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Vestibular flap incision (a), medial and lateral osteotomy (white arrows) (b), palatal view of the paramarginal archform flap with sagittal osteotomy (c), activation of the expander (5\6 intraoperative turns) (d), frontal view of the continuing vestibular suture (e), palatal view of the discontinuing suture of the palatal fibromucosa (f).
