Counterclockwise Face Rotation

Patient’s Chief Complaint: “Cannot chew or bite food, joint discomfort difficulty breathing, speech problems.” Patient with class II bite, severely resorbed condyles and retruded mandible.

Surgical recommendations

Patient was required pre-surgical management of TMD with splin therapy. Maxillofacial complex was needed to approached and counterclockwise rotation of the occlusal plane, maxillary Le Fort I osteotomy; mandibular bilateral Sagittal Split osteotomy, and inferior border Osteotomy.

Surgical solution

• Upper Jaw Forward
• Lower Jaw Forward
• Chin Forward and Down
• Counterclockwise Face Rotation
• Cheek Implants