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  Indian J Med Microbiol
 

Figure 4: (a-f) Preoperative view showing decreased lower facial height. (g) Intraoperative view showing vertical augmentation genioplasty using rib graft and mandibular ramus distractor fixed bilaterally with activating arm exiting outward. (h) Zygoma augmentation using rib graft and Le-Fort I distractor in place. (i and j) Postoperative orthopantomogram and lateral cephalogram taken at the end of the bilateral mandibular body and maxillary distraction osteogenesis

Figure 4: (a-f) Preoperative view showing decreased lower facial height. (g) Intraoperative view showing vertical augmentation genioplasty using rib graft and mandibular ramus distractor fixed bilaterally with activating arm exiting outward. (h) Zygoma augmentation using rib graft and Le-Fort I distractor in place. (i and j) Postoperative orthopantomogram and lateral cephalogram taken at the end of the bilateral mandibular body and maxillary distraction osteogenesis