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Is it possible to get surgical palate expansion with previous septoplasty?

rocket88Dec 13, 2021
Hi, I’ve had some consultations with surgeons about palate expansion as directed by an orthodontist. Both surgeons told me need to cut the septum which my ent surgeon said he doesn’t want them doing. Has any other surgeon out there performed this without cutting the septum? Or performed this on someone with previous septoplasty?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Gerald Wittenberg, MSc, DMD (retired)
Certified Oral & Maxillofacial Surgeon
Answered on Dec 16, 2021
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Gerald Wittenberg, MSc, DMD (retired)

Unfortunately, your issue is common. There are a few options. One involves 'reversing' the alignment requiring more orthodontics. Another is to 'mask' the contour deficiencies by augmenting the deficient areas, and also specific surgery for improving the facial balance. Complete reversal is not...

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David Bell, DDS, MD

Your bite cannot be corrected with braces alone unless you are willing to have teeth extracted from your lower jaw and have your orthodontist create what is known as severe compensations in the positions of your teeth. If you are willing to accept these severe compromises, this may be your best...

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Gerald Wittenberg, MSc, DMD (retired)

The revision surgery is feasible but somewhat more difficult due to the scarring present. However, the bones are well healed so that removal of bone plates etc can be done and the surgery revised by a more experienced surgeon perhaps. Detailed examination of the jaws/chin is required to ensure...

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