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

Table of Contents

1 INTRODUCTION

Orthognathic Surgery – A Life’s Work

Hugo L. Obwegeser

PART I – Principles and Planning

2 Historical Evolution of Orthognathic Surgery

Farhad B. Naini

3 Orthognathic surgery: preliminary considerations

Farhad B. Naini and Daljit S. Gill

4 Orthognathic surgery: The patient pathway

Farhad B. Naini and Daljit S. Gill

5 Patient Evaluation and Clinical Diagnosis

Farhad B. Naini and Daljit S. Gill

6 Principles of Orthognathic Treatment Planning

Farhad B. Naini and Daljit S. Gill

7 Smile Aesthetics: Specific Considerations in the Orthognathic Patient

Daljit S. Gill and Farhad B. Naini

8 Orthodontic and Orthognathic Surgery planning using CBCT

Lucia H.S. Cevidanesa, Vinicius Boena, Beatriz Paniaguab, Martin Stynerb, Tung Nguyenc

9 Psychological Evaluation and Body Dysmorphic Disorder

Katharine A. Phillips, Canice E. Crerand

10 Patient information provision 

Farhad B. Naini, Daljit S. Gill and Umberto Garagiola

11 Consent and Medicolegal Considerations

Rob Chate

12 Preparatory and Post-operative Orthodontics: Principles, Techniques and Mechanics

Farhad B. Naini and Daljit S. Gill

13 Model Surgery

Farhad B. Naini, James McInnes, Daljit S. Gill and Andrew Stewart

14 Perioperative considerations and anaesthesia for orthognathic surgery

Anne S Blyth, Jelena Devic

15 Post-operative care, nutritional support and oral hygiene in the Orthognathic Surgical patient

Richard Cobb, Kelly Wade-McBane, Mehmet Manisali

16 The Soft Tissue Effects of Orthognathic Surgery 

Daljit S. Gill, Farhad B. Naini and Maarten Koudstaal

17 Early Orthognathic Surgery: Considerations for Surgical Management

Pushkar Mehra, Larry M. Wolford

18 Stability of Orthognathic Surgery

TATE H. JACKSON,Brent A. Golden

19 Management of select complications in orthognathic surgery

David S. Precious

20 Patient satisfaction and patient-centred outcome measures in orthognathic surgery

Ceib Phillips, Caitlin Magraw

PART II – Clinical Practice and Techniques

Section 1 Orthognathic surgical planning and techniques

21 Introduction: Perspectives on treatment planning

Harvey M. Rosen

22 Le Fort I osteotomy and maxillary advancement

Helen Witherow and Farhad B. Naini

23 Total maxillary set-back osteotomy 

Joel Ferri, Romain Nicot

24 Sagittal Split Osteotomy and Mandibular Advancement

Christoph Huppa, Gavin Mack

25 MANDIBULAR SET-BACK PROCEDURES 

Manolis Heliotis, Shamique Ismail

26 Surgical Correction of Vertical Maxillary Excess (VME)

Farhad B. Naini, Helen Witherow and Daljit S. Gill

27 Surgical management of vertical maxillary deficiency 

DAVID J. DAVID

28 Surgical correction of skeletal anterior open bite: Segmental maxillary surgery

Johan P. Reyneke, Carlo Ferretti

29 Surgical Correction of Anterior Open Bite: Differential posterior maxillary impaction

Farhad B. Naini, Andrew Stewart and Daljit S. Gill

30 Surgical Treatment of Anterior Open Bite with Mandibular Osteotomies 

Dale Bloomquist, Don Joondeph

31 Rotation of the Maxillomandibular Complex

Johan P. Reyneke

32 Specific considerations in the ‘low angle’ patient

Declan Millett

33 Osseous Genioplasty 

Ali Totonchi, Sima Molavi, Bahman Guyuron

34 Asymmetries of the maxilla and mandible

Farhad B. Naini, Mehmet Manisali and Daljit S. Gill

35 Temporomandibular joint replacement surgery in the orthognathic patient

N. Shaun Matthews, Jonas Osher, Martyn T. Cobourne

36 SURGICALLY ASSISTED RAPID MAXILLARY EXPANSION

Nigel Taylor and Paul Johnson

37 Mandibular Midline Osteotomy 

Dale Bloomquist, Don Joondeph

38 Segmental surgery of the maxilla

Jocelyn M. Shand and Andrew A. Heggie

39 Total subapical mandibular osteotomy 

Jonathan Sandler, Alison Murray, Peter Doyle

40 ENDOSCOPE USE IN MAXILLARY AND MANDIBULAR ORTHOGNATHIC SURGERY Katherine P. Klein, Natalie N. Tung, Maria J. Troulis

41 The role of the orthognathic surgeon in facial feminization surgery 

Keith Altman

42 Contemporary Approach to Surgical Timing in Orthognathic Surgery: The ‘Surgery First’ Concept 

Federico Hernández-Alfaro, Raquel Guijarro-Martínez

43 Neurosurgical access surgery: The role of the Orthognathic surgeon

Helen Witherow, Daniel Archer, Simon Stapleton

44 Obstructive Sleep Apnoea Syndrome

Ashraf Messiha, Ben Gurney, Piet Haers

45 MANDIBULAR INTRAORAL DISTRACTION OSTEOGENESIS

Cesar A. Guerrero, Gisela I. Contasti, Aura Marina Rodriguez

46 MAXILLARY INTRAORAL DISTRACTION OSTEOGENESIS

Cesar A. Guerrero

Section 2 – Adjunctive surgery

47Introduction: Adjunctive Surgery

Foad Nahai

48 RHINOPLASTY AND NASAL CHANGES IN RELATION TO ORTHOGNATHIC SURGERY

Mehmet Manisali and Leila Khamashta-Ledezma

49 DEEP PLANE FACELIFT

Farhad Ardeshirpour, Craig S. Murakami, Wayne F. Larrabee

50 SOFT TISSUE RESUSPENSION 

Alistair R.M. Cobb, Jonathan A. Britto

51 SOFT TISSUE AUGMENTATION AND FAT GRAFTING 

Mehmet Manisali, Rahul Jayaram

52 Aesthetic Surgery of the Submental-Cervical Region

Tirbod Fattahi

53 Surgical Options for Aesthetic Enhancement of the Lips and Perioral Region

Joe Niamtu

Section 3 – Orthognathic surgery in the cleft patient and orthognathic aspects of craniofacial surgery

54 Introduction: Craniofacial Surgery

Jesse A. Taylor and Scott P. Bartlett

55 Developmental Disorders of the Craniofacial Complex

Martyn T. Cobourne and David P. Rice

56 Orthognathic Surgery in the Patient with Cleft Lip and Palate

Alexander C. Cash, Alistair R.M. Cobb

57 Craniofacial Asymmetry: Causes and Management

Pravin K. Patel, Ronald Jacobson, Linping Zhao

58 High level maxillofacial osteotomies

Stephen Dover

59 Le Fort-based Maxillofacial Vascularized Transplantation 

Chad R. Gordon, Harlyn K. Susarla,  Edward Swanson,  Seenu Suarla, Mehran Armand, Gerald Grant,  Leonard B. Kaban, Michael J. Yaremchuk

Section 4 - Appendix

60 Orthognathic Surgery – one patient’s perspective

Tania Murphy

61 Responding to Patients’ Psychological and Social Needs Following Orthognathic Surgery

Henrietta Spalding