Abstract
The last five decades have seen decisive advances in orthognathic surgery in terms of surgical techniques and outcomes in the treatment of dysgnathic maxillo-facial malocclusion and deformities. However, despite brilliant technical innovations, the basic surgical principles have remained unchanged. The most common midface osteotomy techniques currently used to correct growth-related sagittal, vertical, and transverse deviations, as in syndromal and non-syndromal maldevelopments, in various modifications, involve Le Fort osteotomies in the Le Fort I, II, and III levels of the jaws. Segmented and multi-segmented maxillae are an option for transversal and vertical corrections. In the vast majority of midface osteotomies, the Le Fort I osteotomy is used. It is a safe and versatile procedure when performed correctly. Only the Le Fort I osteotomy and its variations can be usefully applied in simultaneous bimaxillary corrections.
| Original language | English |
|---|---|
| Title of host publication | Illustrated Manual of Orthognathic Surgery: Combined Bimaxillary Osteotomies in the Facial Skeleton |
| Editors | Peter Kessler, Nicolas Hardt, Kensuke Yamauchi |
| Publisher | Springer |
| Chapter | 5 |
| Pages | 43-59 |
| Number of pages | 17 |
| ISBN (Electronic) | 9783031735929 |
| ISBN (Print) | 9783031735912 |
| DOIs | |
| Publication status | Published - 1 Jan 2025 |
Keywords
- 3D analysis
- Bilateral sagittal split osteotomy - BSSO
- Bimaxillary osteotomies
- Dysgnathia
- IVRO and inverted L osteotomy
- Le Fort osteotomy
- Malocclusion
- Maxillary/mandibular excess
- Maxillary/mandibular hypoplasia
- Orthognathic surgery
- Segment osteotomies