BOOK
Techniques in Orthognathic Surgery, An Issue of Atlas of the Oral and Maxillofacial Surgery Clinics of North America, E-Book
(2016)
Additional Information
Book Details
Abstract
This issue of the Atlas of the Oral and Maxillofacial Surgery Clinics focuses on Orthognathic Surgery. Articles will feature The Sagittal Split Osteotomy, Genioplasty, Intraoral Vertical Ramus Osteotomy, Lefort 1 Osteotomy, Lefort 2 and 3 Osteotomy, Implications of Two Jaw Sequencing, Surgically Assisted Rapid Palatal Expansion, Simultaneous Total Joint Replacement and Orthognathic Surgery: Planning and Sequencing and Surgical Approaches, and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Techniques in Orthognathic\rSurgery\r | i | ||
| Copyright | ii | ||
| Contributors | iii | ||
| Contents | v | ||
| Preface: Techniques in Orthognathic Surgery | v | ||
| Le Fort I Osteotomy | v | ||
| Le Fort III and Le Fort II Osteotomies | v | ||
| The Bilateral Sagittal Split Mandibular Ramus Osteotomy | v | ||
| Intraoral Vertical Ramus Osteotomy Procedure and Technique | vi | ||
| Implications of Sequencing in Simultaneous Maxillary and Mandibular OrthognathicSurgery | vi | ||
| Computer-Assisted Surgical Simulation for Concomitant Temporomandibular JointCustom-Fitted Total Joint Reconstruction and Orthognathic Surgery | vi | ||
| Surgically Assisted Maxillary Expansion | vi | ||
| Genioplasty | vi | ||
| ATLAS OF THE ORAL AND MAXILLOFACIAL\rSURGERY CLINICS OF NORTH AMERICA\r | vii | ||
| FORTHCOMING ISSUES | vii | ||
| PREVIOUS ISSUES | vii | ||
| Preface:Techniques in \rOrthognathic Surgery | ix | ||
| Le Fort I Osteotomy | 1 | ||
| Introduction | 1 | ||
| Surgical technique | 1 | ||
| Preoperative planning | 1 | ||
| Complications | 13 | ||
| Summary | 13 | ||
| References | 13 | ||
| Le Fort III and Le Fort II Osteotomies | 15 | ||
| Introduction | 15 | ||
| Le Fort III osteotomy | 15 | ||
| Le Fort II osteotomy | 15 | ||
| Indications | 16 | ||
| Le Fort III osteotomy | 16 | ||
| Craniofacial dysostosis | 18 | ||
| Midface deficiency | 18 | ||
| Le Fort II osteotomy | 18 | ||
| Technique | 18 | ||
| Subcranial Le Fort III osteotomy | 19 | ||
| Modified Le Fort III osteotomy | 20 | ||
| Pyramidal Le Fort II osteotomy | 22 | ||
| Steroids and antibiotics | 24 | ||
| Postoperative care | 24 | ||
| References | 24 | ||
| The Bilateral Sagittal Split Mandibular Ramus Osteotomy | 27 | ||
| Introduction | 27 | ||
| Step 1—infiltrate the soft tissue with vasoconstrictor | 27 | ||
| Step 2—the soft tissue incision | 27 | ||
| Step 3—buccal subperiosteal dissection | 28 | ||
| Step 4—superior subperiosteal dissection | 28 | ||
| Step 5—exposure of the lingula | 28 | ||
| Step 6—medial ramus osteotomy | 28 | ||
| Step 7—sagittal osteotomy | 28 | ||
| Step 8—buccal osteotomy of the mandibular body | 29 | ||
| Step 9—drill holes for a holding wire | 29 | ||
| Alternative techniques | 29 | ||
| Step 10—drill a hole for the condylar positioner | 29 | ||
| Step 11—place reference marks | 30 | ||
| Step 12—lavage | 30 | ||
| Step 13—define the osteotomy | 30 | ||
| Step 14—splitting the mandible | 30 | ||
| First stage | 30 | ||
| Second stage | 31 | ||
| The bad split | 32 | ||
| Fracture of the buccal cortex of the mandibular body | 32 | ||
| Intraoral Vertical Ramus Osteotomy Procedure and Technique | 37 | ||
| Introduction | 37 | ||
| Surgical technique | 37 | ||
| Preoperative planning | 37 | ||
| Preparation and patient positioning | 38 | ||
| Surgical approach | 38 | ||
| Technical notes | 38 | ||
| Surgical procedure | 38 | ||
| Step 1: identification of osteotomy location | 38 | ||
| Implications of Sequencing in Simultaneous Maxillary and Mandibular Orthognathic Surgery | 45 | ||
| The case for mandibular surgery first | 45 | ||
| Segmented maxillae | 45 | ||
| Counterclockwise rotation and downgrafting of the posterior maxilla | 46 | ||
| Large maxillomandibular advancements | 47 | ||
| When correcting anterior open bites with bimaxillary surgery | 47 | ||
| Rigid fixation of maxilla versus mandible (type of bone) | 47 | ||
| Stability of Le Fort I versus BSSO | 47 | ||
| Concomitant temporomandibular joint surgery | 48 | ||
| Differences between centric relation and centric occlusion and unstable bite registrations | 50 | ||
| Planning mandibular surgery first | 51 | ||
| Potential disadvantages of performing mandibular surgery first | 52 | ||
| References | 53 | ||
| Computer-Assisted Surgical Simulation for Concomitant Temporomandibular Joint Custom-Fitted Total Joint Reconstruction and ... | 55 | ||
| Introduction | 55 | ||
| Indications for concomitant temporomandibular joint and orthognathic surgery | 55 | ||
| Concomitant temporomandibular joint total joint replacement and orthognathic surgery | 56 | ||
| Protocol for concomitant temporomandibular joint and orthognathic surgery using computer-assisted surgical simulation | 56 | ||
| Surgical sequencing for concomitant temporomandibular joint total joint replacement and orthognathic surgery | 57 | ||
| Surgical procedure | 58 | ||
| Case presentation | 62 | ||
| Fat grafts | 63 | ||
| Treatment outcomes with concomitant temporomandibular joint total joint replacement and orthognathic surgery | 63 | ||
| References | 66 | ||
| Surgically Assisted Maxillary Expansion | 67 | ||
| Introduction: nature of the problem | 67 | ||
| Surgical technique | 67 | ||
| Preoperative planning | 67 | ||
| Clinical evaluation | 68 | ||
| Radiographic evaluation | 68 | ||
| Treatment of transverse maxillomandibular discrepancy | 68 | ||
| Preparation and patient positioning | 68 | ||
| Surgical approach | 70 | ||
| Surgical caveats | 70 | ||
| Postoperative care, rehabilitation, and recovery | 70 | ||
| Potential complications | 71 | ||
| Other caveats (modification of the surgically assisted maxillary expansion procedure) | 72 | ||
| Surgically assisted maxillary expansion versus segmental maxillary osteotomy and clinical results in the literature | 74 | ||
| Summary and suggestions regarding the correction of transverse discrepancies in adult patients | 75 | ||
| Further readings | 77 | ||
| Genioplasty | 79 | ||
| Introduction | 79 | ||
| Surgical technique | 79 | ||
| Infiltration with vasoconstrictor | 79 | ||
| Mucosal incision | 79 | ||
| Muscular incision | 79 | ||
| Periosteal stripping | 79 | ||
| Placement reference marks | 80 | ||
| Performing the horizontal osteotomy | 80 | ||
| Correction of anteroposterior chin deformities | 80 | ||
| Correction of the vertical dimension of the chin | 80 | ||
| Correction of the transverse dimensions of the chin | 81 | ||
| Correction of chin asymmetry | 82 | ||
| Options of fixation | 83 | ||
| Reassessment of the esthetic result | 84 | ||
| Closure of the wound | 84 | ||
| Placement of a pressure bandage | 85 | ||
| References | 85 |