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Surgical Management for Vertical Maxillary Excess.

Hao Wu1, Dongming He1, Yong Wu2

  • 1Department of Oral & Cranio-Maxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, No.639, Zhizaoju Road, Shanghai 200011, PR China; National Clinical Research Center for Oral Diseases, No.639, Zhizaoju Road, Shanghai 200011, PR China; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, No.639, Zhizaoju Road, Shanghai 200011, PR China.

Oral and Maxillofacial Surgery Clinics of North America
|November 6, 2022
PubMed
Summary
This summary is machine-generated.

Orthognathic surgery effectively corrects vertical maxillary excess (VME), a common maxillofacial deformity. Computer-assisted planning and virtual simulation optimize surgical management for improved outcomes in VME cases.

Keywords:
Computer-assisted surgical planLe Fort I osteotomyLip–incisor relationshipMaxillary impactionOrthognathic surgeryVertical maxillary excess

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Area of Science:

  • Maxillofacial Surgery
  • Orthodontics
  • Craniofacial Deformities

Background:

  • Vertical maxillary excess (VME) is a prevalent maxillofacial deformity characterized by excessive vertical growth of the maxilla.
  • VME can lead to significant aesthetic and functional issues, impacting facial harmony and occlusion.
  • Understanding the distinct clinical features of total, anterior, and posterior VME is crucial for effective treatment.

Purpose of the Study:

  • To review the clinical features of different types of vertical maxillary excess (VME).
  • To summarize surgical management strategies for VME, emphasizing computer-assisted planning.
  • To illustrate VME treatment with a clinical case presentation.

Main Methods:

  • Literature review of VME classification and surgical techniques.
  • Analysis of computer-assisted surgical planning and virtual simulation in VME correction.
  • Presentation of a representative clinical case of VME management.

Main Results:

  • Distinct clinical presentations exist for total, anterior, and posterior VME.
  • Computer-assisted surgical planning enhances the precision of VME surgical interventions.
  • Virtual simulation aids in tailoring individual surgical plans for optimal results.

Conclusions:

  • Orthognathic surgery is a viable treatment for VME.
  • Preoperative planning using computer-assisted methods and virtual simulation improves surgical outcomes for VME.
  • Comprehensive management, including detailed planning, is key to addressing VME effectively.