Illustrated Manual of Orthognathic Surgery : Osteotomies of the Mandible

• Record Nr.: UNINA9910847078403321
• Autore: Kessler Peter
• Pubbl/distr/stampa: Cham : , : Springer International Publishing AG, , 2024; ©2024
• ISBN: 3-031-06978-1
• Edizione: [1st ed.]
• Descrizione fisica: 1 online resource (341 pages)
• Altri autori (Persone): HardtNicolas; YamauchiKensuke
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Nota di contenuto: Intro -- Preface -- Contents -- Part I: Introduction to Orthognathic Surgery in the Mandible -- 1: Evolution of the Surgical Standard Techniques -- 1 Inverted L Osteotomy and C Osteotomy -- 2 The Development of Horizontal Ramus Osteotomies to Extended Sagittal Ramus Splitting -- 3 Oblique Retromolar Osteotomy -- 4 Conclusion -- References -- Further Readings -- 2: Classification and Facial Patterns -- 1 Introduction -- 2 Skeletal Dysgnathia -- 2.1 Symmetric Dysgnathia -- 2.2 Asymmetric Dysgnathia -- 3 Dentoalveolar Dysgnathia -- 4 Surgical Classification of Dysgnathias -- 5 Asymmetric Skeletal Growth Disorders -- 6 Facial Patterns in Typical Forms of Dysgnathia -- 6.1 Mandibular Growth -- 6.2 Anterior Mandibular Rotational Growth Pattern -- 7 Conclusion -- References -- 3: Types of Osteotomies in the Mandible -- 1 Introduction -- 2 Surgical Corrections in the Lower Jaw -- 2.1 Ramus Osteotomies -- 2.2 Mandibular Body Osteotomies -- 2.3 Segmental Osteotomies -- 2.4 Chin Osteotomies -- 3 Classification of Surgical Corrections -- 4 Conclusion -- Further Reading -- 4: Definition of Standard Procedures -- 1 Bilateral Sagittal Split Osteotomy - BSSO/Osteotomies in the Mandible -- 1.1 Indications-Standard Sagittal Split Osteotomy -- 1.2 Surgical Principle-BSSO -- 1.3 Sagittal Splitting as Setback Surgery -- 1.3.1 Principle -- 1.4 Sagittal Splitting as Advancement Surgery -- 1.4.1 Principle -- 1.5 Mandibular Body Osteotomy -- 1.6 Stepwise ; Osteotomy -- 1.6.1 Principle -- 1.7 Horizontal Mandibular Distraction Osteogenesis -- 1.7.1 Indication -- 1.7.2 Principle -- 1.8 The Anterior Mandibulotomy -- 1.8.1 Indications -- 1.8.2 Technique -- 2 Segmental Alveolar Osteotomies -- 2.1 Anterior Subapical Osteotomy -- 2.1.1 Principle -- 2.2 Posterior Subapical Osteotomy -- 2.2.1 Indication -- 2.2.2 Principle.; 3 Chin Osteotomies -- 4 Principal Surgical Techniques in Chin Osteotomies -- 4.1 Horizontal Sliding Genioplasty -- 4.2 Horizontal Sliding Osteotomy -- 4.3 Oblique Osteotomy for Chin Advancement -- 4.4 Jumping Genioplasty -- 4.5 Centering Genioplasty -- 4.6 Two-Tiered or Tandem Genioplasty -- 4.7 Chin Wing Osteotomy -- 4.8 Less Common Variants and Alternatives -- 5 Conclusions -- References -- Part II: Ramus Split Osteotomies / Bilateral Sagittal Split Osteotomies (BSSO) - General Planning -- 5: The Patient -- 1 Intake -- 2 Clinical Examination and Photo Documentation -- 2.1 Examination of the Face from Top to Bottom -- 3 Dental Examination (Fig. 5.9) -- 3.1 Additional Clinical Examination -- 3.2 How to Proceed -- 3.3 Facebow -- 4 Conclusion -- Further Reading -- 6: Radiology and Basic Measurements -- 1 Radiological Imaging -- 1.1 Panoramic X-Ray -- 1.2 Lateral Cephalometric X-Ray -- 1.3 Cone-Beam Computed Tomography (CBCT) -- 1.4 Multi-Slice Computed Tomography (MSCT) -- 1.5 CT-Based Distance Measurements in the Pre-Masseteric Region (Buccal Osteotomy) -- 1.6 CT-Based Distance Measurements in the Region of the Mandibular Angle -- 2 Conclusion -- References -- 7: General Planning and Preoperative Assessment -- 1 2D Cephalometric Analysis -- 1.1 Tracing -- 1.2 Marking of Anatomical Landmarks and Planes -- 1.3 Analysis -- 1.3.1 Important Angles Used for Measuring Skeletal Relations -- 1.3.2 Important Angles Used for Measuring Dental Relations -- 2 Soft Tissue Analysis -- 2.1 Planning -- 2.1.1 Mandibular Retrognathism. -- 2.1.2 Mandibular Prognathism and Maxillary Retrognathism. -- 2.1.3 Mandibular Retrognathism and Maxillary Prognathism. -- 3 3D Imaging and 3D Planning -- 3.1 Using Virtual Surgery Planning -- 3.2 Summary of the Advantages of 3D Imaging and 3D Planning -- 4 Conclusion -- References.; 8: Preparations for the Surgical Procedure -- 1 A Short Guideline for the Patient Journey in Orthognathic Surgery -- 1.1 The First Contact-Basic Analysis -- 2 Take a Thorough Medical History and Deliver Appropriate Information -- 2.1 The Second Contact -- 2.2 The Third Contact -- 3 Specific Advice -- 3.1 The Week before Surgery -- 3.2 The Operation Day -- 3.3 Pre- and Perioperative Medication -- 4 Instructions at the End of Operation -- 5 Conclusion -- Further Reading -- 9: Osteosynthesis for Sagittal Splitting -- 1 Wire Osteosynthesis/ Intermaxillary Fixation -- 2 Rigid Internal Segment Fixation -- 2.1 Advantages of Rigid Internal Fixation (RIF) -- 2.2 Long-Term Versus Short-Term MMF -- 3 Osteosynthesis Techniques -- 4 Rigid Screw Osteosynthesis -- 4.1 Rigid Bicortical Compression Screw Osteosynthesis -- 4.1.1 Application -- 4.2 Rigid Bicortical Positioning Screw Osteosynthesis -- 4.2.1 Application -- 5 Rigid Internal Fixation: Osteosynthesis Plates -- 5.1 Rigid Monocortical Miniplate Osteosynthesis -- 5.2 Conventional Osteosynthesis Plates -- 5.3 Open Sagittal Split Osteosynthesis Plate -- 5.3.1 Application -- 5.4 Closed Sagittal Split Plates with Sliding Function -- 5.5 Monocortical Miniplate-Osteosynthesis Versus Bicortical Compression and Positioning Screw Osteosynthesis -- 6 Osteosynthesis and Segment Positioning -- 6.1 Osteosynthesis with Intersegmental Distance -- 6.2 Condylar Position after BSSO and Bicortical Screw Fixation -- 6.3 Osteosynthesis with Temporomandibular Dysfunction ; and Intersegmental Gaps -- 7 Rigid Osteosynthesis and Condylar Head Position -- 7.1 Postoperative Changes in Condylar Position -- 7.2 Rotation of the Condyle -- 7.3 Change of the Intercondylar Distance -- 8 Osteosynthesis and Trauma of the Alveolar Nerve -- 9 Osteosynthesis and Bone Healing -- 10 Removal of Osteosynthesis Material.; 11 Revascularization and Bone Healing -- 11.1 Immediately Postoperative -- 11.2 One Week Postoperative -- 11.3 Two Weeks Postoperative -- 11.4 Three Weeks Postoperative -- 11.5 Six Weeks Post-op -- 11.6 12 Weeks Postoperative -- 12 Conclusion -- References -- 10: Pre- and Peri-operative Care in Orthognathic Surgery - Anesthesiology and CMF-Surgery -- 1 Preoperative Phase -- 1.1 Anesthesiology: Preoperative Checks -- 1.2 Pre-op Medical Examination for Orthognathic Procedures -- 1.3 Orthognathic Procedures (Mandibular +/− Maxillary Osteotomies) -- 2 CMF Surgery: Preoperative Checks -- 3 Anesthesiology -- 3.1 Preoperative Medications: Have to Be Continued as a General Rule -- 3.2 Procedure in Patients with Platelet Aggregation Inhibitors -- 4 Anesthesia and CMF Surgery: Preoperative Assessment -- 4.1 Intubation Form: Decision with CMF Surgeon -- 4.1.1 Types of Endotracheal Tubes (ETT): Intubation -- 4.1.2 Intubation: Technique -- 4.1.3 Naso-tracheal Intubation: In CMF Operations -- 4.2 Intubation Problems -- 4.2.1 Difficult Airway: Definition -- 4.2.2 Estimation of ITN Difficulty -- 4.2.3 Anamnestic ITN Difficulties -- 4.3 Patients: Positioning: Determination with CMF Surgeon -- 5 Perioperative Phase: Anesthesia procedure in CMF Surgery -- 5.1 Preparation -- 5.2 Anesthesia Induction -- 5.2.1 Critical Moments: Tubs Displacement/Disconnection -- 5.3 Maintenance: ITN Anesthesia -- 5.4 Recovery: Emergence -- 5.4.1 Requirements for Anesthetic Discharge -- 5.4.2 Extubation Criteria -- 5.4.3 Measures before Extubation -- 5.4.4 Extubation -- 5.5 Documentation -- 5.5.1 Anesthesia Protocol -- 6 Perioperative Phase: Prophylactic Measures in CMF Surgery -- 6.1 Perioperative Prophylaxis with Antibiotics -- 6.1.1 Alternative Proposals -- 6.1.2 Alternative Proposals in Cases of Allergy -- 6.2 Perioperative Pain Prophylaxis.; 6.2.1 Basic Pain Therapy -- 6.2.2 Enhanced Pain Therapy -- 6.2.3 Severe Pain Therapy -- 6.3 Perioperative Prophylaxis against Swelling -- 6.4 Postoperative Nausea and Vomiting: PONV Prophylaxis -- 6.4.1 Influencing Factors -- 6.4.2 Prophylaxis: Reducing Emetogenic Influence -- 7 Conclusion -- References -- 11: Postoperative Care in Orthognathic Surgery -- 1 Postoperative Management -- 1.1 Postoperative Instructions -- 1.2 For the Later Postoperative Phase -- 1.3 Postoperative Management in the Recovery Room -- 1.3.1 Standard Basic Monitoring -- 1.3.2 Clinical Examination -- 1.3.3 Cardiovascular Function -- 1.3.4 Neuromuscular Function -- 1.3.5 Pain Level -- 1.4 Controlling the Surgical Area in Orthognathic Surgery -- 1.5 Final Clinical Assessment -- 1.5.1 Example I: CMF-Surgery [1] -- 1.5.2 Example II: Orthognathic Surgery (Adapted from [1]) -- 2 Postoperative Therapy of Postoperative Nausea and Vomiting (PONV) -- 2.1 On the Recovery -- 2.2 On the Ward -- 2.3 Postoperative Drug Thrombosis Prophylaxis -- 2.3.1 Indication -- 3 Restart of a Pre-Existing Continuous Medication -- 3.1 Cardiovascular Medication -- 3.2 Antidiabetics in Diabetes Patients -- 3.3 Corticosteroid Medication -- 3.4 Postoperative Hydration and Oral Nutritional Supplementation -- 3.5 Dietary Structure -- 4 Wound Care in Orthognathic Surgery -- 4.1 Postoperative Considerations -- 4.2 Intraoral Wound Treatment -- 4.2.1 Oral Hygiene -- 5 Conclusion -- Reference -- Part III: Bilateral Ramus Split Osteotomies (BSSO) - Surgical Principles -- 12: Principles ; of the BSSO - Clinical Aspects -- 1 Transoral Approach to the BSSO-Line of Thoughts -- 2 Conclusion -- References -- 13: Relation of Cortical Versus Cancellous Bone - The Crucial Ratio -- 1 The Mandibular Canal: A Crucial Structure of Lower Resistance.; 2 Anatomical Variants of the MC: Canal Course.