Orthognathic Surgery Principles, Planning and Practice

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

Farhad B. Naini is a Consultant Orthodontist at Kingston Hospital and St George's Hospital and Medical School, London, UK. He is co-editor of Orthodontics: Principles and Practice (Wiley-Blackwell, 2011), and author of the reference text Facial Aesthetics: Concepts and Clinical Diagnosis (Wiley-Blackwell, 2011).

Daljit S. Gill is a Consultant Orthodontist at Great Ormond Street Hospital NHS Foundation Trust and UCLH Eastman Dental Hospital, London, UK. He is author of Orthodontics at a Glance (Wiley-Blackwell, 2008), co-author of Hypodontia: A Team Approach to Management (Wiley-Blackwell, 2010) and co-editor of Orthodontics: Principles and Practice (Wiley-Blackwell, 2011).

Foreword, xix

Preface, xxi

Acknowledgements, xxiii

Contributors, xxv

1 Introduction: Orthognathic Surgery – A Life’s Work, 1
Hugo L. Obwegeser

2 Historical Evolution of Orthognathic Surgery, 23
Farhad B. Naini

3 Orthognathic Surgery: Preliminary Considerations, 83
Farhad B. Naini and Daljit S. Gill

4 Orthognathic Surgery: The Patient Pathway, 109
Farhad B. Naini and Daljit S. Gill

5 Patient Evaluation and Clinical Diagnosis, 116
Farhad B. Naini and Daljit S. Gill

6 Principles of Orthognathic Treatment Planning, 170
Farhad B. Naini and Daljit S. Gill

7 Smile Aesthetics: Specific Considerations in the Orthognathic Patient, 214
Daljit S. Gill and Farhad B. Naini

8 Orthodontic and Orthognathic Surgery Planning Using CBCT, 221
Lucia H.S. Cevidanes, Vinicius Boen, Beatriz

9 Psychological Evaluation and Body Dysmorphic Disorder, 235
Katharine A. Phillips and Canice E. Crerand

10 Patient Information Provision, 245
Farhad B. Naini, Daljit S. Gill and Umberto Garagiola

11 Consent and Medicolegal Considerations, 263
Robert A.C. Chate

12 Preparatory and Postoperative Orthodontics: Principles, Techniques and Mechanics, 270
Farhad B. Naini and Daljit S. Gill

13 Model Surgery, 313
Farhad B. Naini, James McInnes, Daljit S. Gill and Andrew Stewart

14 Perioperative Considerations and Anaesthesia for Orthognathic Surgery, 325
Anne S. Blyth and Jelena Devic

15 Postoperative Care, Nutritional Support and Oral Hygiene in the Orthognathic Surgical Patient, 334
Richard Cobb, Kelly Wade-McBane, Mehmet Manisali

16 The Soft Tissue Effects of Orthognathic Surgery, 341
Daljit S. Gill, Farhad B. Naini and Maarten Koudstaal

17 Early Orthognathic Surgery: Considerations for SurgicalManagement, 347
Pushkar Mehra and Larry M. Wolford

18 Stability of Orthognathic Surgery, 361
Tate H. Jackson and Brent A. Golden

19 Management of Select Complications in Orthognathic Surgery, 373
David S. Precious

20 Patient Satisfaction and Patient-Centred OutcomeMeasures in Orthognathic Surgery, 378
Ceib Phillips and Caitlin Magraw

21 Introduction: Perspectives on Treatment Planning, 394
Harvey M. Rosen

22 Le Fort I Osteotomy and Maxillary Advancement, 397
Helen Witherow and Farhad B. Naini

23 Total Maxillary Set-Back Osteotomy, 422
Joel Ferri and Romain Nicot

27 SurgicalManagement of Vertical Maxillary Deficiency (VMD), 463
David J. David

28 Surgical Correction of Skeletal Anterior Open Bite: Segmental Maxillary Surgery, 480
Johan P. Reyneke and Carlo Ferretti

29 Surgical Correction of Anterior Open Bite: Differential Posterior Maxillary Impaction, 498
Farhad B. Naini, Andrew Stewart and Daljit S. Gill

30 Surgical Treatment of Anterior Open Bite with Mandibular Osteotomies, 521
Dale Bloomquist and Don Joondeph

31 Rotation of the Maxillomandibular Complex, 530
Johan P. Reyneke

32 Specific Considerations in the ‘Low Angle’ Patient, 555
Declan Millett

33 Osseous Genioplasty, 571
Ali Totonchi, Sima Molavi and Bahman Guyuron

34 Asymmetries of the Maxilla andMandible, 581
Farhad B. Naini, Mehmet Manisali and Daljit S. Gill

35 Temporomandibular Joint Replacement Surgery in the Orthognathic Patient, 608
N. Shaun Matthews, Jonas Osher and Martyn T. Cobourne

36 Surgically Assisted Rapid Maxillary Expansion, 620
Nigel Taylor and Paul Johnson

37 Mandibular Midline Osteotomy, 630
Dale Bloomquist and Don Joondeph

38 Segmental Surgery of the Maxilla, 635
Jocelyn M. Shand and Andrew A. Heggie

39 Total SubapicalMandibular Osteotomy, 642
Jonathan Sandler, Alison Murray and Peter Doyle

40 Endoscopy in Maxillary andMandibular Orthognathic Surgery, 647
Katherine P. Klein, Natalie N. Tung and Maria J. Troulis

41 The Role of the Orthognathic Surgeon in Facial Feminization Surgery, 654
Keith Altman

42 Contemporary Approach to Surgical Timing in Orthognathic Surgery: The ‘Surgery First’ Concept, 663
Federico Hern´andez-Alfaro and Raquel Guijarro-Mart´ýnez

43 Neurosurgical Access Surgery: The Role of the Orthognathic Surgeon, 675
Helen Witherow, Daniel Archer

44 Obstructive Sleep Apnoea Syndrome, 690
Ashraf Messiha, Ben Gurney and Piet Haers

45 Mandibular Intraoral Distraction Osteogenesis, 701
Cesar A. Guerrero, Gisela I. Contasti-Bocco and Aura Marina Rodriguez

46 Maxillary Intraoral Distraction Osteogenesis, 713
Cesar A. Guerrero

47 Introduction: Adjunctive Surgery, 722
Foad Nahai

48 Rhinoplasty and Nasal Changes In Relation to Orthognathic Surgery, 724
Mehmet Manisali and Leila Khamashta-Ledezma

49 Deep Plane Facelift, 739
Farhad Ardeshirpour, Craig S. Murakami and Wayne F. Larrabee

50 Soft Tissue Resuspension, 747
Alistair R.M. Cobb and Jonathan A. Britto

51 Soft Tissue Augmentation and Fat Grafting, 751
Mehmet Manisali and Rahul Jayaram

52 Aesthetic Surgery of the Submental-Cervical Region, 758
Tirbod Fattahi

53 Surgical Options for Aesthetic Enhancement of the Lips and Perioral Region, 763
Joe Niamtu

54 Introduction: Craniofacial Surgery, 778
Jesse A. Taylor and Scott P. Bartlett

55 Developmental Disorders of the Craniofacial Complex, 780
Martyn T. Cobourne and David P. Rice

56 Orthognathic Surgery in the Patient with Cleft Lip and Palate, 796
Alexander C. Cash and Alistair R.M. Cobb

58 High LevelMaxillofacial Osteotomies, 838
Stephen Dover

59 Le Fort-based Maxillofacial Vascularized Transplantation, 846
Chad R. Gordon, Harlyn K. Susarla, Edward Swanson, Seenu Susarla, Mehran Armand, Gerald Grant, Leonard B. Kaban and Michael J. Yaremchuk

60 Orthognathic Surgery – One Patient’s Perspective, 854
Tania Murphy

61 Responding to Patients’ Psychological and Social Needs Following Orthognathic Surgery, 857
Henrietta Spalding

Index, 867

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