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The nasal frame osteotomy: technical note
M Y Mommaerts1, R O Marinho, J V Abeloos
1Division of Maxillo-Facial Surgery, General Hospital St. John Bruges, Belgium. maxfac@azbrugge.be
The International Journal of Adult Orthodontics and Orthognathic Surgery
|July 15, 2000
Abstract:
In the practice of orthognathic surgery, a patient presenting with a gummy smile and lip incompetence is readily diagnosed as having vertical maxillary excess, and a maxillary impaction osteotomy is usually the proposed treatment. If a short nose, an arched and upwardly displaced upper lip, and a broad face accompany these 2 features, nasal lengthening and caudal repositioning of the central portion of the upper lip by a nasal frame osteotomy should be considered instead. The technique of the nasal "frame" osteotomy, which was used in 1 patient with a 4-year follow-up, is described.