Готові списки джерел за темами / Cephalometry; Maxilla – Surgery; Osteotomy

Добірка наукової літератури з теми "Cephalometry; Maxilla – Surgery; Osteotomy"

Автор: Grafiati

Опубліковано: 10 грудня 2022

Оновлено: 28 січня 2023

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Статті в журналах з теми "Cephalometry; Maxilla – Surgery; Osteotomy"

Baumann, Arnulf, and Klaus Sinko. "Importance of Soft Tissue for Skeletal Stability in Maxillary Advancement in Patients with Cleft Lip and Palate." Cleft Palate-Craniofacial Journal 40, no. 1 (January 2003): 65–70. http://dx.doi.org/10.1597/1545-1569_2003_040_0065_iostfs_2.0.co_2.

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Objective Assessment of stability of the advanced maxilla after two-jaw surgery and Le Fort I osteotomy in patients with cleft palate based on soft tissue planning. Subjects Between 1995 and 1998, 15 patients with cleft lip and palate deformities underwent advancement of a retruded maxilla, without insertion of additional bone grafts. Eleven patients had bimaxillary osteotomies and four patients only a Le Fort I osteotomy. Relapse of the maxilla in horizontal and vertical dimensions was evaluated by cephalometric analysis after a clinical follow-up of at least 2 years. Results In the bimaxillary osteotomies, horizontal advancement was an average 4 mm at point A. After 2 years, there was an additional advancement of point A of an average of 0.7 mm. In the mandible, a relapse of 0.8 mm was seen after an average setback of 3.9 mm. In the four patients with Le Fort I osteotomy, point A was advanced by 3.8 mm and the relapse after 2 years was 0.9 mm. Vertical elongation at point A resulted in relapse in both groups. Impaction of the maxilla led to further impaction as well. Conclusion Cephalometric soft tissue analysis demonstrates the need for a two-jaw surgery, not only in severe maxillary hypoplasia. Alteration of soft tissue to functional harmony and three-dimensional correction of the maxillomandibular complex are easier to perform in a two-jaw procedure. It results in a more stable horizontal skeletal position of the maxilla.

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Sari, Emel, Cihan Ucar, Oytun Türk, Huseyin Kurtulmus, H. Ayberk Altug, and Suheyl Pocan. "Treatment of a Patient with Cleft Lip and Palate Using an Internal Distraction Device." Cleft Palate-Craniofacial Journal 45, no. 5 (September 2008): 552–60. http://dx.doi.org/10.1597/07-075.1.

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A 24-year-old man with a bilateral cleft lip and palate was treated by a multidisciplinary team composed of an orthodontist, plastic surgeon, and prosthodontist with assistance from an engineer. Before treatment, clinical photographs, dental casts, lateral and posteroanterior cephalograms, periapical and panoramic radiographs, and three-dimensional computed tomography (3D CT) images were obtained. He presented with a narrow and retrognathic maxilla with a 23-mm anterior open bite. Following maxillary expansion with rapid palatal expansion, a Le Fort I maxillary osteotomy was performed, and an internal distractor was placed. After a 5-day latency period, internal maxillary distraction was performed at a rate of 1 mm/day achieved by two activations per day. Cephalometric analysis showed a 7-mm maxillary advancement. Mandibular bilateral sagittal split osteotomy was also performed to close the open bite following maxillary distraction and a 3-month stabilization period. Finally, the treatment was completed with prosthetic rehabilitation. The changes in speech production were evaluated using an automatic speech recognition system.

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Gaggl, Alexander, Günter Schultes, and Hans Kärcher. "Aesthetic and Functional Outcome of Surgical and Orthodontic Correction of Bilateral Clefts of Lip, Palate, and Alveolus." Cleft Palate-Craniofacial Journal 36, no. 5 (September 1999): 407–12. http://dx.doi.org/10.1597/1545-1569_1999_036_0407_aafoos_2.3.co_2.

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Objective: To assess the aesthetic and functional long-term results of surgical and orthodontic treatment of patients with bilateral cleft lip, palate, and alveolus. Design: Long-term follow-up study. Setting: Teaching hospital in Austria. Patients: Twenty adult patients who had been operated on as children for bilateral cleft lip, palate, and alveolus. Interventions: Lateral cephalometric and model analysis. The sum of all mesiodistal tooth diameters in the maxilla and mandible were compared with standard Bolton tracings. Main outcome measures: Aesthetic and functional results. Results (model analysis): The upper arch was too wide in 12 patients and the mandibular arch was too wide in 4 patients. In 11 patients, the lateral teeth were crowded, and all had a persistent transverse space deficit and a reduction in sagittal measurements. Fifteen patients had alveolar midline displacement of the maxilla as well as of the mandible. Results (lateral cephalometric measurements): The lateral cephalograms showed a mean sella-nasion-A point angle of 77° and a maxillary baseline-nasion-sella line angle of 9°, indicating a tendency toward maxillary retrognathia. An anterior facial height index of 42% (compared with the standard 58%) indicated a slight reduction in midface height with consequent increase in the height of the lower face. Conclusion: There is specific growth impairment of the midface in adults who were treated as children for bilateral clefts of lip, palate, and alveolus. An optimal result can be achieved only by additional orthognathic surgery (Le Fort II osteotomy).

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Minami, Katsuhiro, Yoshihide Mori, Kwon Tae-Geon, Hidetaka Shimizu, Miyuki Ohtani, and Yoshiaki Yura. "Maxillary Distraction Osteogenesis in Cleft Lip and Palate Patients with Skeletal Anchorage." Cleft Palate-Craniofacial Journal 44, no. 2 (March 2007): 137–41. http://dx.doi.org/10.1597/04-204.1.

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Objective: Maxillary distraction osteogenesis with the rigid external distraction (RED) system has been used to treat cleft lip and palate (CLP) patients with severe maxillary hypoplasia. We introduce maxillary distraction osteogenesis for CLP patients with skeletal anchorage adapted on a stereolithographic model. Patients: Six maxillary deficiency CLP patients treated according to our CLP treatment protocol had undergone maxillary distraction osteogenesis. Method: In all patients, computed tomography (CT) images were recorded preoperatively, and the data were transferred to a workstation. Three-dimensional skeletal structures were reconstructed with CT data sets, and a stereolithographic model was produced. On the stereolithographic model, miniplates were adapted to the surface of maxilla beside aperture piriforms. The operation performed involved a high Le Fort I osteotomy with pterygomaxillary disjunction. Miniplates were fixed to the maxillary segment with three or four screws and used for anchorage of the RED system. Retraction of the maxillary segment was initiated after 1 week. Results: The accuracy of the stereolithographic models was enough to adapt the miniplates so that there was no need to readjust the plates during surgery. Postoperative cephalometric analysis showed that the direction of the retraction was almost parallel to the palatal plane, and dental compensation did not occur. Conclusions: We performed maxillary distraction osteogenesis with skeletal anchorage adapted on the stereolithographic models. Excellent esthetic outcome and skeletal advancement were achieved without dentoalveolar compensations.

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Cheng, Jung-Hsuan, Chun-Feng Chen, Ping-Ho Chen, Kun-Jung Hsu, Han-Sheng Chen, and Chun-Ming Chen. "Changes in Pharyngeal Airway Space and Craniocervical Angle after Anterior Bimaxillary Subapical Osteotomy." BioMed Research International 2021 (August 10, 2021): 1–7. http://dx.doi.org/10.1155/2021/9978588.

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Purpose. This study explored the effects of genioplasty (Gep) and anterior subapical osteotomy of the maxilla and mandible (ASOMx+ASOMd) on the pharyngeal airway dimensions of patients with bimaxillary protrusion (BiP). Method. Thirty-two patients were divided into 2 groups. Group 1 received ASOMx+ASOMd, and group 2 received ASOMx+ASOMd+Gep. The cephalograms of the patients were collected before surgery and 2 months after surgery. Changes in the landmarks, related cephalometric angles (gonial, SN-GoGn, Y -axis, and SN-C2C4 angles), and 2 pharyngeal airway dimensions (uvulo-pharyngeal airway [UOP] and tongue–pharyngeal airway [TOP]) were analyzed. Results. Before surgery, the parameters (incisor superius, incisor inferius, menton, most superior and anterior point of the hyoid bone, tip of the uvula, inferoanterior point on the second cervical vertebra, and inferoanterior point on the fourth cervical vertebra) and measured angles (SNA, SNB, ANB, gonial, SN-GoGn, Y -axis, and C4C2-SN) of both groups showed no significant differences. Following ASOMx, the patients in groups 1 and 2 exhibited a setback by 7.0 and 6.6 mm, respectively. After ASOMd, groups 1 and 2 exhibited 4.9 and 5.3 mm setbacks, respectively. No significant difference in the amount of setback was observed between groups 1 and 2. The postoperative horizontal and vertical positions of Me in group 2 were significantly forward by 6.1 mm and upward by 1.5 mm, respectively. Regarding pharyngeal airway dimensions, TOP was decreased in group 1 (1.7 mm) and group 2 (1.3 mm). In the postoperative Pearson correlation coefficient test, the horizontal and vertical positions of Me showed no significant correlation with TOP in both groups. Therefore, Gep did not prevent the reduction of TOP in group 2. Conclusion. After bimaxillary anterior subapical osteotomy, the TOP of patients with BiP was decreased, and this situation was unavoidable, regardless of whether Gep was performed.

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Kabbur, Karthik Jayadevappa, M. Hemanth, GS Patil, V. Sathyadeep, Naveen Shamnur, KB Harieesha, and GR Praveen. "An Esthetic Treatment Outcome of Orthognathic Surgery and Dentofacial Orthopedics in Class II Treatment: A Cephalometric Study." Journal of Contemporary Dental Practice 13, no. 5 (2012): 602–6. http://dx.doi.org/10.5005/jp-journals-10024-1194.

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ABSTRACT Aim The main objective of any orthodontic treatment is to achieve well-established stable occlusal relationship with a definite positive change in facial profile. The purpose of this study was to determine, if such a goal is achievable for patients who could be classified as borderline surgical cases without the invasive use of the actual surgery or, with the use of the recently developed and rapidly spreading fixed functional appliance system (Forsus) and a comparison of the esthetic treatment outcome with the two systems. Materials and methods Twelve postadolescent borderline skeletal class II patients with a deficient mandible. All the patients used in the study were treated by a preadjusted edgewise appliance for presurgical decompensation with or without extractions and for postsurgical finishing and detailing. Out of the 12 patients six were treated with bilateral saggital split osteotomy (BSSO) and six were treated with fixed functional appliance (Forsus). Results The results suggested that although surgical patients had a better mandibular advancement, profile reduction, and marked improvements in soft tissue structures, the patients who had undergone fixed functional therapy also had comparable improvement in the above aspects. In the maxilla there was no change in cases treated with surgery but in case of Forsus some retraction of anterior dental segment was evident. Conclusion In surgical group, class II malocclusion correction was more skeletal than dental, whereas in functional group class II malocclusion correction was more dental than skeletal. Clinical significance Looking at the common surgical risks, cost-effective and postsurgical problems and patients with borderline class II malocclusion, fixed functional therapy is a valuable adjunct in the management of class II malocclusion. How to cite this article Kabbur KJ, Hemanth M, Patil GS, Sathyadeep V, Shamnur N, Harieesha KB, Praveen GR. An Esthetic Treatment Outcome of Orthognathic Surgery and Dentofacial Orthopedics in Class II Treatment: A Cephalometric Study. J Contemp Dent Pract 2012;13(5):602-606.

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Kalyani P, Madhulaxmi M, and Santhosh Kumar M P. "One-piece Lefort osteotomy versus segmental procedure for maxillary skeletal deformities - A retrospective study." International Journal of Research in Pharmaceutical Sciences 11, SPL3 (September 12, 2020): 368–73. http://dx.doi.org/10.26452/ijrps.v11ispl3.2946.

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Maxillary skeletal deformities can occur in all three planes and are corrected by orthognathic surgery. Osteotomies form the basis for orthognathic surgeries. One of the most commonly used osteotomy techniques for maxillary skeletal deformities is the LeFort osteotomy. The aim of this study was to compare the application of One Piece LeFort Osteotomy and Segmental Osteotomy procedures in the treatment of maxillary skeletal deformities. The institutional study involved analysis of case sheets of patients who underwent surgical correction of maxillary skeletal deformities in the stipulated time frame and assessment based on the parameters: Demographic data, type of cephalometric analysis, cephalometric values, type of skeletal deformity, and technique of Osteotomy. Statistical analysis was calculated by chi-square test. A p-value<0.05 was considered significant. Maxillary skeletal deformities were more prevalent among females (60%) than males (40%). Anterior maxillary segmental osteotomies were more commonly performed (60%), followed by LeFort 1 osteotomy (26.7%). The prevalence of posterior osteotomy technique was 13.3%. A statistically significant association was revealed between the type of skeletal malocclusion and technique of Osteotomy used, with a p-value of 0.008<0.05. The type of malocclusion dictates the technique of Osteotomy is used. In a skeletal Class II, segmental malocclusion procedure was more preferred for maxillary deformities.

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Gomes, Kelston Ulbricht, Wilson Denis Benato Martins, and Marina de Oliveira Ribas. "Horizontal and vertical maxillary osteotomy stability, in cleft lip and palate patients, using allogeneic bone graft." Dental Press Journal of Orthodontics 18, no. 5 (October 2013): 84–90. http://dx.doi.org/10.1590/s2176-94512013000500015.

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OBJECTIVE: This study was carried out to evaluate maxillary stability after orthodontic-surgical treatment of patients with cleft lip and palate. Cephalometric analysis was applied to two different groups, with and without allogeneic bone graft. METHODS: The sample comprised 48 patients with cleft lip and palate. The test group comprised 25 patients who, after correction of maxillary position, received allogeneic bone graft at the gap created by Le Fort I osteotomy. The control group comprised 23 patients and its surgical procedures were similar to those applied to the test group, except for the use of bone graft. Manual cephalometric analysis and comparison between lateral teleradiographs, obtained at the preoperative phase, immediate postoperative phase and after a minimum period of six months, were carried out. RESULTS: An higher horizontal relapse was observed in the control group (p<0.05). There were no statistically significant differences in vertical relapses between test and control groups (p>0.05). CONCLUSION: The use of allogeneic bone graft in cleft lip and palate patients submitted to Le Fort I osteotomy contributed to increase postoperative stability when compared to surgeries without bone graft.

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Jacobson, Alex. "Accuracy of Cephalometry in Measurements of Postoperative Migration of the Maxilla After LeFort I Osteotomy." American Journal of Orthodontics and Dentofacial Orthopedics 111, no. 2 (February 1997): 245. http://dx.doi.org/10.1016/s0889-5406(97)80066-2.

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Merville, Louis C., and Guy Princ. "Postero-lateral expansion osteotomy of maxilla." Journal of Cranio-Maxillofacial Surgery 15 (January 1987): 20–23. http://dx.doi.org/10.1016/s1010-5182(87)80008-2.

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Дисертації з теми "Cephalometry; Maxilla – Surgery; Osteotomy"

Dance, Geoffrey Mark. "The long term stability of the Le Fort I Osteotomy." Title page, contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09DM/09dmd173.pdf.

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Bibliography: leaves 342-392. I: Introduction. Ch. 1. The Le Fort I osteotomy for the correction of maxillary position in three dimensions -- II: Review of the literature. Ch. 2. Dentofacial discrepancies involving the maxilla -- Ch. 3. Cephalometry -- Ch. 4. Relapse following Le Fort I osteotomy -- Ch. 5. Factors associated with post surgical relapse following Le Fort I osteotomy -- Ch. 6. Biomechanics of fixation -- III: Materials and method. Ch. 7. Evaluation of post surgical relapse -- Ch. 8. Errors of method -- IV: Results. Ch. 9. Early, intermediate and long term dentoskeletal effect following Le Fort I osteotomy -- Ch. 10. Results: Errors of the method -- V: Discussion. Ch. 11. Discussion of experimental design -- Ch. 12. Discussion of factors in the relapse of Le Fort I osteotomy -- VI: Conclusion. Ch. 13. Conclusion. -- VII: Appendix. i. Bone grafts ; ii. Le Fort I osteotomy surgical technique ; iii. Bone plate removal protocol statement.

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Yip, Hok-siu Ian, and 葉學韶. "Stability and morbidities of Le Fort I osteotomies with bioresorbable fixation: a randomized controlled trial." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45007780.

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Chehade, Antoine Jean-Marc. "A study comparing pterygomaxillary separation, with and without the use of an osteotome, during Le Fort I osteotomy." Thesis, McGill University, 1995. http://catalog.hathitrust.org/api/volumes/oclc/48117640.html.

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Dance, Geoffrey Mark. "The long term stability of the Le Fort I Osteotomy." Thesis, 1999. http://hdl.handle.net/2440/110442.

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Ching, Martin. "Cephalometric evaluation of mandibular relapse following vertical subsigmoid osteotomy." Thesis, 1995. http://hdl.handle.net/2440/110356.

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A retrospective cephalometric study was undertaken to evaluate the long term relapse potential following surgical setback of the mandible using the technique of intraoral vertical subsigmoid osteotomy.
Thesis (M.D.S.) -- University of Adelaide, Dept. of Dentistry, 1995

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Troue, Alice Katharina. "Kephalometrische und photogrammetrische Analysen von Weichteilveränderungen des Gesichtsprofils nach orthognathen chirurgischen Eingriffen." Doctoral thesis, 2013. http://hdl.handle.net/11858/00-1735-0000-0001-BAEC-C.

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Книги з теми "Cephalometry; Maxilla – Surgery; Osteotomy"

Martin, Alastair, and John Bowden. Maxillofacial and dental surgery. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198719410.003.0027.

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This chapter discusses the anaesthetic management of maxillofacial and dental surgery. It describes sedation for dentistry and anaesthesia for dental procedures, including extractions. It then gives an overview of maxillofacial surgery. Specific surgical procedures covered include extraction of buried or impacted teeth, repair of fractures of the maxilla, orbit, facial skeleton, and mandible, facial reconstructive surgery, and maxillary or mandibular osteotomy.

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Частини книг з теми "Cephalometry; Maxilla – Surgery; Osteotomy"

Psillakis, Jorge M. "A New Self-Retained Osteotomy of the Maxilla." In Craniofacial Surgery, 330–33. Berlin, Heidelberg: Springer Berlin Heidelberg, 1987. http://dx.doi.org/10.1007/978-3-642-82875-1_61.

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Dabir, Ashok, and Jayesh Vahanwala. "Orthognathic Surgery for the Maxilla-LeFort I and Anterior Maxillary Osteotomy." In Oral and Maxillofacial Surgery for the Clinician, 1513–48. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-1346-6_69.

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AbstractThe chapter reviews the history and technique of maxillary orthognathic surgical procedures and highlights the sequence of bimaxillary surgery. A maxillary surgical procedure and its modification can be employed to correct skeletal deformities of the maxilla. With presently available surgical techniques, the maxilla may be independently repositioned in three dimensions. Segmentalization of the maxilla in turn allows repositioning different portions in different three dimensional planes, when done under direct vision. The changes in the position of the maxilla also causes soft tissue changes of the lips, cheeks, and nose. Changes in the nasal complex after orthognathic surgery, with the exception of nasal width, are complicated, and cannot be predicted. Having listed a general guide, the authors reiterate that no dogma should be given regarding the sequence of maxillary or mandibular surgery. Any surgical decision must be made after in-depth planning, preparation, and flexibility. If this is done, sequencing will follow logically.The chapter also includes key considerations in orthognathic surgery viz., adjustment to the base of the Nose and ANS; effect of changing the inclination (slope) of the osteotomy cut; impacted / erupted wisdom teeth; preoperative/intraoperative difficulties and proper positioning. An in-depth account of nutritional support and dealing with complications rounds off the discussion.

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Moore, Ryan M., and Raj M. Vyas. "Orthognathic Surgery." In Operative Plastic Surgery, edited by Gregory R. D. Evans, 609–22. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190499075.003.0058.

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Orthognathic surgery restores the facial function and aesthetics affected by skeletal and dental deformities. A comprehensive preoperative evaluation, including cephalometric analysis, is essential to correcting facial skeletal imbalance and asymmetry. Operative planning must account for maxillary-to-mandibular occlusal relationship and dental compensations, as well as facial proportions in all dimensions. Virtual surgical planning has recently emerged as a way to facilitate more precise and accurate surgical planning. Operative techniques used to correct facial skeletal and dental deformities, broadly categorized as maxillary or mandibular excess or deficiency, include the LeFort I osteotomy, bilateral sagittal split osteotomy, and genioplasty.

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Bates, Claire, Christopher J. Mannion, and Lachlan M. Carter. "Common orthognathic procedures." In Oxford Textbook of Plastic and Reconstructive Surgery, edited by Lachlan M. Carter, 845–50. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780199682874.003.0081.

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The mainstays of orthognathic surgery are Le Fort I osteotomy of the maxilla, sagittal split osteotomy of the mandible, and genioplasty of the mandible. These procedures are described in this chapter together with the complications associated with them. The principles of distraction osteogenesis of the mandible and the indications for this procedure are also described.

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Martin, Alastair, and John Bowden. "Maxillofacial and dental surgery." In Oxford Handbook of Anaesthesia, 783–98. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198853053.003.0032.

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Анотація:

This chapter discusses the anaesthetic management of maxillofacial and dental surgery. It describes sedation for dentistry and anaesthesia for dental procedures including extractions. It then gives an overview of maxillofacial surgery. Specific surgical procedures covered include extraction of buried or impacted teeth; repair of fractures of the maxilla, orbit, facial skeleton and mandible; maxillofacial tumour surgery; facial reconstructive surgery, and maxillary or mandibular osteotomy.

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Ferri, J., L. Lauwers, P. Elia, and H. Dubois. "Bone grafting and Le fort I osteotomy in cases of major atrophy of the maxilla." In Preprosthetic and Maxillofacial Surgery, 158–72. Elsevier, 2011. http://dx.doi.org/10.1533/9780857092427.1.158.

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Rustemeyer, Jan. "Soft-Tissue Response in Orthognathic Surgery Patients Treated by Bimaxillary Osteotomy. Cephalometry Compared with 2-D Photogrammetry." In A Textbook of Advanced Oral and Maxillofacial Surgery. InTech, 2013. http://dx.doi.org/10.5772/51416.

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