization of the osteotomy line in a three-dimensional reconstruction of postoperative CBCT, front view (left), right profile (middle) and rear view (right).

Fig.4. Case 1. Treatment outcomes at 6 months postoperatively. Frontal and profile photographs, profile X-ray and orthopantomogram in preoperative time (top) and at 6 month (bottom).

Fig.5. Case 2. Treatment outcomes at 1 year postoperatively. Frontal and profile photographs, profileX-ray and orthopantomogram in preoperative time (top) and at 1 year (bottom).

Fig. 6. Case 3. Treatment outcomes at 2 years postoperatively. Frontal and profile photographs, profileX-ray and orthopantomogram in preoperative time (top) and at 2 years (bottom).

Lifefuel for @PubertyMaxxer @reptiles

 

[Deleted member 3962]

made for deformed people

 

[Elias]

made for deformed people

Case 2 or 3 isnt deformed
Theyre almost the same as @reptiles and @PubertyMaxxer

 

[Deleted member 3962]

Case 2 or 3 isnt deformed
Theyre almost the same as @reptiles and @PubertyMaxxer

iirc both of them arent nearly as downwards grown as these examples

 

[PubertyMaxxer]

iirc both of them arent nearly as downwards grown as these examples

Bro can you measure my Gonial Angle?

 

[Swolepenisman]

View attachment 364772

Bro can you measure my Gonial Angle?

looks pretty good ramus just needs to be longer @Mathafack ?

 

[randomvanish]

are these gaps gonna heal and filled ?

 

[Deleted member 3702]

looks pretty good ramus just needs to be longer @Mathafack ?

Idk but it’s the last of his problems

 

[SubhumanCurrycel]

View attachment 364772

Bro can you measure my Gonial Angle?

Gonial angle looks fine dude just need a chin shield or something to add to ramus length

 

[PubertyMaxxer]

Gonial angle looks fine dude just need a chin shield or something to add to ramus length

Only jaw angle implants can do that

Chin shield doesnt touch ramus

 

[BonesAndHarmony]

Holy fuck, BSSO, Lefort 1, MSDO, chin wing and now even ramus lenghtening, lifefuel that there are so many ways of fixing recession

 

[SubhumanCurrycel]

Only jaw angle implants can do that

Chin shield doesnt touch ramus

Right I’m low IQ tbh
How much do you weight bro and how tall are you?
If you’re over 5’11 gymceling will boost ur sex appeal quite a lot

 

[PubertyMaxxer]

Right I’m low IQ tbh
How much do you weight bro and how tall are you?
If you’re over 5’11 gymceling will boost ur sex appeal quite a lot

Also elongating my ramus would lower my Gonial Angle, isn't that bad

 

[SubhumanCurrycel]

Also elongating my ramus would lower my Gonial Angle, isn't that bad

Not necessarily just makes it look wider.

 

[PubertyMaxxer]

Not necessarily just makes it look wider.

Do you mean from the front view?

 

[SubhumanCurrycel]

Do you mean from the front view?

Yea.
Your lower third length is good bro.
What about a chin wing?

 

[PubertyMaxxer]

Yea.

Thete are also implants for vertical ramus Lenght like the one on the left

 

[SubhumanCurrycel]

View attachment 364909

Thete are also implants for vertical ramus Lenght like the one on the left

Are you thinking of genio then?
Sounds kinda risky if so because your facial thirds seem to harmonize pretty well.

 

[SayNoToRotting]

Deformed cases.

For the average person (us) chewing and growth stimulants will do the trick just fine.

Imagine wasting tens of thousands of dollars on enhancing a bone that grows its entire life on its own.

 

[Deleted member 5081]

does anybody know some ramus elongation surgery that wont end with your jaw snapped in half after being hit while boxing?

 

[PubertyMaxxer]

Are you thinking of genio then?
Sounds kinda risky if so because your facial thirds seem to harmonize pretty well.

Wtf? A jaw implant doesnt change facial thirds?!

Yes genio is 100%

Are you thinking of genio then?
Sounds kinda risky if so because your facial thirds seem to harmonize pretty well.

Show your before afters then or gtfo

 

[Deleted member 3962]

View attachment 364772

Bro can you measure my Gonial Angle?

looks fine

 

[PubertyMaxxer]

looks fine

So 120°?

 

[Deleted member 3962]

does anybody know some ramus elongation surgery that wont end with your jaw snapped in half after being hit while boxing?

Go drill two pieces of iron together with titanium screws and try to punch it in half.

 

[SubhumanCurrycel]

Wtf? A jaw implant doesnt change facial thirds?!

Yes genio is 100%

Show your before afters then or gtfo

No I was saying if you get genio to vertically lengthen your ramus it probably won't match your other 2/3 facial thirds.

 

[Deleted member 5081]

Go drill two pieces of iron together with titanium screws and try to punch it in half.

isn't the bone cut in two pieces for elongation and then linked together with pieces of iron?

 

[PubertyMaxxer]

No I was saying if you get genio to vertically lengthen your ramus it probably won't match your other 2/3 facial thirds.

But a genio cant even Lenghten the ramus!

 

[SubhumanCurrycel]

But a genio cant even Lenghten the ramus!

I'm fucking retarded don't worry about it
I seem to have misunderstood people told me to get genio to increase ramus height on this forum im not even sure anymore.

 

[Deleted member 3962]

isn't the bone cut in two pieces for elongation and then linked together with pieces of iron?

titanium not iron

arguably bone fixed with titanium screws is stronger than normal bone. can you shatter someones ramus with a punch? doubt it.

I'm fucking retarded don't worry about it
I seem to have misunderstood people told me to get genio to increase ramus height on this forum im not even sure anymore.

chin wing

 

[PubertyMaxxer]

I'm fucking retarded

Yes

 

[SubhumanCurrycel]

Yes

Thanks bhai.

 

[Elias]

Bump

 

[Short Ugly and Brown]

Case 2 or 3 isnt deformed
Theyre almost the same as @reptiles and @PubertyMaxxer

can this guy get it?

 

[Xander578]

Go drill two pieces of iron together with titanium screws and try to punch it in half.

It's not like the bone regenerates in area bro! just lol

 

[reptiles]

View attachment 366154can this guy get it?

wHY YOU BULLY PEOPLE BRO

Vertical ramus elongation and mandibular advancement by endobuccal approach: Presentation of a new osteotomy technique

Several surgical procedures have been proposed for the treatment of hyperdivergent dentoskeletal deformities. We propose a new osteotomy technique all…

www.sciencedirect.com

A new osteotomy to vertically increase ramus length.






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Lifefuel for @PubertyMaxxer @reptiles

Giga tera ultra life fuel bruv