ORTHOGNATHIC SURGERY: Techniques, Tips, Tricks & Traps

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Author: Johan P. Reyneke
Language: English
Hardcover, 225 pages
ISBN: 9791399006087
Edition: 2/2025
Lisermed Publishing

Description:

This needs not only manual skills but technical know-how. There is the saying, if you want to become a guru, you have to learn with a guru. Johan Reyneke is a guru in orthognathic surgery in our times and not everyone has the opportunity to study and observe with him. In his passion for the profession and with his experience after more than many thousands of orthognathic surgical cases, he has put together an exceptional manual on the technique of mandibular sagittal ramus osteotomy. The book not only describes every surgical step thoroughly and is perfectly illustrated, but also provides the reader with suggestions and tricks how to avoid and how to deal with complications.

The secret of success in any venture in life is based on structured, strategic actions. This is well demonstrated by the actions of the military leaders in the ancient Rome or CEOs of a fl ourishing company, or the clinical and technical approach of a brilliant surgeon. It is therefore not without reasons that the father of modern orthognathic surgery, Hugo Obwegeser came up with his 61 Principles of Treatment Planning or Ralph Millard wrote his book on Principlization of Plastic Surgery. In surgery it all starts with a clear treatment plan. We are currently privileged to have Access to exquisite 3D data of our patients which may distracted the surgeon and tempt him or her not to study the patient clinically in-depth anymore. All this information is only rewarding if you can transform it successfully into a safe step to step manoeuvre intraoperatively.

And this needs not only manual skills but technical know-how. There is the saying, if you want to become a guru, you have to learn with a guru. Johan Reyneke is a guru in orthognathic surgery in our times and not everyone has the opportunity to study and observe with him. In his passion for the profession and with his experience after more than many thousands of orthognathic surgical cases, he has put together an exceptional manual on the technique of mandibular sagittal ramus osteotomy. The book not only describes every surgical step thoroughly and is perfectly illustrated, but also provides the reader with suggestions and tricks how to avoid and how to deal with complications.

In this regard the manual should not only be a must in every trainee´s library of departments specialized in corrections of dysgnathia but it defi nitely also has interesting aspects for already practising surgeons.

With this manual the author further improves safety and predictability of orthognathic surgery by sharing his personal long time experience and enthusiasm for teaching. This was one of the rationales, why the International Association of Oral and Maxillofacial Surgeons elected Prof. Johan Reyneke, one of our greatest teachers and mentors of the next generation, as Presidential Lecturer at the ICOMS in Barcelona 2013.

Thank you for writing this valuable manual!

Gabriele A. Millesi, MD, DMD

Vice President of the International Association of Oral and Maxillofacial Surgeons

Assistant Professor Department of Cranio-, Maxillofacial and Oral Surgery Medical University Vienna

Table of Contents:

Part 1 – The Bilateral Sagittal Split Mandibular Ramus Osteotomy
Surgical approach
Performing the osteotomy
Splitting the ramus of the mandible
Preparation for repositioning the distal segment
Proximal segment repositioning
Placement of rigid fixation
Evaluation of post fixation occlusion
Complete the procedure
Part 2 – The LeFort I Maxillary Osteotomy
Surgical approach
Performing the osteotomy
Maxillary down fracture
Failure to effect maxillary down fracture
Refine the osteotomy
Intermaxillary fixation
Maxillary repositioning
Segmental maxillary surgery
Evaluate the occlusion
Post-procedural suturing
Procedure completion
Part 3 – The Sliding Genioplasty
Surgical approach
Performing the osteotomy
Mobilizing the chin segment
Anteroposterior augmentation of the chin
Internal rigid fixation of the chin segment
Bone plate fixation
Anteroposterior reduction of the chin
Vertical augmentation of the chin
Vertical reduction of the chin
Correction of chin asymmetry
Correction of transverse chin deformities

Keywords:
orthognathic surgery, mandibular osteotomy, maxillofacial techniques, surgical complications, genioplasty guide

Target Audiences:
Oral and Maxillofacial Surgeons, Surgical Residents in Training, Medical Universities, Craniofacial Surgery Departments, Dental Surgeons Specializing in Orthognathics

Genres:
Medical Textbooks, Oral and Maxillofacial Surgery, Surgical Manuals, Dental Surgery, Professional Medical Education