Front Matter| Volume 24, ISSUE 1, Pv-vi, March 2016

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        Preface: Techniques in Orthognathic Surgery ix

        Steven M. Sullivan

        Le Fort I Osteotomy 1

        Steven M. Sullivan
        Introduction 1
        Surgical technique 1
        Complications 13
        Summary 13

        Le Fort III and Le Fort II Osteotomies 15

        David D. Vu and Paul S. Tiwana
        Introduction 15
        Indications 16
        Craniofacial dysostosis 18
        Midface deficiency 18
        Technique 18
        Subcranial Le Fort III osteotomy 19
        Modified Le Fort III osteotomy 20
        Pyramidal Le Fort II osteotomy 22

        The Bilateral Sagittal Split Mandibular Ramus Osteotomy 27

        Johan P. Reyneke and Carlo Ferretti
        Introduction 27
        Step 1—infiltrate the soft tissue with vasoconstrictor 27
        Step 2—the soft tissue incision 27
        Step 3—buccal subperiosteal dissection 28
        Step 4—superior subperiosteal dissection 28
        Step 5—exposure of the lingual 28
        Step 6—medial ramus osteotomy 28
        Step 7—sagittal osteotomy 28
        Step 8—buccal osteotomy of the mandibular body 29
        Step 9—drill holes for a holding wire 29
        Step 10—drill a hole for the condylar positioner 29
        Step 11—place reference marks 30
        Step 12—lavage 30
        Step 13—define the osteotomy 30
        Step 14—splitting the mandible 30
        The bad split 32
        Step 15—stripping the pterygomasseteric sling 33
        Step 16—stripping the medial pterygoid muscle and stylomandibular ligament 33
        Step 17 33
        Step 18—smooth the contact areas of the segments 34
        Step 19—place the holding wire 34
        Step 20 34
        Step 21—mobilize the bone segments 34
        Step 22—place the teeth into the planned occlusion 34
        Step 23—remove bone from the proximal segment in class III mandibular setback cases 34
        Step 24—positioning the condyle 34
        Step 25—tightening the holding wires 34
        Step 26—placement of the trocar 35
        Step 27—drill the holes and for the place of rigid fixation 35
        Step 28—remove the intermaxillary fixation and check the occlusion 35
        Step 29—intraoperative diagnosis of a malocclusion 36
        Step 30—Place intra and extraoral sutures 36
        Step 31—place intermaxillary elastics 36
        Step 32—apply a pressure bandage 36

        Intraoral Vertical Ramus Osteotomy Procedure and Technique 37

        Samuel J. McKenna and Emily E. King
        Introduction 37
        Surgical technique 37
        Surgical procedure 38
        Potential complications 41
        Immediate postoperative care 42
        Rehabilitation and recovery 42
        Summary 42

        Implications of Sequencing in Simultaneous Maxillary and Mandibular Orthognathic Surgery 45

        Daniel Perez and Edward Ellis III
        The case for mandibular surgery first 45
        Planning mandibular surgery first 51
        Potential disadvantages of performing mandibular surgery first 52

        Computer-Assisted Surgical Simulation for Concomitant Temporomandibular Joint Custom-Fitted Total Joint Reconstruction and Orthognathic Surgery 55

        Larry M. Wolford
        Introduction 55
        Indications for concomitant temporomandibular joint and orthognathic surgery 55
        Concomitant temporomandibular joint total joint replacement and orthognathic surgery 56

        Surgically Assisted Maxillary Expansion 67

        Norman J. Betts
        Introduction: nature of the problem 67
        Surgical technique 67
        Summary and suggestions regarding the correction of transverse discrepancies in adult patients 75

        Genioplasty 79

        Carlo Ferretti and Johan P. Reyneke
        Introduction 79
        Surgical technique 79