Complexities in Diagnosis and Management of Long Face

• Author Details:   
• Ashwin Mathew George ^*
• Aravinth Kumar Govindaraj
• Arvind Sivakumar
• Aravind Kumar
• Shantha Sundari

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A long face with increase in the lower anterior facial height (LAFH)has its own share of complexities with regard to its diagnosis and management. The point of importance is to carefully diagnose and differentiate if the cause of the long face is due to the increase in the upper 1/3rd or the lower 2/3rd of the Lower anterior facial height. Although there are well established protocols in the management caused due to the increase in the upper 1/3rd such as orthognathic surgery, mini implants and intrusion arches, management caused due to the increase in the lower 2/3rd has rather limited option. This article describes the management of a patient with a long face caused due to an increase in only the lower 2/3rd of the LAFH with a vertical reduction genioplasty and also focusses on the diagnostic criteria required to differentiate the various causes for a long face.
Keywords: Long face, Diagnosis, Management