Skip to main content

Orthognathic Surgery: Principles, Planning and Practice



Orthognathic Surgery: Principles, Planning and Practice

Farhad B. Naini (Editor), Daljit S. Gill (Editor)

ISBN: 978-1-118-64994-7 December 2016 Wiley-Blackwell 936 Pages

Download Product Flyer

Download Product Flyer

Download Product Flyer is to download PDF in new tab. This is a dummy description. Download Product Flyer is to download PDF in new tab. This is a dummy description. Download Product Flyer is to download PDF in new tab. This is a dummy description. Download Product Flyer is to download PDF in new tab. This is a dummy description.


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

Foreword, xix

Preface, xxi

Acknowledgements, xxiii

Contributors, xxv

1 Introduction: Orthognathic Surgery – A Life’s Work, 1
Hugo L. Obwegeser

2 Historical Evolution of Orthognathic Surgery, 23
Farhad B. Naini

3 Orthognathic Surgery: Preliminary Considerations, 83
Farhad B. Naini and Daljit S. Gill

4 Orthognathic Surgery: The Patient Pathway, 109
Farhad B. Naini and Daljit S. Gill

5 Patient Evaluation and Clinical Diagnosis, 116
Farhad B. Naini and Daljit S. Gill

6 Principles of Orthognathic Treatment Planning, 170
Farhad B. Naini and Daljit S. Gill

7 Smile Aesthetics: Specific Considerations in the Orthognathic Patient, 214
Daljit S. Gill and Farhad B. Naini

8 Orthodontic and Orthognathic Surgery Planning Using CBCT, 221
Lucia H.S. Cevidanes, Vinicius Boen, Beatriz

9 Psychological Evaluation and Body Dysmorphic Disorder, 235
Katharine A. Phillips and Canice E. Crerand

10 Patient Information Provision, 245
Farhad B. Naini, Daljit S. Gill and Umberto Garagiola

11 Consent and Medicolegal Considerations, 263
Robert A.C. Chate

12 Preparatory and Postoperative Orthodontics: Principles, Techniques and Mechanics, 270
Farhad B. Naini and Daljit S. Gill

13 Model Surgery, 313
Farhad B. Naini, James McInnes, Daljit S. Gill and Andrew Stewart

14 Perioperative Considerations and Anaesthesia for Orthognathic Surgery, 325
Anne S. Blyth and Jelena Devic

15 Postoperative Care, Nutritional Support and Oral Hygiene in the Orthognathic Surgical Patient, 334
Richard Cobb, Kelly Wade-McBane, Mehmet Manisali

16 The Soft Tissue Effects of Orthognathic Surgery, 341
Daljit S. Gill, Farhad B. Naini and Maarten Koudstaal

17 Early Orthognathic Surgery: Considerations for SurgicalManagement, 347
Pushkar Mehra and Larry M. Wolford

18 Stability of Orthognathic Surgery, 361
Tate H. Jackson and Brent A. Golden

19 Management of Select Complications in Orthognathic Surgery, 373
David S. Precious

20 Patient Satisfaction and Patient-Centred OutcomeMeasures in Orthognathic Surgery, 378
Ceib Phillips and Caitlin Magraw

21 Introduction: Perspectives on Treatment Planning, 394
Harvey M. Rosen

22 Le Fort I Osteotomy and Maxillary Advancement, 397
Helen Witherow and Farhad B. Naini

23 Total Maxillary Set-Back Osteotomy, 422
Joel Ferri and Romain Nicot

27 SurgicalManagement of Vertical Maxillary Deficiency (VMD), 463
David J. David

28 Surgical Correction of Skeletal Anterior Open Bite: Segmental Maxillary Surgery, 480
Johan P. Reyneke and Carlo Ferretti

29 Surgical Correction of Anterior Open Bite: Differential Posterior Maxillary Impaction, 498
Farhad B. Naini, Andrew Stewart and Daljit S. Gill

30 Surgical Treatment of Anterior Open Bite with Mandibular Osteotomies, 521
Dale Bloomquist and Don Joondeph

31 Rotation of the Maxillomandibular Complex, 530
Johan P. Reyneke

32 Specific Considerations in the ‘Low Angle’ Patient, 555
Declan Millett

33 Osseous Genioplasty, 571
Ali Totonchi, Sima Molavi and Bahman Guyuron

34 Asymmetries of the Maxilla andMandible, 581
Farhad B. Naini, Mehmet Manisali and Daljit S. Gill

35 Temporomandibular Joint Replacement Surgery in the Orthognathic Patient, 608
N. Shaun Matthews, Jonas Osher and Martyn T. Cobourne

36 Surgically Assisted Rapid Maxillary Expansion, 620
Nigel Taylor and Paul Johnson

37 Mandibular Midline Osteotomy, 630
Dale Bloomquist and Don Joondeph

38 Segmental Surgery of the Maxilla, 635
Jocelyn M. Shand and Andrew A. Heggie

39 Total SubapicalMandibular Osteotomy, 642
Jonathan Sandler, Alison Murray and Peter Doyle

40 Endoscopy in Maxillary andMandibular Orthognathic Surgery, 647
Katherine P. Klein, Natalie N. Tung and Maria J. Troulis

41 The Role of the Orthognathic Surgeon in Facial Feminization Surgery, 654
Keith Altman

42 Contemporary Approach to Surgical Timing in Orthognathic Surgery: The ‘Surgery First’ Concept, 663
Federico Hern´andez-Alfaro and Raquel Guijarro-Mart´ýnez

43 Neurosurgical Access Surgery: The Role of the Orthognathic Surgeon, 675
Helen Witherow, Daniel Archer

44 Obstructive Sleep Apnoea Syndrome, 690
Ashraf Messiha, Ben Gurney and Piet Haers

45 Mandibular Intraoral Distraction Osteogenesis, 701
Cesar A. Guerrero, Gisela I. Contasti-Bocco and Aura Marina Rodriguez

46 Maxillary Intraoral Distraction Osteogenesis, 713
Cesar A. Guerrero

47 Introduction: Adjunctive Surgery, 722
Foad Nahai

48 Rhinoplasty and Nasal Changes In Relation to Orthognathic Surgery, 724
Mehmet Manisali and Leila Khamashta-Ledezma

49 Deep Plane Facelift, 739
Farhad Ardeshirpour, Craig S. Murakami and Wayne F. Larrabee

50 Soft Tissue Resuspension, 747
Alistair R.M. Cobb and Jonathan A. Britto

51 Soft Tissue Augmentation and Fat Grafting, 751
Mehmet Manisali and Rahul Jayaram

52 Aesthetic Surgery of the Submental-Cervical Region, 758
Tirbod Fattahi

53 Surgical Options for Aesthetic Enhancement of the Lips and Perioral Region, 763
Joe Niamtu

54 Introduction: Craniofacial Surgery, 778
Jesse A. Taylor and Scott P. Bartlett

55 Developmental Disorders of the Craniofacial Complex, 780
Martyn T. Cobourne and David P. Rice

56 Orthognathic Surgery in the Patient with Cleft Lip and Palate, 796
Alexander C. Cash and Alistair R.M. Cobb

58 High LevelMaxillofacial Osteotomies, 838
Stephen Dover

59 Le Fort-based Maxillofacial Vascularized Transplantation, 846
Chad R. Gordon, Harlyn K. Susarla, Edward Swanson, Seenu Susarla, Mehran Armand, Gerald Grant, Leonard B. Kaban and Michael J. Yaremchuk

60 Orthognathic Surgery – One Patient’s Perspective, 854
Tania Murphy

61 Responding to Patients’ Psychological and Social Needs Following Orthognathic Surgery, 857
Henrietta Spalding

Index, 867

"To my knowledge it is the most comprehensive book on the subject...master collaboration...I am just fascinated whenever I have a look into the book" Professor Hugo Obwegeser

"This well-illustrated book provides step-by-step approaches to evaluation, planning, and treatment for just about every craniofacial deformity, as well as adjunctive techniques including cosmetic surgery approaches." (Doody Enterprises 19/05/2017)

‘…a jewel, a true diamond for the specialty. The presentation, the different chapters are unique, all the photographs and diagrams are fabulous. There was a need for this book for a long time…residents in Orthodontics and Maxillofacial Surgery need to be exposed to the "State of the Art" in this unique junction between the two specialties. Postgraduate students will be exposed to the principles of Orthodontics and Surgery and help patients for generations to come…ordering and sequencing was extraordinary, and inviting the Father of Orthognathic Surgery to bring his best cases and original explanations make the book a true milestone for the years to come…the greatest contribution made to Orthognathic Surgery since William Bell and Hugo Obwegeser’s books.’ Professor Cesar Guerrero

 'A definitive tome… multi-authored by a wide range of clinicians with a huge range of expertise, and covers all aspects of orthognathic surgery… more than just another orthodontic-surgical textbook…definitely belongs in the library of all departments that undertake orthognathic surgery. It is beautifully illustrated throughout and contains numerous clinical cases…extraordinary range of the different authors, which includes not just surgeons and orthodontists but psychologists, speech and language therapists, nutritionists and even a patient!...a pleasure to read.’ (Journal of Orthodontics, 44:2, 2017)

‘This textbook is unique. There are 61 chapters and 95 contributing authors. The book begins with a wonderful introductory chapter on the historical background of orthognathic surgery written by the father of modern orthognathic surgery, Prof. Hugo Obwegeser. As Dr Naini is an orthodontist, he has included many chapters on pre-operative and post-operative orthodontic consideration for orthognathic surgery. The details about surgical technique are also covered in detail. This book should be added to the catalogue of must-read books for both oral and maxillofacial surgeons and orthodontists.’ (Maxillofacial Plastic and Reconstructive Surgery, 39:20, 2017)

‘This text addresses all aspects of orthognathic surgery. It is separated into two parts, the first on principles and treatment planning and the second on clinical practice, including meticulous instructions for surgical planning and specific techniques for an impressive number of dentofacial deformities. Each chapter contains tables, case studies, and graphs to enhance the concepts described. With contributions from a number of experts, this book will be a valuable resource for practicing oral surgeons, as well as for those clinicians and students wanting to improve their surgical skills.’ (Journal of Clinical Orthodontics, 2017)