BOOK
Orthognathic Surgery, An Issue of Oral and Maxillofacial Clinics of North America, E-Book
(2014)
Additional Information
Book Details
Abstract
Editors Daniel B. Spagnoli, Brian B. Farrell, and Myron R. Tucker review important areas in Orthognathic Surgery. Articles will include: Timing of Three-Dimensional Virtual Treatment Planning of Orthognathic Surgery: a Prospective Single-Surgeon Evaluation on 350 Consecutive Cases; Orthodontic Preparation for Orthognathic Surgery; Applications of Navigation for Orthognathic Surgery; Mandibular Surgery: Technologic and Technical Improvements; Maxillary Orthognathic Surgery; Surgical Assistance for Rapid Orthodontic Treatment and Temporary Skeletal Anchorage; Management of Cleft Lip and Palate and Cleft Orthognathic Considerations; Orthognathic Surgery and the TMJ Patient; Complications in Orthognathic Surgery: Report of 1000 Cases; Orthognathic Surgery in the Office Setting; Esthetic Adjuncts with Orthognathic Surgery; Virtual Surgical Planning in Orthognathic Surgery; and more!
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Orthognathic Surgery | i | ||
Copyright\r | ii | ||
Contributors | iii | ||
Contents | v | ||
Oral And Maxillofacial Surgery\rClinics Of North America\r\r | viii | ||
Preface\r\r | ix | ||
Orthodontic Preparation for Orthognathic Surgery | 441 | ||
Key points | 441 | ||
Introduction | 441 | ||
Presurgical goals | 441 | ||
Decompensation of Dentition | 441 | ||
Alignment of Arches | 442 | ||
Coordinate Arches | 442 | ||
Full Closure of All Spaces | 442 | ||
Perfect Occlusion of Surgical Models | 442 | ||
Leveling of Arches | 442 | ||
Three concepts and a corollary for orthodontic preparation | 442 | ||
Whenever Possible, Treatment Should Be Planned so that the Orthodontic and Surgical Relapse Tendencies Are in Opposite Dire ... | 442 | ||
Incisors Should Be Positioned Relative to Their Respective Skeletal Bases Rather than External References | 443 | ||
Tooth Movement in Preparation for Surgery is Usually in the Opposite Direction to that for Nonsurgical Treatment | 443 | ||
Technique/Procedure | 443 | ||
Class II: High or Normal Mandibular Plane Angle Treated with Surgical Mandibular Advancement | 443 | ||
Treatment results and impact of orthodontic preparation | 443 | ||
Class II: Low Mandibular Plane Angle Treated with Surgical Mandibular Advancement | 445 | ||
Treatment results and impact of orthodontic preparation | 447 | ||
Class III: Treated with Surgical Maxillary Advancement and/or Mandibular Setback | 448 | ||
Treatment results and impact of orthodontic preparation | 449 | ||
Vertical Maxillary Excess Treated with Surgical Maxillary Impaction | 450 | ||
Treatment results and impact of orthodontic preparation | 451 | ||
Maxillary Transverse Deficiency Treated with Surgical Expansion | 452 | ||
Treatment results and impact of orthodontic preparation | 452 | ||
Common pitfalls in preparing surgical setups | 453 | ||
Treatment simulation | 455 | ||
Summary | 457 | ||
References | 458 | ||
Virtual Surgical Planning in Orthognathic Surgery | 459 | ||
Key points | 459 | ||
Introduction | 459 | ||
Data collection and presurgical work-up | 460 | ||
Virtual surgical planning | 464 | ||
Intraoperative efficiency | 467 | ||
Accuracy/outcomes | 470 | ||
Summary | 473 | ||
References | 473 | ||
Timing of Three-Dimensional Virtual Treatment Planning of Orthognathic Surgery | 475 | ||
Key points | 475 | ||
Patients | 476 | ||
Step-by-step integrated 3D virtual treatment planning | 476 | ||
Results | 477 | ||
The advantages and limits of 3D-VPS1 and 3D-VPS2 | 478 | ||
The potential of 3D-VPS3 and 3D-VPS4 | 479 | ||
The clinical relevance of 3D-VPS5 | 481 | ||
Summary | 484 | ||
References | 484 | ||
Mandibular Surgery | 487 | ||
Key points | 487 | ||
Introduction | 487 | ||
History of advancements | 488 | ||
Technologic and technical improvements | 488 | ||
Altering the posterior aspect of the distal segment in the sagittal split mandibular osteotomy | 496 | ||
Fixation | 501 | ||
Distraction | 504 | ||
Genioplasty | 507 | ||
Correcting mandibular vertical asymmetry at the mandibular body | 507 | ||
Temporary anchorage devices | 507 | ||
Virtual surgical planning | 509 | ||
Mandible First or Maxilla First | 510 | ||
Summary | 513 | ||
References | 519 | ||
Maxillary Orthognathic Surgery | 523 | ||
Key points | 523 | ||
Background | 523 | ||
Segmental maxillary surgery | 523 | ||
Surgically Assisted Rapid Palatal Expansion | 523 | ||
Segmental LeFort Osteotomy | 525 | ||
Anterior openbite closure | 526 | ||
Differential Impaction | 526 | ||
Multipiece Lefort Osteotomies | 526 | ||
Treating vertical maxillary excess | 528 | ||
Bone grafting at the time of maxillary surgery | 531 | ||
Treating arch length incompatibility and maxillary protrusion | 533 | ||
Computer-assisted planning and splint fabrication | 534 | ||
References | 537 | ||
Recommended reading | 537 | ||
Surgical Assistance for Rapid Orthodontic Treatment and Temporary Skeletal Anchorage | 539 | ||
Key points | 539 | ||
Introduction | 539 | ||
Historical perspectives | 540 | ||
Surgical techniques and materials | 541 | ||
Case presentations | 545 | ||
Case Number 1 | 545 | ||
Case Number 2 | 547 | ||
Case Number 3 | 548 | ||
Case Number 4 | 549 | ||
Summary | 550 | ||
References | 550 | ||
Orthognathic Surgery and the Temporomandibular Joint Patient | 551 | ||
Key points | 551 | ||
History | 552 | ||
Physical Examination | 552 | ||
Radiologic Examination | 552 | ||
Laboratory Evaluation | 552 | ||
Surgical considerations unique to specific skeletal malocclusions | 555 | ||
Class III Malocclusion | 555 | ||
Class II Malocclusion—Progressive/Idiopathic Condylar Resorption | 555 | ||
Combined orthognathic surgery and alloplastic Temporomandibular Joint reconstruction | 557 | ||
Virtual surgical planning | 558 | ||
Summary | 562 | ||
References | 562 | ||
Management of Cleft Lip and Palate and Cleft Orthognathic Considerations | 565 | ||
Key points | 565 | ||
Management of the cleft patient and treatment sequence | 565 | ||
Brief History of Cleft Lip and Palate Repair | 565 | ||
Embryology | 566 | ||
Incidence, Genetics, and Cause | 566 | ||
Classification | 567 | ||
The Cleft and Craniofacial Team | 567 | ||
Timeline of Surgical Treatment | 567 | ||
General approaches to cleft orthognathics | 570 | ||
Epidemiology | 570 | ||
Phases of Orthognathic Surgical Treatment | 570 | ||
Velopharyngeal Insufficiency Considerations | 571 | ||
References | 571 | ||
Aesthetic Adjuncts with Orthognathic Surgery | 573 | ||
Key points | 573 | ||
Introduction | 573 | ||
Procedures Performed at the Time of Orthognathic Surgery | 574 | ||
Procedures Performed Perioperatively to Orthognathic Surgery | 574 | ||
Procedures Performed Temporally Distant to Orthognathic Surgery | 574 | ||
Camouflage Cosmetic Surgery | 575 | ||
Initial evaluation | 575 | ||
Physical Examination and Diagnosis | 575 | ||
Hard Tissue Deformity Only: Soft Tissue Deformities Primarily Caused by Skeletal Deformities | 575 | ||
Soft Tissue Deformities | 576 | ||
Combined Hard and Soft Tissue Deformities | 576 | ||
Photography | 576 | ||
Anatomy | 576 | ||
Facial Adipose | 576 | ||
Retaining Ligaments of the Face | 576 | ||
Changes Associated with the Aging Face | 577 | ||
Treatment planning | 577 | ||
Soft Tissue Changes Associated with Orthognathic Surgery | 577 | ||
Mandibular Surgery | 577 | ||
Maxillary Surgery | 577 | ||
Treatment planning rhinoplasty | 577 | ||
Treatment planning adjunctive lip surgery | 579 | ||
Long Lip/Inadequate Incisal Display | 579 | ||
Excess Gingival Display | 579 | ||
Facial Augmentation or Recontouring | 579 | ||
Solid Implant Materials | 580 | ||
Solid silicone rubber | 580 | ||
Porous polyethylene | 580 | ||
Polytetrafluoroethylene | 581 | ||
Injectable materials | 581 | ||
Hyaluronic acid | 581 | ||
Calcium hydroxyapatite | 582 | ||
Polymethyl methacrylate | 582 | ||
Placement of injectables | 582 | ||
Tear Trough | 582 | ||
Cervicoplasty, Platysmaplasty, and Rhytidectomy | 582 | ||
Sequence for Closed Submental Liposuction | 583 | ||
Iatrogenic Deformities Created as a Result of Orthognathic Surgery | 583 | ||
Facial asymmetries | 583 | ||
Bony notching | 583 | ||
Motion abnormalities | 583 | ||
Discussion | 584 | ||
References | 584 | ||
Applications of Navigation for Orthognathic Surgery | 587 | ||
Key points | 587 | ||
Introduction | 587 | ||
Basics of surgical navigation | 588 | ||
Registration | 589 | ||
Applications of navigation in orthognathic surgery | 591 | ||
Transfer Surgical Plan to the Patient | 591 | ||
Verifying Surgical Outcome Matches Surgical Plan | 592 | ||
Avoiding Critical Structures | 593 | ||
Combination | 594 | ||
Augmenting the Surgeon’s Visualization of the Surgical Field | 594 | ||
Drawbacks of navigation | 596 | ||
Summary | 597 | ||
References | 597 | ||
Complications in Orthognathic Surgery | 599 | ||
Key points | 599 | ||
Complications resulting from preoperative planning errors | 599 | ||
Intraoperative complications | 600 | ||
Hemorrhage | 600 | ||
Neurosensory Disturbance | 601 | ||
The Unfavorable Split of Sagittal Ramus Osteotomies | 602 | ||
Oro–Antral Communication | 604 | ||
Postoperatve complications | 605 | ||
Infection | 605 | ||
Vascular Compromise | 605 | ||
Endodontic Therapy | 606 | ||
Nasal Abnormalities | 607 | ||
Malocclusion | 607 | ||
Temporomandibular Joint Dysfunction | 608 | ||
Fixation Failure | 608 | ||
Summary | 609 | ||
References | 609 | ||
Orthognathic Surgery in the Office Setting | 611 | ||
Key points | 611 | ||
Health care landscape | 611 | ||
Insurance | 611 | ||
Hospitalization charges | 613 | ||
Outpatient surgery | 614 | ||
Office operating suite | 614 | ||
Costs | 615 | ||
Anesthesia | 615 | ||
Recovery | 618 | ||
Autonomy | 619 | ||
Summary | 620 | ||
References | 620 | ||
Index | 621 |