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Orthognathic Surgery - 2 Volume Set
Principles and Practice
- 2nd Edition - April 1, 2022
- Author: Jeffrey C. Posnick
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 9 1 8 2 - 3
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 9 1 8 3 - 0
**Selected for Doody’s Core Titles® 2024 in Oral & Maxillofacial Surgery**Find the latest thinking on the evaluation and treatment of dentofacial deformities! Princip… Read more
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Find the latest thinking on the evaluation and treatment of dentofacial deformities! Principles and Practice of Orthognathic Surgery, 2nd Edition covers the concepts and skills required to diagnose and correct dentofacial deformities. Featuring thousands of images, this guide addresses planning, surgical techniques, surgical complications, classic growth patterns, and presentations of dentofacial deformity including common malformations, cleft jaw, and post-traumatic deformities, as well as aesthetic considerations. Case studies and step-by-step videos help you apply concepts and achieve real-life solutions. Written by Jeffrey C. Posnick, a noted expert in facial plastic surgery, this valuable reference will take your orthognathic skills to the next level. An enhanced eBook version included with every new print purchase provides access to a complete, fully searchable version of the text, along with videos of procedures, and much more — available on a variety of devices.
- More than 8,000 photos and illustrations boost your understanding of key points and surgical techniques.
- Logically organized material aids your thinking prior to developing treatment plans and executing surgery.
- Current surgical protocols for Oral and Maxillofacial Surgeons and Orthodontics put you at the forefront of the orthognathic surgery field.
Oral and Maxillofacial Surgeons (approx..4830 in the US (bls.gov), Clinical Orthodontists (5350 in the US (bls.gov), Pediatric Dentists (AAPD reports there are 6,591 active in the US), Plastic Surgeons, Craniofacial Surgeons, Residents
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Foreword to the Second Edition
- Foreword to the First Edition
- Preface
- Preface to the First Edition
- Section 1. Basic Principles and Concepts
- 1. Perspectives on the Face
- What Constitutes a Face?
- Facial Perspectives and Stages in the Life Cycle
- Evolutionary Considerations
- Craniofacial Growth and Development
- Dysmorphic Faces
- The Outer Limits in Facial Reconstructive Surgery
- Making Blind People See Again
- Prosopagnosia
- The New Psychiatric Genetics
- Artistic Perspective of The Face
- 2. Pioneers and Milestones in the Field of Orthodontics and Orthognathic Surgery
- A few thoughts to the young surgeon
- Pioneers in the Field of Orthodontics
- Early Pioneers in the Field of Orthognathic Surgery
- Hugo L. Obwegeser: Development of the Standard Orthognathic Procedures
- William H. Bell: Experimental Studies to Confirm the Biologic Basis of the Standard Orthognathic Procedures
- Hans G. Luhr: Development of Plate and Screw Fixation for Craniomaxillofacial Surgery
- Paul Louis Tessier: Development of Craniofacial Surgery101,217–219
- Conclusions
- 3. Prevalence of Dentofacial Deformities, a Biologic Classification System, and Frequency of Orthognathic Surgery
- Prevalence of Developmental Dentofacial Deformities with Malocclusion
- Common Patterns of Developmental Dentofacial Deformities: A Biologic Classification System
- Frequency of Orthognathic Surgery for the Correction of Dentofacial Deformities in the United States
- Practice Patterns for the Correction of Dentofacial Deformities in the United States: the First Quarter of the 21st Century
- Conclusions
- 4. Hereditary, Developmental andEnvironmental Influences in the Formation of Dentofacial Deformities
- Embryologic Development of the Head and Neck
- Evolution of the Human Craniofacial Skeleton and Implications for Treatment of Dentofacial Deformities
- Syndromes and Anomalies with Dentofacial Deformities
- Developmental Dentofacial Deformities with Hereditary Tendencies
- Environmental and Neuromotor Effects on Skeletal Growth
- Effects of Trauma on Skeletal Growth
- Effects of Tumors/Growths on Skeletal Growth
- Conclusions
- 5. Orthodontic Considerations in the Evaluation and Treatment of Dentofacial Deformities
- Orthodontic Treatment Philosophy
- The Biologic Basis for Orthodontic Tooth Movement
- Periodontal Ligament Structure and Function
- Response of the Teeth and Periodontium to Normal Occlusal Function
- Orthodontic Tooth Movement
- Negative Sequelae of Orthodontic Forces
- Mechanical Techniques Used in Orthodontic Force Control
- Fixed Appliances Used in Orthodontic Treatment
- Removable Appliances Used in Orthodontic Treatment
- Regional Accelerated Phenomenon (RAP) in Orthodontics
- Temporary Skeletal Anchorage in Orthodontics
- Use of Self-Ligating Appliances for the Purpose of Dental Arch Expansion
- Sequencing of Orthodontics in Conjunction with Orthognathic Surgery
- Guiding Orthodontic Principles in the Comprehensive Correction of Dentofacial Deformities228
- Orthodontic Trends in the Treatment of Dentofacial Deformities
- Conclusions
- 6. Periodontal Considerations in the Evaluation and Treatment of Dentofacial Deformities
- Teeth
- The Tissues of the Periodontium
- Current Classification for Periodontal Disease and Associated Conditions
- The Etiology of Periodontal Disease
- Assessing the Individual’s Biologic-Anatomic Risk Factors (“Phenotype”)
- Effects of Orthodontic “Camouflage” Maneuvers on Periodontal Health
- Periodontal Therapeutics
- Aging and the Periodontium
- Adult Orthodontic Treatment
- Conclusions
- 7. Psychosocial Considerations in the Evaluation and Treatment of Dentofacial Deformities
- Psychosocial Aspects to Consider Before Surgery
- Body Dysmorphic Disorder
- Psychological Functioning in the Individual with a Facial Deformity
- Patient and Family Decision for or Against the Correction of a Dentofacial Deformity
- Patient and Family Education for Successful Convalescence After Orthognathic Surgery
- Patient-Centered Assessment of Orthodontic and Surgical Outcomes
- Controversies Surrounding “Successful” Orthognathic Surgery Outcomes
- Conclusions
- 8. Speech, Mastication, and Swallowing Considerations in the Treatment of Dentofacial Deformities
- The Neuromuscular Masticatory System in Humans
- Mastication Mechanism in Humans
- Swallowing Mechanism in Humans
- Orthodontics and Orthognathic Surgery: Effects on Chewing Force and Swallowing
- Human Speech: Mechanism, Formation, and Assessment
- Jaw Deformities with Malocclusion: Effects on Speech
- Orthodontics and Orthognathic Surgery: Effects on Speech
- Effects of Le Fort I Advancement on Velopharyngeal Function
- Conclusions
- 9. Temporomandibular Disorders: Effects of Occlusion, Orthodontic Treatment, and Orthognathic Surgery
- Incidence of Temporomandibular Disorders in The General Population
- Mandibular Range of Motion: What Do We Know?
- Review of Occlusal Factors and Association with TMDs
- Occlusal Conditions More Frequently Associated with TMDs
- Orthodontic Treatment and Its Effects on TMDs
- Jaw Deformities, Orthognathic Surgery, and TMDs
- Okeson’s Thinking About TMDs and the Effects of Occlusion
- The Role of Surgery for Condyle-Disc Derangement Disorders
- The Role of Prosthetic TM Joint Replacement
- Conclusions
- 10. Nasal Airway Considerationsin the Evaluation and Treatment of Dentofacial Deformities
- Frequent Causes of Chronic Obstructive Nasal Breathing
- The Effects of Respiratory Pattern and Jaw Posture on Maxillofacial Growth
- Simultaneous Management of Chronic Obstructed Nasal Breathing and the Presenting Dentofacial Deformity
- Approaching The Nasal Airway Through Le Fort I Down-Fracture Videos 1 And 2Video 1Video 2
- Management of Residual Postoperative Nasal Obstruction
- Nasal Floor Recontouring: Effects on the Nasal Airway Videos 3 and 4Video 3Video 4
- Maxillary Arch Expansion: Effects on the Nasal Airway
- Comprehensive Approach to Chronic Obstructive Nasal Breathing
- Conclusions
- 11. Anesthesia Techniques, Blood Loss/Fluid Replacement, Airway Management and Convalescence in the Treatment of Dentofacial Deformities
- Deliberate Hypotensive Anesthesia Use in Surgery
- Deliberate Hypotensive Anesthesia Use in Orthognathic Surgery
- Hemorrhage Depressor Use in Surgery
- Perioperative Systemic Corticosteroid Use in Orthognathic Surgery
- The Need for Blood Transfusion in Orthognathic Surgery
- Perioperative Airway Management in The Patient with a Dentofacial Deformity
- In-Hospital Convalescence After Orthognathic Surgery
- Outpatient Convalescence and Care After Orthognathic Surgery
- Patient Education Materials
- Section 2. Planning, Surgical Technique, and Complications
- 12. Orthognathic Surgery Treatment Planning
- Part I: The Importance of Proportions and Symmetry for Optimal Facial Aesthetics
- Part II: Immediate Preoperative Evaluation and Planning for the Dentofacial Deformity Patient
- 13. Model Surgical Planning for Bimaxillary Orthognathic Surgery
- Part I: “Maxillary-First” Sequencing for Bimaxillary Orthognathic Surgery
- Part II: “Mandible-First” Sequencing For Bimaxillary Orthognathic Surgery
- 14. Virtual Surgical Planning for Bimaxillary Orthognathic Surgery
- Data Acquisition for Virtual Surgical Planning
- Facial Skeleton Orientation for Virtual Surgical Planning and Confirmation of Clinical Measurements
- Registration (Alignment and Merging) of Occlusion and Computed Tomography Scan Data for Virtual Surgical Planning
- Completion of Maxillary Surgical Movements and Capture of the Intermediate Occlusion Data
- Transfer of the Surgical Plan to the Patient at Operation
- Data Sheet Generation for Clinical Use
- CAD/CAM Osteotomy Guides and Custom-Designed (Patient-Specific) Titanium Plates for Bimaxillary Orthognathic Surgery
- Conclusions
- 15. Sequencing of Bimaxillary Orthognathic Surgery: Step-by-Step Approach
- Description and Sequencing of “Maxillary-First” Bimaxillary Orthognathic and Other Frequent Simultaneous Procedures: Step-By-Step Approach
- Conclusions
- 16. Complications Associated with Orthognathic Surgery
- Medical Risk Factors
- Wound Healing Risk Factors
- Perioperative Airway and Anesthesia Risk Factors
- Cervical Spine Risk Factors
- Psychosocial Health and Orthognathic Surgery
- Comprehensive Dental Rehabilitation Needs
- Functional Assessment of Head and Neck Structures
- Operating Room Team Preparation for Orthognathic Surgery
- Temporomandibular Disorders Associated with Orthognathic Surgery
- Management of Third Molars in Association with Orthognathic Surgery
- Management of Fixation Hardware after Orthognathic Surgery
- Use of Resorbable Fixation in Orthognathic Surgery
- Infection Associated with Orthognathic Surgery
- Foreign Bodies Lost in the Wound During Orthognathic Surgery
- Complications Specific to Sagittal (Split) Ramus Osteotomies of the Mandible
- Risks and Complications Specific to Le Fort I Osteotomy
- Risks and Complications Specific to Oblique Osteotomy of the Chin (see Chapter 37)
- Managing Cognitive Bias After an Operative Complication
- Conclusions
- Patient Education Materials
- 17. Malocclusion after Orthodontics and Orthognathic Surgery: Prevention and Treatment Pitfalls
- Sagittal (Split) Ramus Osteotomies of the Mandible: Malocclusion Early After Surgery (0–5 Weeks)
- Sagittal (Split) Ramus Osteotomies of the Mandible: Malocclusion at Intermediate Stage After Surgery (6–12 Months)
- Le Fort I Osteotomy: Malocclusion Early After Surgery (0–5 Weeks)
- Le Fort I Osteotomy: Malocclusion at Intermediate Stage After Surgery (6–12 Months)
- Orthodontist Treatment Pitfalls: Dental Stability and Relapse
- Correction of Primary Mandibular Deficiency Growth Patterns: Dental Relapse Tendencies
- Correction of Primary Maxillary Deficiency Growth Patterns: Dental Relapse Tendencies
- Correction of Long Face Growth Patterns: Dental Relapse Tendencies
- Management of Transverse Maxillary Deficiency
- Redo Orthognathic Surgery: Indications and Results
- Conclusions
- 18. Grafts Frequently Used During Orthognathic Surgery and for Adjunctive Procedures
- Bone Grafts: Definitions and Options for Reconstruction
- Grafts Used to Fill Interpositional Defects (Gaps) of the Maxilla, Mandible, and Chin
- Grafts Used to Reconstruct Condyle–Ramus Defects
- Cartilage Grafts Used for Nasal Reconstruction
- Alloplastic Grafts and Implants Used to Augment the Facial Skeleton
- Conclusions
- Section 3. Classic Patterns and Presentations of Dentofacial Deformity
- 19. Primary Mandibular Deficiency Growth Patterns
- Defining Characteristics of Primary Mandibular Deficiency Growth Patterns
- Comprehensive Evaluation and Diagnosis in Primary Mandibular Deficiency
- Upper Airway Space Prior to and After Orthognathic Surgery in Primary Mandibular Deficiency
- Effects of Mandibular Length on “Natural” Head Position
- Temporomandibular Disorders in Primary Mandibular Deficiency
- Treatment of Primary Mandibular Deficiency Growth Patterns
- Orthodontic Considerations in the Adolescent with Primary Mandibular Deficiency
- Immediate Pre-Orthognathic Surgery Reassessment
- Basic Orthognathic Surgical Approach
- Clinical Care After Initial Surgical Healing
- Recurrent Malocclusion After Orthognathic Surgery in Primary Mandibular Deficiency
- Assessing Orthognathic Outcomes in Primary Mandibular Deficiency
- Conclusions
- 20. Primary Maxillary Deficiency Growth Patterns
- Defining Characteristics of Primary Maxillary Deficiency Growth Patterns
- Comprehensive Evaluation and Diagnosis in PMD
- Temporomandibular Disorders in PMD
- The Upper Airway Space in PMD
- Treatment of PMD
- Orthodontic Considerations in the Adolescent with PMD
- Immediate Pre-Orthognathic Surgery Reassessment
- Basic Orthognathic Surgical Approach
- Clinical Care after Initial Surgical Healing
- Recurrent Malocclusion after Orthodontics and Orthognathic Surgery
- Assessing Orthognathic Surgery Outcomes in Primary Maxillary Deficiency
- Conclusions
- 21. Long Face Growth Patterns
- Defining Characteristics of Long Face Growth Patterns
- Comprehensive Evaluation and Diagnosis in Long Face
- Etiology of Long Face Jaw Growth Patterns
- Temporomandibular Disorders in Long Face Growth Patterns
- Treatment of Long Face Jaw Growth Patterns
- Orthodontic Considerations in the Adolescent With Long Face
- Immediate Pre-Orthognathic Surgery Reassessment
- Basic Orthognathic Surgical Approach
- Clinical Care after Initial Surgical Healing
- Controversies and Avoiding Treatment Pitfalls
- Assessing Orthognathic Outcomes in Long Face
- Conclusions
- 22. Asymmetric Mandibular Excess Growth Patterns
- Assessing Cessation of Mandibular Growth in the Adolescent
- Hemimandibular Hyperplasia: Type I Condylar Hyperactivity
- Hemimandibular Elongation: Type II Condylar Hyperactivity
- Immediate Pre-orthognathic Surgery Reassessment
- Clinical Care After Initial Surgical Healing
- Avoiding Treatment Pitfalls
- Assessing Orthognathic Outcomes in HME
- Basic Guidelines in the Evaluation and Treatment of Asymmetric Mandibular Excess Growth Anomalies
- Conclusions
- 23. Short Face Growth Patterns
- Defining Characteristics of Short Face Growth Patterns
- Comprehensive Patient Evaluation and Diagnosis in Short Face
- Treatment of Short Face Jaw Growth Patterns
- Orthodontic Considerations in the Adolescent with Short Face
- Immediate Pre-Orthognathic Surgery Reassessment
- Basic Orthognathic Surgical Approach
- Clinical Care after Initial Surgical Healing
- Controversies and Avoiding Surgical Pitfalls
- Assessing Orthognathic Outcomes in Short Face
- Conclusions
- 24. Bimaxillary Dental Protrusive Growth Patterns with Dentofacial Deformity
- Defining Characteristics of Bimaxillary Protrusion Associated with Dentofacial Deformity
- Comprehensive Evaluation and Diagnosis of Bimaxillary Dental Protrusion Associated with Dentofacial Deformity
- Treatment of Bimaxillary Dental Protrusive Jaw Growth Patterns
- Orthognathic Versus Dentoalveolar (Segmental) Surgical Approach for Correction of Bimaxillary Dental Protrusion
- Immediate Pre-Orthognathic Surgery Reassessment
- Clinical Care After Initial Surgical Healing
- Avoiding Treatment Pitfalls
- Conclusions
- 25. Dentofacial Deformities in Adults: Reconstruction and Rejuvenation
- Special Medical Considerations in the Adult Undergoing Orthognathic Surgery
- Comprehensive Assessment of Head and Neck Dysfunctions in the Adult with an Uncorrected Dentofacial Deformity
- Temporomandibular Disorders in Adults with an Uncorrected Dentofacial Deformity
- Special Wound Healing Risk Factors in the Adult Undergoing Orthognathic Surgery
- Comprehensive Dental Assessment and Rehabilitation in the Adult Dentofacial Deformity Patient
- Orthodontic Treatment Considerations in the Adult Dentofacial Deformity Patient
- Previous Suboptimal Facial Surgery in the Adult Dentofacial Deformity Patient
- Facial Aging and Rejuvenation in the Dentofacial Deformity Patient
- Recovery for the Adult After Orthognathic Surgery
- Conclusions
- 26. Obstructive Sleep Apnea: Evaluation and Treatment
- Rationale for Treatment of Obstructive Sleep Apnea
- Diagnosis, Characterization, and Assessment of Obstructive Sleep Apnea Severity
- Obstructive Sleep Apnea During Childhood: Diagnosis and Management
- Perioperative Airway (Anesthesia) Management in the Individual with Obstructive Sleep Apnea
- Spectrum of Treatment for Obstructive Sleep Apnea
- Maxillomandibular-Chin Advancement Surgery for Obstructive Sleep Apnea
- Conclusions
- Section 4. Frequently Seen Malformations with Dentofacial Deformity
- 27. Treacher Collins Syndrome: Evaluation and Treatment
- Inheritance, Genetic Markers, and Testing
- Considerations During Infancy and into Early Childhood
- Upper Airway Obstruction and Treatment in Treacher Collins Syndrome
- Congenital Cleft Palate in Treacher Collins Syndrome
- Hearing Loss in Treacher Collins Syndrome
- Visual Disturbances in Treacher Collins Syndrome
- Craniofacial Dysmorphology in Treacher Collins Syndrome
- Cranio-orbito-zygomatic Region
- Maxillomandibular Region
- Facial Soft Tissues
- External Auditory Canal and the Middle and Inner Ear Structures
- Facial Growth Potential in the Child with Treacher Collins Syndrome
- Classification of TMJ–Mandibular Malformations in Treacher Collins Syndrome
- Definitive Skeletal Reconstruction in Treacher Collins Syndrome
- Indications For Mixed Dentition Mandibular Reconstruction
- Nasal Reconstruction in TCS
- Facial Soft-Tissue Reconstruction in Treacher Collins Syndrome
- External Ear Reconstruction in TCS
- External Auditory Canal And Middle-Ear Reconstruction in Treacher Collins Syndrome
- Bone-Anchored Hearing Aids in TCS
- Conclusions
- 28. Hemifacial Microsomia: Evaluation and Treatment
- Inheritance Pattern for Hemifacial Microsomia
- Classification System for Hemifacial Microsomia
- Considerations During Infancy and Into Early Childhood in HFM
- Dysmorphology Associated with Hemifacial Microsomia
- Classification of Temporomandibular Joint–Mandibular Malformation in Hemifacial Microsomia
- Facial Growth Potential for the Child with Hemifacial Microsomia
- Definitive Skeletal Reconstruction in Hemifacial Microsomia
- Indications for Mixed Dentition Mandibular Reconstruction
- Facial Soft-Tissue Reconstruction Hemifacial Microsomia
- External Ear Reconstruction in Hemifacial Microsomia
- External Auditory Canal and Middle-Ear Reconstruction in Hemifacial Microsomia
- Bone-Anchored Hearing Aids in HFM
- Conclusions
- 29. Binder Syndrome: Evaluation and Treatment
- Approach to Reconstruction of Binder Syndrome
- Orthognathic Reconstruction in Binder Syndrome
- Controversies and Unresolved Issues in Binder Syndrome
- Conclusions
- 30. Syndromes with Craniosynostosis: Evaluation and Treatment
- General Considerations
- Mutations in Craniosynostosis and Craniosynostosis Syndromes
- Complex Craniosynostosis
- Neurologic Aspects of Craniosynostosis
- Effects of Midface Deficiency on the Upper Airway in Craniosynostosis Syndromes
- Morphologic Considerations in the Craniosynostosis Syndromes
- Surgical Approach to Reconstruction in Craniosynostosis Syndromes
- Upper and Midfacial Deformities in Children and Young Adults with Craniosynostosis Syndromes
- Monobloc and Facial Bipartition Osteotomies: Step-by-Step Approach of the Surgical Technique
- Staging of Reconstruction in Crouzon Syndrome
- Crouzon Syndrome: Surgical Results
- Staging of Reconstruction in Apert Syndrome
- Apert Syndrome: Surgical Results
- Conclusions
- 31. Selected Complex Malformations that Frequently Require Maxillofacial Reconstruction: Evaluation and Treatment
- Klippel–Feil Anomaly
- Down Syndrome (Trisomy 21 Syndrome)
- Neurofibromatosis
- Hemihyperplasia of the Face
- Vascular Malformations
- Velocardiofacial Syndrome
- Conclusions
- Section 5. Cleft Jaw Deformities
- 32. Cleft–Orthognathic Surgery: The Unilateral Cleft Lip and Palate Deformity
- Primary Cleft Palate Repair in Infancy
- Effects of Unrepaired Cleft Palate on Midface Growth
- Facial Growth Implications of Cleft Palate Repair in Infancy
- Bone Grafting the Unilateral Cleft Lip and Palate Skeletal Defect in the Mixed Dentition
- Does Maxillary Deficiency in the Mixed Dentition Predict Need for Orthognathic Surgery?
- Multidisciplinary Team Approach to Cleft Care
- Cleft–Orthognathic Surgery in Unilateral Cleft Lip and Palate
- Residual Deformities in the Adolescent with Unilateral Cleft Lip and Palate
- Orthodontic Considerations in the Adolescent with Unilateral Cleft Lip and Palate
- Immediate Pre-Orthognathic Surgery Reassessment
- Orthognathic Surgery for the Correction of Unilateral Cleft Lip and Palate Jaw Deformities
- Avoiding Surgical Pitfalls
- Clinical Care after Initial Orthognathic Surgical Healing
- Assessing Unilateral Cleft Lip and Palate Orthognathic Surgical Outcomes
- Controversies and Unresolved Issues
- Guiding Principles for the Management of Nasomaxillary Deformities in UCLP Adolescents
- Conclusions
- 33. Cleft–Orthognathic Surgery: The Bilateral Cleft Lip and Palate Deformity
- Primary Cleft Palate Repair in Infancy
- Facial Growth Implications of Cleft Palate Repair in Infancy
- Bone Grafting the Bilateral Cleft Lip and Palate Skeletal Defect in the Mixed Dentition
- Multidisciplinary Team Approach to Cleft Care
- Cleft Orthognathic Surgery in Bilateral Cleft Lip and Palate
- Residual Deformities in the Adolescent with Bilateral Cleft Lip and Palate
- Orthodontic Considerations in the Adolescent with Bilateral Cleft Lip and Palate
- Immediate Pre-Orthognathic Surgery Reassessment
- Orthognathic Techniques for Correction of Bilateral Cleft Lip and Palate Jaw Deformities
- Avoiding Surgical Pitfalls
- Clinical Care after Initial Orthognathic Surgical Healing
- Assessing Bilateral Cleft Lip and Palate Orthognathic Surgical Outcomes
- Controversies and Unresolved Issues
- Guiding Principles for the Management of Nasomaxillary Deformities in BCLP Adolescents
- Conclusions
- 34. Cleft–Orthognathic Surgery: The Isolated Cleft Palate Deformity
- Facial Growth Implications after Isolated Cleft Palate Repair in Infancy
- Multidisciplinary Approach to Cleft Care
- Cleft–Orthognathic Surgery in Isolated Cleft Palate
- Residual Deformities in the Adolescent Born with Isolated Cleft Palate
- Orthodontic Considerations in the Adolescent Born with Isolated Cleft Palate
- Immediate Pre-Orthognathic Surgery Reassessment
- Orthognathic Approach for Correction of Isolated Cleft Palate Jaw Deformities
- Clinical Care after Initial Orthognathic Surgical Healing
- Orthognathic Surgery for Isolated Cleft Palate: Review of Study
- Controversies and Unresolved Issues
- Conclusions
- Section 6. Posttraumatic, Hormonal, and Autoimmune Dentofacial Deformities
- 35. Management of Secondary Deformities after Maxillofacial Trauma
- Posttraumatic Temporomandibular Joint Ankylosis
- Posttraumatic Deviated Nose
- Posttraumatic Saddle-Nose Deformity
- Posttraumatic Dentofacial Deformities
- Posttraumatic Segmental Dentoalveolar Defects
- Conclusions
- 36. Juvenile Idiopathic Arthritis and Idiopathic Condylar Resorption: Evaluation and Treatment
- Juvenile Idiopathic Arthritis
- Idiopathic Condylar Resorption
- Section 7. Frequent Aesthetic Considerations in the Dentofacial Deformity Patient
- 37. Aesthetic Alteration of the Chin: Evaluation and Surgery
- Anatomy of the Chin
- Aesthetics of the Chin
- Biologic Foundation of Osseous Genioplasty
- Frequent Patterns of Chin Deformity
- Osseous Genioplasty: Surgical Technique ( Videos 11 and 12Video 11Video 12)
- Osseous Genioplasty in Conjunction with Bimaxillary Orthognathic Surgery
- Achieving Favorable Chin Aesthetics
- Avoiding Pitfalls Associated with Chin Surgery
- Complications and Unfavorable Results
- Alloplastic Chin Augmentation
- Conclusions
- Patient Education Materials
- 38. Aesthetic Alteration of the Nose: Evaluation and Surgery
- Nasal Surface Anatomy
- Classic Rhinoplasty Maneuvers
- Jaw Versus Nasal Disproportions: Perceptions of Facial Aesthetics
- The Nasal Airway: Anatomy and Physiology
- Anatomic Locations and Causes of Nasal Obstruction
- Surgical Evaluation of the Nasal Airway
- Surgical Approach to Open the Nasal Airway
- Surgery to Improve Nasal Breathing: Outcome Assessment
- Initial Rhinoplasty Consultation
- Definitive Rhinoplasty Planning
- Open Versus Closed Approach to the Nose
- Complications Associated with Rhinoplasty
- Primary Septorhinoplasty: Step-by-Step Approach (Fig. 38-7 through Fig. 38-11)
- Cleft Newborn Nasal Deformities and Primary Nasal Reconstruction
- Residual Cleft Nasal Deformities in Adolescence and Definitive Nasal Reconstruction
- Congenital and Posttraumatic Saddle-Nose Deformities
- Cocaine-Related, Autoimmune, and Iatrogenic Saddle-Nose Deformities
- Conclusions
- Patient Education Materials
- 39. Aesthetic Alteration of Prominent Ears: Evaluation and Surgery
- Historic Perspective
- Embryology and Anatomy of the External Ear
- Timing of External Ear Surgery
- Aesthetic Objectives of Otoplasty
- Guiding Surgical Principles for Otoplasty
- Surgical Technique for External Ear Setback (Fig. 39-3 through Fig. 39-9)
- Otoplasty for Prominent Ears: Step-by-Step Approach
- Assessment of Otoplasty Results
- Complications and Suboptimal Aesthetic Results of Otoplasty Surgery
- Non-Surgical Correction of Prominent Ears in the Newborn
- Conclusions
- Patient Education Materials
- 40. Aesthetic Alteration of the Soft Tissues of the Neck and Lower Face: Evaluation and Surgery
- Aging of the Facial Soft-Tissue Envelope
- Approach to Rejuvenation Surgery of the Neck and Lower Face
- Facial Rejuvenation: Avoiding Treatment Pitfalls
- Conclusions
- Patient Education Materials
- Index
- No. of pages: 2312
- Language: English
- Edition: 2
- Published: April 1, 2022
- Imprint: Elsevier
- Hardback ISBN: 9780323791823
- eBook ISBN: 9780323791830
JP
Jeffrey C. Posnick
Dr. Posnick has lectured around the world and authored more than 400 medical journal publications and book chapters. His earlier two volume textbook, published by W.B. Saunders, Craniofacial and Maxillofacial Surgery in Children and Young Adults, is considered an authoritative benchmark reference. His current comprehensive two volume textbook Orthognathic Surgery: Principles and Practice, published by Elsevier, captures current thinking for the evaluation and treatment of all aspects of dentofacial deformities. Through Posnick MD Consulting, Dr. Posnick maintains a leadership role in the healthcare industry including facilitating mergers and acquisitions and as an advocate in legal matters.
Affiliations and expertise
Professor Emeritus, Plastic and Reconstructive Surgery & Pediatrics
Georgetown University School of Medicine, Washington, DC
Professor of Orthodontics
University of Maryland, Baltimore College of Dental Surgery
Professor of Oral and Maxillofacial Surgery
Howard University College of Dentistry, Washington, DC
Adjunct Professor of Plastic and Reconstructive Surgery
Johns Hopkins School of Medicine, Baltimore, Maryland
Posnick MD Consulting, LLC
Potomac, Maryland