case_images: PMC5349032_01
case_images: Preoperative frontal aspect (A) and facial profile (B) of the patient (patient
  signed informed consent authorizing the publication of these pictures)
case_images: jaos-18-01-0092-g01.jpg
case_images: PMC5349032_01_jaos-18-01-0092-g01.jpg
case_images: f01
case_images: In order to acquire proper positioning of the mandibular incisors, the right and left first premolars were extracted and levelling and alignment of the maxillary arch was performed to create a positive overjet (Figures 1 and 2).
case_images: Preoperative intraoral view of the left side (A) and right side (B)
case_images: jaos-18-01-0092-g02.jpg
case_images: PMC5349032_01_jaos-18-01-0092-g02.jpg
case_images: f02
case_images: In order to acquire proper positioning of the mandibular incisors, the right and left first premolars were extracted and levelling and alignment of the maxillary arch was performed to create a positive overjet (Figures 1 and 2).
case_images: Schematic illustration of the hybrid fixation in the BSSO. Note the inset bend at
  the plate
case_images: jaos-18-01-0092-g03.jpg
case_images: PMC5349032_01_jaos-18-01-0092-g03.jpg
case_images: f03
case_images: These screws were positional and do not exert pressure between segments (Figure 3).
case_images: Postoperative frontal aspect (A) and facial profile (B) of the patient (patient
  signed informed consent authorizing the publication of these pictures)
case_images: jaos-18-01-0092-g04.jpg
case_images: PMC5349032_01_jaos-18-01-0092-g04.jpg
case_images: f04
case_images: The patient evolved well in the postoperative period and is still under follow up after 14 months, reporting satisfaction with the results (Figures 4 to 5).
case_images: Postoperative intraoral view of the left side (A) and right side (B)
case_images: jaos-18-01-0092-g05.jpg
case_images: PMC5349032_01_jaos-18-01-0092-g05.jpg
case_images: f05
case_images: The patient evolved well in the postoperative period and is still under follow up after 14 months, reporting satisfaction with the results (Figures 4 to 5).
case_images: Panorex showing hybrid fixation in mandibular advancement
case_images: jaos-18-01-0092-g06.jpg
case_images: PMC5349032_01_jaos-18-01-0092-g06.jpg
case_images: f06
case_images: The hybrid mandibular fixation is clearly visible in the panoramic and cephalometric control radiographs (Figure 6 and 7).
case_images: Fourteen-month cephalometric radiograph showing occlusion plane changing and lower
  jaw advancement
case_images: jaos-18-01-0092-g07.jpg
case_images: PMC5349032_01_jaos-18-01-0092-g07.jpg
case_images: f07
case_images: The hybrid mandibular fixation is clearly visible in the panoramic and cephalometric control radiographs (Figure 6 and 7).
case_images: Cephalograms taken 1 week before (left) and 1 week after (right) surgery showing
  pre-surgical orthodontic treatment and the counter-clockwise rotation of the lower
  and upper jaws after surgery
case_images: jaos-18-01-0092-g08.jpg
case_images: PMC5349032_01_jaos-18-01-0092-g08.jpg
case_images: f08
case_images: Figure 8 shows cephalometric tracing of the preoperative position and postoperative changes along the 16 months of treatment, including the removal of brackets.