[Vertical maxillo-mandibular dysmorphias due to excessive growth. Terminology, diagnosis and treatment]

The authors propose a system of terminology for vertical maxillo-mandibular dysmorphia, "long face" or rather "high face", and "hypsoprosopia" hypsomaxillia to facilitate the diagnosis and the therapeutic approach. They distinguish 3 abnormalities which are responsible, alone or in combination, for an increased height in the face: hypsomaxilla, hypsogenia and vertical anterior inter-incisive aperture (open bite), which can arise in three situations (supra erupted posterior alveolar maxillary segment, infra erupted anterior alveolar mandibular segment, exaggerated opening of the angle of the mandible or amblygonia). They present the clinical picture and the specific teleradiographic features of each abnormality, supported by cases of patients with definite dento-maxillary growth. On the basis of this classification, the authors propose a more systematized approach to the various segmental or total maxillary or mandibular osteotomies, which may be coupled or even combined with advancements or transverse movements in cases of associated dysmorphosis.