Surgical Management for Vertical Maxillary Excess

Hao Wu; Dongming He; Yong Wu; Lingyong Jiang; Xudong Wang

doi:10.1016/j.coms.2022.06.012

Surgical Management for Vertical Maxillary Excess

Oral Maxillofac Surg Clin North Am. 2023 Feb;35(1):37-48. doi: 10.1016/j.coms.2022.06.012. Epub 2022 Nov 3.

Authors

Hao Wu¹, Dongming He², Yong Wu³, Lingyong Jiang⁴, Xudong Wang⁵

Affiliations

¹ Department of Oral & Cranio-Maxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, No.639, Zhizaoju Road, Shanghai 200011, PR China; National Clinical Research Center for Oral Diseases, No.639, Zhizaoju Road, Shanghai 200011, PR China; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, No.639, Zhizaoju Road, Shanghai 200011, PR China. Electronic address: wuhao9464@163.com.
² Department of Oral & Cranio-Maxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, No.639, Zhizaoju Road, Shanghai 200011, PR China; National Clinical Research Center for Oral Diseases, No.639, Zhizaoju Road, Shanghai 200011, PR China; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, No.639, Zhizaoju Road, Shanghai 200011, PR China.
³ Shanghai Wuyong Dental Clinic, 255 Lanhua Road, Shanghai 201204, China.
⁴ Department of Oral & Cranio-Maxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, No.639, Zhizaoju Road, Shanghai 200011, PR China; National Clinical Research Center for Oral Diseases, No.639, Zhizaoju Road, Shanghai 200011, PR China; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, No.639, Zhizaoju Road, Shanghai 200011, PR China. Electronic address: 247416218@qq.com.
⁵ Department of Oral & Cranio-Maxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, No.639, Zhizaoju Road, Shanghai 200011, PR China; National Clinical Research Center for Oral Diseases, No.639, Zhizaoju Road, Shanghai 200011, PR China; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, No.639, Zhizaoju Road, Shanghai 200011, PR China. Electronic address: xudongwang70@hotmail.com.

PMID: 36336596
DOI: 10.1016/j.coms.2022.06.012

Abstract

Orthognathic surgery is an effective approach to correct vertical maxillary excess (VME), which is a common maxillofacial deformity and exhibits excessive vertical development of maxilla. This review summarizes different clinical features of total, anterior and posterior VME, as well as corresponding surgical managements guided by preoperative computer-assisted surgical planning. The virtual simulation will do favor to the final determination of individual surgical plans to achieve satisfactory outcomes. Finally, a typical clinical case will be presented to demonstrate the surgical management of VME.

Keywords: Computer-assisted surgical plan; Le Fort I osteotomy; Lip–incisor relationship; Maxillary impaction; Orthognathic surgery; Vertical maxillary excess.

Publication types

Review

MeSH terms

Cephalometry
Humans
Maxilla* / surgery
Orthognathic Surgical Procedures*
Osteotomy, Le Fort