PMC9857360_01
Presurgical extraoral photograph of the patient at the age of age 10 years illustrating jaw deviation to the right upon mouth opening.
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F1
The male patient was fit and healthy and presented at the age of 10 years with a right-sided mandibular asymmetry that had deteriorated with growth (Fig. 1).
PMC9857360_02
Orthopantogram after insertion of internal mandibular distractor.
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F2
A subperiosteal surgical osteotomy was performed, and the distraction device was placed to lengthen the ramus of the mandible (Fig. 2).
Hybrid functional appliance with a bite plane to allow for selective eruption of teeth and intermaxillary elastics for crossbite correction.
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F3
A modified hybrid functional appliance was used to provide inter-arch control and prevent lateral shifting of the mandible through lingual shields (Fig. 3).