Download e-book for kindle: Aesthetic Perspectives in Jaw Surgery by Harvey M. Rosen M.D., D.M.D (auth.)

By Harvey M. Rosen M.D., D.M.D (auth.)

ISBN-10: 1461221420

ISBN-13: 9781461221425

ISBN-10: 1461274303

ISBN-13: 9781461274308

Harvey M. Rosen, M.D., D.M.D., broadens the classy pursuits of maxillofacial surgey during this new, complete quantity on orthognathic surgical correction. within the paintings, Dr. Rosen, who has "changed the best way such a lot surgeons paintings at the jaw and chin," (James Ferraro, President of the Maxillofacial Society), bargains his personal own concepts of jaw surgical procedure. as a result creation of the biotechnical advances that have stabilized skeletal displacement, Dr. Rosen is ready to emphasize the aesthetics of sentimental facial tissue corrections through redefining the ambitions of aesthetic surgery.

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Additional info for Aesthetic Perspectives in Jaw Surgery

Example text

There is a severe lack of skeletal support and soft tissue excess secondary to a reduction in facial skeletal volume. C: The occlusal result. The patient in Fig. 1-9 was treated by myself. She was referred for surgical correction of a Class I, anterior open-bite deformity. The patient has a long lower face with a moderate degree of lip strain. The surgical correction involved posterior maxillary impaction, to allow the mandible to autorotate at the condyle to close the open bite, and vertical reduction genioplasty.

C: An osseous genioplasty to advance the chin 6 mm will be necessary to achieve an acceptable result. 36 PAR T 1 PRINCIPLES Occasionally, mandibular advancement surgery may be accompanied by counterclockwise rotation of the mandibular body to close an anterior open bite. In this instance, pogonion will advance a greater amount than anticipated but at the expense of reducing height of the lower facial third (Fig. 3-3). In such an instance, simultaneous osseous genioplasty to increase the vertical dimension of the chin may be indicated.

1-11 following a bidimensional expansion of the facial skeleton in the sagittal and vertical dimensions to correct a short face and small mandible. As one expands the facial skeleton, the facial mask is expanded, and any soft tissue excess is minimized or eliminated. As a result, it enhances overall facial angularity and highlighting. Accordingly, when presented with the aesthetic option to either expand or contract the facial skeleton, I now always choose to increase skeletal volume. This clear-cut choice is predicated on two very compelling reasons: (1) It can now be done with a reasonable degree of clinical predictability in terms of skeletal relapse, and (2) the soft tissue response to skeletal expansion is a predictable and favorable one.

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Aesthetic Perspectives in Jaw Surgery by Harvey M. Rosen M.D., D.M.D (auth.)


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