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Figure 20 | Head & Face Medicine

Figure 20

From: The spectrum of Apert syndrome: phenotype, particularities in orthodontic treatment, and characteristics of orthognathic surgery

Figure 20

Age 18.6. Plaster surgery with KDMMS [20]: red plate in place = before plaster surgery; plaster splint in place = after plaster surgery. Right side of patient: before surgery, after plaster surgery in the maxilla (1.5–2 mm maxillary advancement), and after two-jaw plaster surgery (2.5 mm mandibular setback). Frontal view of patient: before surgery, after plaster surgery in the maxilla (5–7 mm maxillary rotation) (gap between maxillary cast and plaster splint at the left side of the patient is due to lack of antagonistic contact before plaster surgery of the mandible), after two-jaw plaster surgery (lift of the left side of the mandible). Left side of the patient: before surgery, after plaster surgery in the maxilla (12 mm maxillary advancement) (gap between maxillary cast and plaster splint at the left side of the patient is due to lack of antagonistic contact before plaster surgery of the mandible), after two-jaw plaster surgery (8.5 mm setback and 3 mm lift in the mandible).

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