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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
PubMed
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Orthognathic surgery for gummy smiles often involves maxillary impaction. However, a nasal frame osteotomy offers an alternative for specific facial features, including a short nose and lip incompetence.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Facial Aesthetics

Background:

  • Vertical maxillary excess is commonly treated with maxillary impaction osteotomy for gummy smiles and lip incompetence.
  • This standard approach may not address all associated facial characteristics.

Observation:

  • Patients with gummy smiles and lip incompetence may also present with a short nose, a vertically elongated and arched upper lip, and a broad face.
  • These combined features suggest an alternative surgical consideration.

Findings:

  • A nasal frame osteotomy technique is presented as an alternative to maxillary impaction.
  • This technique aims for nasal lengthening and caudal repositioning of the central upper lip.

Implications:

Related Experiment Videos

  • The nasal frame osteotomy provides a tailored approach for specific complex facial deformities.
  • This surgical option may improve both functional and aesthetic outcomes in select orthognathic surgery patients.