Mandibular Angle Reduction - case4

Mandibular Angle Reduction - case3

Mandibular Angle Reduction - case2

Mandibular Angle Reduction - case1

Mandibular Angle Reduction - Intraoral Approach

  Intraoral Approach

Mandibular Angle Reduction - Line of Reduction

Line of Reduction

Mandibular Angle Reduction - Opition/Method

     Treatment Options

1. Mandibular Angle Reduction Only
2. Mandibular Angle Reduction + Removal of Lateral  Cortex 
3. Angle Reduction + Lateral Cortex Removal + Masseter M. Resection        
4. Combination with Botulinum toxin A

  

Operation Method

1. Mucogingival Incision ( Asc. Ramus – 1^st Molar
2. Subperiosteal dissection (Avoid Bleeding)
3. Cutting Muscle Attachments from Tuberosity
4. Secure good Vision and Protect Post surface of Ramus
5. Marking landmarks with Pencil– Cutting lines
6. Bone Cutting of Lateral Cortex of Mandible
7. Angle Reduction with oscillating Saw (130 degree)
8. Refinement of Cutting Margin 
9. Hemostasis
10. Suture and Drain Insertion