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Intermediate Technical IVT

maxillary advancement

Surgical procedure to move the upper jaw forward to correct midface deficiency and improve facial balance.

Full Definition

Maxillary advancement is an orthognathic surgical procedure typically performed through a Le Fort I osteotomy to move the maxilla anteriorly, correcting midface retrusion and Class III malocclusion. The procedure may be combined with bone grafting to fill gaps created by advancement and is often performed in conjunction with mandibular surgery for optimal facial balance. Advancement distances typically range from 4-10mm, with larger movements requiring careful consideration of soft tissue tension and airway effects.

Usage

Usage note: Specify measurement when documenting surgical movements for accuracy.

In Context

  • "Maxillary advancement of 6mm was performed to correct the patient's Class III skeletal pattern." — Operative report
  • "Bone grafting was required to maintain stability following significant maxillary advancement." — Post-operative note

Also known as

maxillary protraction forward maxillary movement

Contrasted with

maxillary setback maxillary impaction

Don't confuse with

maxillary expansion maxillary segmentation

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