Treatment of mandibular prognathism in an acromegalic patient

A 41-year-old man with acromegaly underwent cryosurgery for a pituitary adenoma. Although soft tissue regression is possible after pituitary ablation, bony changes are permanent. Thus, bilateral vertical osteotomies and bilateral coronoidotomies were performed for correction of the mandibular prognathism. The postoperative occlusion and facial profile were very acceptable. Unfortunately, the patient died of a myocardial infarction eight days postoperatively.