![Orthognathic Surgery](https://img.perlego.com/book-covers/990966/9781118649947_300_450.webp)
eBook - ePub
Orthognathic Surgery
Principles, Planning and Practice
Farhad B. Naini,Daljit S. Gill
This is a test
- English
- ePUB (mobile friendly)
- Available on iOS & Android
eBook - ePub
Orthognathic Surgery
Principles, Planning and Practice
Farhad B. Naini,Daljit S. Gill
Book details
Book preview
Table of contents
Citations
About This Book
ORTHOGNATHIC SURGERY
Orthognathic Surgery: Principles, Planning and Practice is a definitive clinical guide to orthognathic surgery, from initial diagnosis and treatment planning to surgical management and postoperative care.
- Addresses the major craniofacial anomalies and complex conditions of the jaw and face that require surgery
- Edited by two highly experienced specialists, with contributions from an international team of experts
- Enhanced by case studies, note boxes and more than 2000 clinical photographs and illustrations
- Serves as an essential reference for higher trainees and practicing clinicians in cranio-maxillofacial surgery, orthodontics, plastic and reconstructive surgery and allied specialties
Frequently asked questions
How do I cancel my subscription?
Can/how do I download books?
At the moment all of our mobile-responsive ePub books are available to download via the app. Most of our PDFs are also available to download and we're working on making the final remaining ones downloadable now. Learn more here.
What is the difference between the pricing plans?
Both plans give you full access to the library and all of Perlegoâs features. The only differences are the price and subscription period: With the annual plan youâll save around 30% compared to 12 months on the monthly plan.
What is Perlego?
We are an online textbook subscription service, where you can get access to an entire online library for less than the price of a single book per month. With over 1 million books across 1000+ topics, weâve got you covered! Learn more here.
Do you support text-to-speech?
Look out for the read-aloud symbol on your next book to see if you can listen to it. The read-aloud tool reads text aloud for you, highlighting the text as it is being read. You can pause it, speed it up and slow it down. Learn more here.
Is Orthognathic Surgery an online PDF/ePUB?
Yes, you can access Orthognathic Surgery by Farhad B. Naini,Daljit S. Gill in PDF and/or ePUB format, as well as other popular books in Medicine & Orthodontics. We have over one million books available in our catalogue for you to explore.
Information
Chapter 1
Introduction: Orthognathic Surgery â A Life's Work
Hugo L. Obwegeser
- Introduction
- Historical remarks
- How did the sagittal splitting procedure come into being?
- Traunerâs inverted L-shaped osteotomy of the ramus
- My first successful sagittal splitting of the mandibular ramus
- My final technique for many years
- International reaction
- Transoral chin correction
- The mobilization of the maxilla â its history
- Operative technique for mobilization of the maxilla
- Modifications of the procedures
- New procedures
- Segmental alveolar osteotomies
- Problems of maxillary anomalies in secondary cleft deformity cases
- The Le Fort III + I osteotomy
- The correction of hypertelorism
- Recurrence
- Special instruments
- Concluding remarks
- Acknowledgements
- References
Introduction
Dr Farhad B. Naini has asked me to write an introduction to this definitive textbook on Orthognathic Surgery. I am very grateful for the honour. My intention is to compose a commentary on the development of orthognathic surgery. Firstly, however, I must express my gratitude to my teachers. It is due to them that I developed the ability to produce new ideas (Figure 1-1). I initially received general surgical training for six months in the military services and an equivalent period in a country hospital in my native town. Following this I had the privilege to train for two years with Hermann von Chiari at his Viennese Institute for Pathology and Microbiology. I then spent six years training in dentistry and maxillofacial surgery with my teacher Richard Trauner at the Maxillofacial Unit of the Dental School of the University of Graz. I spent another five months training in plastic and reconstructive surgery with Sir Harold Gillies in Basingstoke, London, and later six months with Eduard Schmid in Stuttgart. Norman Rowe and Paul Tessier were very good friends and colleagues of mine, and we learned from each other. All I know I owe to my teachers.
![Image described by the caption.](https://book-extracts.perlego.com/990966/images/c01f001-plgo-compressed.webp)
Fig. 1-1 My teachers (anticlockwise): Professor Hermann von Chiari, Chief of the Institute of Pathology and Microbiology of the University of Vienna. Professor Richard Trauner, Chief of Dentistry and Maxillofacial Surgery, University of Graz, Austria. Professor Eduard Schmid, Chief of the Klinik fĂźr Gesichtschirurgie, Marienhospital, Stuttgart. Sir Harold Gillies, International founder of Plastic and Reconstructive Surgery, Basingstoke, England. Mr Norman Rowe, Chief of Department of Oral Surgery, Basingstoke, England. Dr Paul Tessier, Chief of the Department of Plastic Surgery, Military Hospital, Paris.
Historical remarks
The wish to correct deformities of the maxillomandibular complex is an old desire. It was mainly mandibular anomalies that led to a desire for the development of corrective surgery. V.P. Blair (1907),1 F. KosteÄka (1934),2 and others developed ideas and techniques to cut the body or the ramus of the mandible for repositioning into a planned new occlusion. Their procedures did not satisfy my teacher Richard Trauner, as the results had too many problems. He suggested that we needed to develop another osteotomy that would produce broad contacting bone surfaces and as such have better prerequisites for early bony union and reduce the likelihood for relapse.
How did the sagittal splitting procedure come into being?
Due to my teacher's request it was my obligation to develop an idea for a procedure that would fulfil his intentions. As I very much disliked skin incisions in the visible regions of the face for surgery on the facial skeleton, I had to find a transoral procedure. I took a cadaveric mandible and turned it around in my hands in order to view it from every direction. By doing so I realised that the vertical splitting of the ramus would produce the ideal situation in relation to the desired goal. However, how could it be split without damaging the mandibular nerve in its canal? In order to find that out I decided to make horizontal cuts about every five millimetres in the ramus. The resultant findings proved very promising. No instrument should touch the area of the mandibular canal. It became obvious that I had to cut the lingual cortical plate of the mandible just above the entrance of the mandibular nerve into the mandible. Another cut of the lateral cortical plate had to be placed somewhere close to the angle, either above or in front of it, but towards the angle in order to correct an unpleasant angle anomaly. That would provide enough raw bone surface contact for fast bony union, independently of whether the mandible would be repositioned in a posterior or an anterior position, or even when a rotation of the mandible was necessary (Figure 1-2).
![Image described by the caption.](https://book-extracts.perlego.com/990966/images/c01f002-plgo-compressed.webp)
Fig. 1-2 Drawings of my sagittal splitting technique (from: Obwegeser, 1957).3
Trauner's inverted L-shaped osteotomy of the ramus
My chief, Richard Trauner, liked my idea. He himself had the intention to perform his idea, an inverted L-shaped osteotomy of the ramus. Trauner's technique required both a transoral and a transfacial approach. The first patient in whom we attempted to produce our ideas was an edentulous young lady, on 17 Febru...
Table of contents
- Cover
- Title Page
- Copyright
- Dedication
- Contents
- Foreword
- Preface
- Acknowledgements
- Contributors
- 1 Introduction: Orthognathic Surgery â A Life's Work
- Part I: Principles and Planning
- 2 Historical Evolution of Orthognathic Surgery
- 3 Orthognathic Surgery: Preliminary Considerations
- 4 Orthognathic Surgery: The Patient Pathway
- 5 Patient Evaluation and Clinical Diagnosis
- 6 Principles of Orthognathic Treatment Planning
- 7 Smile Aesthetics: Specific Considerations in the Orthognathic Patient
- 8 Orthodontic and Orthognathic Surgery Planning Using CBCT
- 9 Psychological Evaluation and Body Dysmorphic Disorder
- 10 Patient Information Provision
- 11 Consent and Medicolegal Considerations
- 12 Preparatory and Postoperative Orthodontics: Principles, Techniques and Mechanics
- 13 Model Surgery
- 14 Perioperative Considerations and Anaesthesia for Orthognathic Surgery
- 15 Postoperative Care, Nutritional Support and Oral Hygiene in the Orthognathic Surgical Patient
- 16 The Soft Tissue Effects of Orthognathic Surgery
- 17 Early Orthognathic Surgery: Considerations for Surgical Management
- 18 Stability of Orthognathic Surgery
- 19 Management of Select Complications in Orthognathic Surgery
- 20 Patient Satisfaction and Patient-Centred Outcome Measures in Orthognathic Surgery
- Part II: Clinical Practice and Techniques
- Section 1: Orthognathic Surgical Planning and Techniques
- 21 Introduction: Perspectives on Treatment Planning
- 22 Le Fort I Osteotomy and Maxillary Advancement
- 23 Total Maxillary Set-Back Osteotomy
- 24 Sagittal Split Osteotomy and Mandibular Advancement
- 25 Mandibular Set-Back Procedures
- 26 Surgical Correction of Vertical Maxillary Excess (VME)
- 27 Surgical Management of Vertical Maxillary Deficiency (VMD)
- 28 Surgical Correction of Skeletal Anterior Open Bite: Segmental Maxillary Surgery
- 29 Surgical Correction of Anterior Open Bite: Differential Posterior Maxillary Impaction
- 30 Surgical Treatment of Anterior Open Bite with Mandibular Osteotomies
- 31 Rotation of the Maxillomandibular Complex
- 32 Specific Considerations in the âLow Angleâ Patient
- 33 Osseous Genioplasty
- 34 Asymmetries of the Maxilla and Mandible
- 35 Temporomandibular Joint Replacement Surgery in the Orthognathic Patient
- 36 Surgically Assisted Rapid Maxillary Expansion
- 37 Mandibular Midline Osteotomy
- 38 Segmental Surgery of the Maxilla
- 39 Total Subapical Mandibular Osteotomy
- 40 Endoscopy in Maxillary and Mandibular Orthognathic Surgery
- 41 The Role of the Orthognathic Surgeon in Facial Feminization Surgery
- 42 Contemporary Approach to Surgical Timing in Orthognathic Surgery: The âSurgery Firstâ Concept
- 43 Neurosurgical Access Surgery: The Role of the Orthognathic Surgeon
- 44 Obstructive Sleep Apnoea Syndrome
- 45 Mandibular Intraoral Distraction Osteogenesis
- 46 Maxillary Intraoral Distraction Osteogenesis
- Section 2: Adjunctive Surgery
- 47 Introduction: Adjunctive Surgery
- 48 Rhinoplasty and Nasal Changes In Relation to Orthognathic Surgery
- 49 Deep Plane Facelift
- 50 Soft Tissue Resuspension
- 51 Soft Tissue Augmentation and Fat Grafting
- 52 Aesthetic Surgery of the Submental-Cervical Region
- 53 Surgical Options for Aesthetic Enhancement of the Lips and Perioral Region
- Section 3: Orthognathic Surgery in the Cleft Patient and Orthognathic Aspects of Craniofacial Surgery
- 54 Introduction: Craniofacial Surgery
- 55 Developmental Disorders of the Craniofacial Complex
- 56 Orthognathic Surgery in the Patient with Cleft Lip and Palate
- 57 Craniofacial Asymmetry: Causes and Management
- 58 High Level Maxillofacial Osteotomies
- 59 Le Fort-based Maxillofacial Vascularized Transplantation
- Section 4: Appendix
- 60 Orthognathic Surgery â One Patient's Perspective
- 61 Responding to Patients' Psychological and Social Needs Following Orthognathic Surgery
- Index
- Eula