The upper jaw or Maxilla was disproportionately larger as compared to the lower jaw causing a short upper lip and too much of the gums to be visible while smiling. Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the corrective jaw surgery or orthognathic surgery with Le Fort I osteotomy. The upper jaw was set back and realigned in perfect facial harmony. The entire procedure was done from inside the mouth so there were no scars.
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The overgrowth of the lower jaw (mandible) causes a “long face”. Disproportionate jaws may cause problems in speaking, biting, chewing, swallowing and breathing, undue stress on the jaw joint (TMJ) and facial muscles, and also affects facial appearance. Obwegeser’s bilateral sagittal split osteotomy is done to surgically reduce excess bone in the lower jaw and create more balanced facial features. Results are immediate and there is no scarring as the procedure is done inside the mouth. The upper jaw or Maxilla was disproportionately larger as compared to the lower jaw causing a short upper lip and too much of the gums to be visible while smiling. Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the corrective jaw surgery or orthognathic surgery with Le Fort I osteotomy. The upper jaw was set back and realigned in perfect facial harmony. The entire procedure was done from inside the mouth so there were no scars. When the lower jaw is severely protruding and not in proper alignment with the upper jaw, it causes difficulty in biting, chewing, speaking and also affects the facial appearance. With corrective jaw surgery or orthognathic surgery, the jaws can be reshaped and aligned in normal balanced occlusion. Bilateral sagittal split osteotomy (Obwegeser’s) is done for surgical correction of the skeletal defect of protruding lower jaw. In this the lower jaw is reshaped and set in precise alignment to enhance the appearance and achieve proper bite. This procedure is done from inside the mouth so there are no scars. When the upper jaw is disproportionately larger than the lower jaw, it affects the facial profile and gives an unattractive appearance. Also the upper teeth are excessively protruding and there is inability to close the mouth & bite normally. This can be surgically corrected by orthognathic surgery. Using specialized Le Fort I technique the upper jaw is made proportionate and more accurately aligned with the lower jaw. This is done from inside the mouth so there are no scars. The results are immediate and the patients get a renewed confidence with their enhanced appearance. In cleft patients, over time the scar of the upper lip thickens & the upper lip becomes very thin. This lip incompetence can be treated with specialized Abbe-Flap technique. A tissue from the lower lip is sutured together with the upper lip making both the lips proportionately similar. In males, the flap is taken with the hair follicles to ensure mustache growth. Once blood supply is established, the flap is divided improving the form & function of the lips. In some instances, along with the lip defect, there is also a disparity in the size of the jaws. If the upper jaw is retruded and lower jaw is protruding, then Abbe-flap is combined with upper jaw advancement to restore form & balance of the face. Defective nose shapes also require surgical correction to enhance the appearance & make the face more attractive. Balanced facial features enhance the facial profile and make the face attractive. An improved appearance will also boost self esteem and enhance the personality. Maxillofacial Surgeon Dr. S.M. Balaji performs a simultaneous correction of the protruding upper jaw & nose defect. The jaw bone is sculpted and realigned in a more appropriate position & the nose is made sharp & pristine improving both smile and appearance. Since the surgery is approached from inside the mouth & inside the nose, there is no scarring. CASE ICASE II |
