Optimizing Orthognathic Surgery

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Fedder, Caroline Wangerin, Konrad
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Optimizing Orthognathic Surgery

Diagnosis, Planning, Procedures
Konrad Wangerin / Caroline Fedder (Editor)

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.



Part A

  1. Guidelines for photographic documentation of dentofacial malformations
  2. Initial documentation of a dentofacial malformation
  3. Modified cephalometric analysis for prediction planning
  4. Surgical planning for dentofacial malformation
  5. Model operation
  6. Surgical planning and methodology with splint creation
  7. 3D virtual individualized treatment planning of orthognathic surgery: 10-step protocol
  8. Computer-assisted planning and splintless maxillary positioning in complex maxillomandibular surgery

Part B

  1. The surgical processing of bones – yesterday – today – tomorrow
  2. Le Fort I osteotomy
  3. Maxillary segmentation after Le Fort I osteotomy
  4. Transmaxillary septorhinoplasty
  5. Mandibular sagittal split osteotomy
  6. Transantral maxillary distraction
  7. Transverse maxillary distraction
  8. Transverse mandibular distraction
  9. Horizontal mandibular distraction
  10. Ramus distraction
  11. Chin correction (genioplasty)
  12. Chin wing osteotomy
  13. Anterior mandibular segmental distraction osteogenesis
  14. Anterior mandibular block rotation
  15. Secondary septorhinoplasty
  16. Bone harvesting from the iliac crest
  17. Autologous fat grafting (lipofilling)
  18. Nasal–upper lip complex
  19. Zygomatic arch augmentation and reduction
  20. Segment osteotomies
  21. Periodontally accelerated osteogenic orthodontics: a treatment case

Part C

  1. Anesthesia in dysgnathia surgery


Andreas Burger / Stefan Clotten / Caroline Fedder / Sven Heinrich / Christopher-George Hepburn / Philipp Jürgens / Wolfgang Kater / Eduard Kehrberger-Crook / Winfried Kretschmer / Ramo Poturak / Alexander Schramm / Gwen R. J. Swennen / Jan Ternes / Albino Triaca / Konrad Wangerin / Dieter Weber / Frank Wilde