Orthognathic Surgery: General Considerations

Abstract

Orthognathic surgery is a unique endeavor in facial surgery: a patient's appearance and occlusal function can be improved significantly, impacting the patient's sense of self and well-being. Successful outcomes in modern orthognathic surgery rely on close collaboration between the surgeon and the orthodontist across all stages of treatment, from preoperative planning to finalization of occlusion. Virtual computer planning promotes a more accurate analysis of dentofacial deformity and preoperative planning. It is also an invaluable aid in providing comprehensive patient education.

In this article, the author describes the general surgical principles that underlie orthognathic surgery, highlighting the sequence of treatment, preoperative analysis of dentofacial deformity, surgical execution of the treatment plan, and possible complications.

Keywords

orthognathic surgery - dentofacial deformity - malocclusion

• References

• 1 Posnick J. Craniofacial and Maxillofacial Surgery in Children and Young Adult. Saunders; 2000
• 2 Proffitt WR, White Jr RP, Sarver DM. Contemporary Treatment of Dentofacial Deformity. 1st ed. Mosby International; 2002
• 3 Bell WH. Biologic basis for maxillary osteotomies. Am J Phys Anthropol 1973; 38 (2) 279-289
• 4 Precious DS, Splinter W, Bosco D. Induced hypotensive anesthesia for adolescent orthognathic surgery patients. J Oral Maxillofac Surg 1996; 54 (6) 680-683 , discussion 683–684
• 5 Samman N, Cheung LK, Tong AC, Tideman H. Blood loss and transfusion requirements in orthognatic surgery. J Oral Maxillofac Surg 1996; 54 (1) 21-24 , discussion 25–26
• 6 Hegtvedt AK, Ollins ML, White Jr RP, Turvey TA. Minimizing the risk of transfusions in orthognathic surgery: use of predeposited autologous blood. Int J Adult Orthodon Orthognath Surg 1987; 2 (4) 185-192
• 7 Johnson AL. Temporomandibular joint litigation: resolving issues of medical necessity and contract ambiguity. Semin Orthod 1997; 3 (2) 128-132