What are the maximum advancements for lefort 1 osteotemy and bsso?

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Reactions: Donald
depends on ur overjet usually but the actual max is usually 10mm for lefort 1 and bsso is more flexible
 
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Bsso max depends on your condyles and leforte 1 depends on your philitrum. The max bsso is prob 25 mm and leforte for class 3 10 mm
 
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Depends on your bite. Don't want to go over 8mm or so for Lefort 1 advancement. BSSO usually maxes out at around 14mm or so. Depends if you are using custom plates and for larger movements grafting may be needed
 
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Reactions: Looksmarxer67
Depends on overall anatomy and initial craniofacial measurements but as far as aesthetics go the Glabella Vertical Line is a good guideline commonly used by surgeons as it limits how much lefort 1 advancement is possible without ending up dogmaxxed (bimaxillary protrusion). Even if more advancement is possible on paper it will usually not look aesthetic if this measurement isn’t within the ideal.

IMG 1465
 
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