Long term consequences of sliding genioplasty скачать в хорошем качестве

Long term consequences of sliding genioplasty

Cosmetic camoflage vs. form+function. The chin was surgically cut and slid forward and augmented. The side effects are not just paresthesia: notice the lack of airway, even with pt. erect. Compromised airway results in disturbed sleep, interrupting the natural periods of spinal relaxation, causing the gross spinal degeneration seen here. Notice also the severely shortened/remodeled TMJoints (should be longer than coronoid process), which were part of the original problem. Simple cosmetic camoflage is not simple when the long-term consequences are this extensive. Although the genioplasty (through alteration in the digastric and associated muscles function) was not the main cause of the degeneration, it camoflaged red flags, delaying a more comprehensive dx and tx.