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Mandibular prognathism.

M G Parker1, J A Lehman, D E Martin

  • 1Northeastern Ohio Universities College of Medicine, Akron.

Clinics in Plastic Surgery
|October 1, 1989
PubMed
Summary
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This review examines vertical subcondylar osteotomy for correcting mandibular prognathism. It also details techniques for complex cases requiring significant jaw repositioning.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthognathic Surgery
  • Skeletal Reconstruction

Background:

  • Mandibular prognathism presents a significant skeletal discrepancy.
  • Surgical correction is often necessary for functional and aesthetic outcomes.
  • Vertical subcondylar osteotomy is a common surgical technique.

Purpose of the Study:

  • To review the established use of vertical subcondylar osteotomy.
  • To describe advanced techniques for complex mandibular prognathism cases.
  • To provide guidance for surgeons managing significant skeletal discrepancies.

Main Methods:

  • Literature review of vertical subcondylar osteotomy applications.
  • Analysis of surgical techniques for uncomplicated cases.

Related Experiment Videos

  • Description of modifications for extensive mandibular setbacks (>10 mm).

    • Main Results:

    • Vertical subcondylar osteotomy is effective for standard mandibular prognathism.
    • Modified techniques allow for greater than 10 mm mandibular setback.
    • The procedure offers predictable outcomes in varied clinical scenarios.

    Conclusions:

    • Vertical subcondylar osteotomy is a versatile procedure for mandibular prognathism.
    • Surgical planning is crucial for managing complex cases.
    • This technique provides reliable correction for a wide range of prognathism severity.