By Harvey M. Rosen M.D., D.M.D (auth.)
Harvey M. Rosen, M.D., D.M.D., broadens the classy ambitions of maxillofacial surgey during this new, entire quantity on orthognathic surgical correction. within the paintings, Dr. Rosen, who has "changed the way in which such a lot surgeons paintings at the jaw and chin," (James Ferraro, President of the Maxillofacial Society), bargains his personal own options of jaw surgical procedure. as a result introduction of the biotechnical advances that have stabilized skeletal displacement, Dr. Rosen is ready to emphasize the aesthetics of soppy facial tissue corrections by means of redefining the ambitions of aesthetic surgery.
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Extra info for Aesthetic Perspectives in Jaw Surgery
In addition, the excessive facial convexity and posterior divergence remain (Fig. 5-3). In such patients, advancement genioplasty will provide only minimal improvement. In those Class II patents associated with abnormalities of lower face height, orthodontic correction becomes more tenuous because there is little control over height of the lower face. With increased lower face height primarily due to vertical maxillary excess, there are many morphologic factors that become indications for jaw surgery.
This anteriorly divergent profile falls outside the range of normalcy, but the profile is still remarkably attractive. Why is this? Excessive degrees of anterior facial divergence can be not only acceptable but beautiful provided that the anterior divergence is accompanied by the following morphologic features: 1. There must be an overall convex profile in the midsagittal plane from glabella to subnasale to pogonion. 2. There must be a convex soft tissue relationship in the parasagittal plane from the infraorbital region to the paranasal region to the parasymphyseal region.
Le aesthetic outcome may vary tremendously from unacceptable to acceptable to outstanding depending on which jaw or jaws are moved and to what extent they are moved. It is for this reason that treatment planning efforts must focus on the aesthetic outcome. Accordingly and pragmatically, orthognathic surgery is best considered aesthetic surgery. Statements in this chapter regarding predictability and skeletal stability must also be put in perspective. Prior to the advent of rigid fixation, skeletal instability primarily related to movement at the osteotomy site and/or reseating of the condyle following condylar displacement.
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