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The third volume of a multi-volume series considers the gain in experience and knowledge in orthognathic surgery through preoperative 3D planning and postoperative control using established and new clinical protocols in orthognathic maxillofacial surgery. Standard techniques in orthognathic oral and maxillofacial surgery are contrasted with alternatives based on years of experience and knowledge. Orthognathic oral and maxillofacial surgery has experienced a renaissance in recent years, mainly due to three-dimensional radiologic imaging, digital planning and computer-aided manufacturing techniques.
The book is deliberately structured in such a way that the clinical situation is supplemented with graphic illustrations for better understanding, which are intended to point out special situations that can in turn positively influence the surgical planning of the procedure in order to avoid undesirable results in individual cases. Volume III deals with the bimaxillary approach for the correction of facial deformities. The book will have a reduced text section but with many clinical images to show the logic of the surgical approach in a simple and clear way to the surgeon who is image-oriented. Illustrations must help where radiological images fail. The structure of the book will nevertheless be classic, as the variations of the established techniques can only be understood on the basis of historical development.
A corresponding book that combines clinical situations with pre- and postoperative radiological and clinical evaluation and graphic explanation does not exist to date. It will appeal to a broad readership of students and professionals working within Oral and Maxillofacial Surgery, Orthodontics, Plastic and Craniofacial Surgery, and Otorhinolaryngology.
Pages i-viii
Front Matter
Pages 1-1
The Development of Bimaxillary Osteotomies of the Mandible and Maxilla/Midface: Introduction
Pages 3-5
Typical Facial Deformities for Skeletal Bimaxillary Correction
Pages 7-10
Systematics of Bimaxillary Disproportions and General Indications of Bimaxillary Correction
Pages 11-37
Front Matter
Pages 39-39
Types of Osteotomies in the Maxilla and Mandible
Pages 41-42
Le Fort I Osteotomy and Variations
Pages 43-59
Le Fort II Osteotomy and Variations
Pages 61-70
Le Fort III Osteotomy and Variations
Pages 71-77
Segmented Le Fort I Osteotomies
Pages 79-87
The Bilateral Split Osteotomy in the Mandible—BSSO
Pages 89-94
IVRO and Inverted-L-Osteotomy in the Mandible
Pages 95-103
Immediate and Late Complications
Pages 105-123
Front Matter
Pages 125-125
Pages 127-134
General Planning and Preoperative Assessment in Bimaxillary Surgery
Pages 135-144
Preparations for the Surgical Procedure
Pages 145-149
Pre- and Perioperative Care in Bimaxillary Orthognathic Surgery: Anesthesiology and CMF Surgery
Pages 151-162
Postoperative Care in Orthognathic Surgery
Pages 163-168
Maxilla Versus Mandible First in Bimaxillary Osteotomies: Sequencing in Orthognathic Surgery
Pages 169-172
Front Matter
Pages 173-173
Clinical Anatomy in Bimaxillary Osteotomies
Pages 175-193
Anatomical Reference Points: Indispensable Aids
Pages 195-200
The Le Fort I Osteotomy: Stepwise Procedure
Pages 201-210
Pages 211-227
Alternative Osteotomies in the Mandible
Pages 229-236
Intraoperative Hazards and Risks
Pages 237-249
Complication Prevention and Care After Bimaxillary Osteotomies
Pages 251-261
Front Matter
Pages 263-263
A1—Mandibular Prognathism and Maxillary Retrognathism/Maxillary and Midface Hypoplasia (Class III)
Pages 265-270
A2—Mandibular Prognathism and Vertical Maxillary Excess—VME (Mostly Class III)
Pages 271-276
A3—Mandibular Prognathism and Vertical Maxillary Deficiency (Class III)
Pages 277-281
B1—Mandibular Retrognathism with Maxillary Prognathism (Class II, Division 1)
Pages 283-289
B2—Mandibular Retrognathism and Maxillary Alveolar Protrusion (Class II, Division 1/2)
Pages 291-296
B3—Mandibular Retrognathism and Deep Bite (Class II Division 2)
Pages 297-303
B4—Mandibular Retrognathism and Vertical Maxillary Deficiency (Short Face Syndrome—SFS)
Pages 305-310
B5–Vertical Maxillary Excess—VME (Long Face Syndrome)
Pages 311-321
Pages 323-329
Pages 331-335
C3—Bimaxillary Protrusion and Dental Proclination Versus Bi-Alveolar Retrusion
Pages 337-344
C4—Hemimandibular, Hemimaxillary, Hemifacial Asymmetry
Pages 345-353
Front Matter
Pages 355-355
Pages 357-359
Pages 361-366
Pages 367-372
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