Optimizing Orthognathic Surgery

A comprehensive guide to interdisciplinary treatment approaches for dysgnathia correction based on considerations of both orofacial function and facial esthetics. Written by international experts with over 30 years of surgical experience, this book shares valuable insights gained through close collaboration with orthodontists, dental practitioners, prosthodontists, ENT specialists, speech therapists, and more. The integration of intraoral distraction surgery into orthognathic procedures is explored with a special focus on severe cases. The wealth of treatment strategies and solutions presented within these pages will navigate readers through the intricate pathways of managing complex craniofacial malformations.

• Step-by-step guide for documentation, diagnosis, and planning of orthognathic surgical procedures
• Comprehensive methods and techniques for dysgnathia correction
• Identifying potential dangers and limitations
• Indications for interdisciplinary treatment planning
• Effective treatment sequences and surgical planning
• Descriptions of analog and digital approaches
• Strategies for choosing between the maxilla and mandible first approaches
• Practical tips and tricks for successful outcomes
• Balancing function and esthetics in treatment strategies
• In-depth case reports highlighting complex scenarios
• Long-term results and their significance in treatment evaluation

This invaluable resource serves as an unwavering compass for the treatment of both simple and complex craniofacial malformations, guiding practitioners on their surgical journey, providing the knowledge, techniques, and insights needed to deliver exceptional patient care and achieve outstanding surgical outcomes.

Contents
Part A
Chapter

01. Guidelines for photographic documentation of dentofacial malformations
Chapter

02. Initial documentation of a dentofacial malformation
Chapter

03. Modified cephalometric analysis for prediction planning
Chapter

04. Surgical planning for dentofacial malformation
Chapter

05. Model operation
Chapter

06. Surgical planning and methodology with splint creation
Chapter

07. 3D virtual individualized treatment planning of orthognathic surgery: 10-step protocol
Chapter

08. Computer-assisted planning and splintless maxillary positioning in complex maxillomandibular surgery

Part B
Chapter

09. The surgical processing of bones ?€“ yesterday ?€“ today ?€“ tomorrow
Chapter

10. Le Fort I osteotomy
Chapter

11. Maxillary segmentation after Le Fort I osteotomy
Chapter

12. Transmaxillary septorhinoplasty
Chapter

13. Mandibular sagittal split osteotomy
Chapter

14. Transantral maxillary distraction
Chapter

15. Transverse maxillary distraction
Chapter

16. Transverse mandibular distraction
Chapter

17. Horizontal mandibular distraction
Chapter

18. Ramus distraction
Chapter

19. Chin correction (genioplasty)
Chapter

20. Chin wing osteotomy
Chapter

21. Anterior mandibular segmental distraction osteogenesis
Chapter

22. Anterior mandibular block rotation
Chapter

23. Secondary septorhinoplasty
Chapter

24. Bone harvesting from the iliac crest
Chapter

25. Autologous fat grafting (lipofilling)
Chapter

26. Nasal?€“upper lip complex
Chapter

27. Zygomatic arch augmentation and reduction
Chapter

28. Segment osteotomies
Chapter

29. Periodontally accelerated osteogenic orthodontics: a treatment case

Part C
Chapter

30. Anesthesia in dysgnathia surgery