Case 13
Problems
- Maxillary retrognathia
- Mandibular retrognathia
- Chin deficiency
- Bilateral inferior turbinate hypertrophy
- Sleep apnea with daytime somnolence secondary to a decreased posterior airway space
Surgical Procedures Performed
- Bilateral sagittal split ramus osteotomies to advance the lower jaw
- Maxillary Le Fort I (one-piece) to advance the upper jaw
- Partial bilateral inferior turbinectomies to improve the nasal airway
- Insertion of Medpor chin implant to further augment her chin profile
![](case_images/BeforeProfile13.jpg)
![](case_images/AfterProfile13.jpg)
![](case_images/BeforeAngle13.jpg)
![](case_images/AfterAngle13.jpg)
![](case_images/BeforeSmile13.jpg)
![](case_images/AfterSmile13.jpg)
![](case_images/BeforeBite13.jpg)
![](case_images/AfterBite13.jpg)