Maxillary orthognathic surgery

Richard E Bauer 3rd; Mark W Ochs

doi:10.1016/j.coms.2014.08.005

Maxillary orthognathic surgery

Oral Maxillofac Surg Clin North Am. 2014 Nov;26(4):523-37. doi: 10.1016/j.coms.2014.08.005. Epub 2014 Sep 8.

Authors

Richard E Bauer 3rd¹, Mark W Ochs²

Affiliations

¹ Department of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, Eye and Ear Institute, 203 Lothrop Street, Suite 214, Pittsburgh, PA 15213, USA. Electronic address: bauerre@upmc.edu.
² Department of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, Eye and Ear Institute, 203 Lothrop Street, Suite 214, Pittsburgh, PA 15213, USA.

PMID: 25199863
DOI: 10.1016/j.coms.2014.08.005

Abstract

Maxillary surgery to correct dentofacial deformity has been practiced for almost 100 years. Significant advances have made maxillary surgery a safe and efficient means of correcting midface deformities. Anesthetic techniques, specifically hypotensive anesthesia, have allowed for safer working conditions. Landmark studies have proven manipulation and segmentalization of the maxilla is safe and allowed this surgery to become a mainstay in corrective jaw surgery. This article provides an overview of surgical techniques and considerations as they pertain to maxillary surgery for orthognathic surgery. Segmental surgery, openbite closure, vertical excess, grafting, and a technology update are discussed.

Keywords: Dentofacial deformity; LeFort; Maxilla; Orthognathic surgery; Osteotomy.

Publication types

Review

MeSH terms

Anatomic Landmarks
Humans
Malocclusion / surgery*
Maxillary Diseases / surgery*
Orthodontics, Corrective*
Orthognathic Surgical Procedures / trends*
Osteotomy, Le Fort
Palatal Expansion Technique
Patient Care Planning