Mandibular micrognathia and vertical maxillary excess correction with combination LeFort I and inverted L osteotomies

Am J Orthod Dentofacial Orthop. 2020 May;157(5):704-718. doi: 10.1016/j.ajodo.2019.02.021.

Abstract

A 34-year-old woman with mandibular micrognathia, vertical maxillary excess, and an open bite characterized by a "bird-face" deformity was treated with orthodontics combined with LeFort I and bilateral inverted L osteotomies. The total treatment time was 16 months. Her occlusion and facial appearance were significantly improved by a surgical-orthodontic plan. This case report presents the discussion of a unique and complex orthognathic surgical case and the myriad of orthodontic and surgical considerations that it involved.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cephalometry
  • Female
  • Humans
  • Malocclusion*
  • Maxilla
  • Micrognathism*
  • Open Bite*
  • Orthodontics, Corrective