Case 16
Problems
- Facial asymmetry
- Maxillary retrognathia with vertical maxillary excess and transverse deficiency
- Mandibular retrognathia
- Episodes of choking
- Sleep apnea with daytime somnolence
- Difficulty eating secondary to her skeletal malocclusion
Surgical Procedures Performed
- Bilateral sagittal split ramus osteotomies to advance the lower jaw asymmetrically
- Maxillary Le Fort I (2-piece) to advance, expand, and level the maxilla with HA bone grafting
- Opening the nasal pyriform aperture bilaterally
- Anterior segmental osteotomy to advance the chin and genioglossus muscle
