fig14

Figure 14. Skeletal suspension. (a) Orthodontic bone anchor (white arrow) placed at the affected side; (b) orthodontic bone anchor, which has to be removed via a mucoperiosteal flap dissection later on; (c) skeletal suspension by means of a piriform aperture skeletal wire (0.5 mm diameter stainless steel wire, white arrow). The advantage of this technique is that the wire can be easily removed using local anesthesia, without flap preparation (http://www.scribd.com/doc/56442013/Inter-Maxillary-Fixation-Techniques-Manual); (d) bilateral piriform suspension (white arrows) in a case of massive mandibular advancement