title: Mandibular Symphyseal L-Inverted Midline Osteotomy to Correct Mild Laterognathia and Malocclusion.
abstract: OBJECTIVE
  The aim of this study was to present the authors' experience with a new surgical technique to correct mild laterognathia and malocclusion by means of an L-inverted midline osteotomy.
  
  
  METHODS
  The patient was a 26-year-old woman diagnosed with left laterognathia and ipsilateral posterior crossbite. She was operated by using this novel technique in November 2009 at Hogar Clínica San Rafael, Maracaibo, Venezuela. Bicortical midline symphyseal vertical osteotomy was executed, followed by block removal of the central right inferior incisor and its surrounding alveolar bone. The mandibular segmentation was completed by means of a right hemimentoplasty. After this, a 4-mm right mandibular rotation was made, and titanium plates and monocortical screws of the 2.0 system were used to achieve the rigid fixation.
  
  
  RESULTS
  The patient showed outstanding aesthetic and functional results after 5 years.
  
  
  CONCLUSIONS
  This technique provides a new treatment option for the correction of mild laterognathia cases associated with dental malocclusion.
authors.affiliation: *Department of Oral and Maxillofacial Surgery, Hogar Clínica San Rafael, Maracaibo †Oral Surgery Program, Universidad del Zulia ‡Department of Oral and Maxillofacial Surgery, Hospital Manuel Noriega Trigo, San Francisco §Department of Oral and Maxillofacial ||Department of Plastic, Maxillofacial and Reconstructive Surgery Department Hospital Universitario de Maracaibo ¶Department of Oncology Surgery, Hospital Universitario de Maracaibo #Department of Oral and Maxillofacial, Hospital General Dr. Adolfo D'Empaire, Cabimas **Oral Surgery Program, Universidad del Zulia ††Department of Oral and Maxillofacial Surgery, Hogar Clínica San Rafael, Maracaibo, Venezuela ‡‡Department of Oral and Maxillofacial Surgery §§Publications Committee, Universidad El Bosque, Bogotá, Colombia.
authors.forename: Carlos
authors.initials: C
authors.lastname: Collantes
authors.forename: Nicolás
authors.initials: N
authors.lastname: Solano
authors.forename: Luis
authors.initials: L
authors.lastname: Romero
authors.forename: César
authors.initials: C
authors.lastname: Molina
authors.forename: Andrés
authors.initials: A
authors.lastname: Gómez-Delgado
mesh_terms: D000328:Adult; D000541:Alveolectomy / Q000379:methods; D001860:Bone Plates; D001863:Bone Screws; D005146:Facial Asymmetry / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000601:surgery; D008310:Malocclusion / Q000601:surgery*; D063168:Mandibular Osteotomy / Q000379:methods*; D014081:Tooth Extraction