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The International Journal of Adult Orthodontics & Orthogathic Surgery
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International Journal of Adult Orthodontics and Orthognathic Surgery

Year 1999
Volume 14 , Issue 4

Pages: 310 - 314

The nasal frame osteotomy: Technical note

Maurice Y. Mommaerts, LDS, MD, DMD/Rodrigo O. M. Marinho, DDS, MSc, FDSRCS/Johan V. S. Abeloos, MD, LDS, DMD/Calix A. S. De Clercq, MD, LDS/Luc F. Neyt, MD, LDS, PhD

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.


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