Optimizing Orthognathic Surgery. Diagnosis, Planning, Procedures

Part A
Chapter 01. Guidelines for photographic documentation of dentofacial malformations
Chapter 02. Initial documentation of a dentofacial malformation
Chapter 03. Modified cephalometric analysis for prediction planning
Chapter 04. Surgical planning for dentofacial malformation
Chapter 05. Model operation
Chapter 06. Surgical planning and methodology with splint creation
Chapter 07. 3D virtual individualized treatment planning of orthognathic surgery: 10-step protocol
Chapter 08. Computer-assisted planning and splintless maxillary positioning in complex maxillomandibular surgery

Part B
Chapter 09. The surgical processing of bones – yesterday – today – tomorrow
Chapter 10. Le Fort I osteotomy
Chapter 11. Maxillary segmentation after Le Fort I osteotomy
Chapter 12. Transmaxillary septorhinoplasty
Chapter 13. Mandibular sagittal split osteotomy
Chapter 14. Transantral maxillary distraction
Chapter 15. Transverse maxillary distraction
Chapter 16. Transverse mandibular distraction
Chapter 17. Horizontal mandibular distraction
Chapter 18. Ramus distraction
Chapter 19. Chin correction (genioplasty)
Chapter 20. Chin wing osteotomy
Chapter 21. Anterior mandibular segmental distraction osteogenesis
Chapter 22. Anterior mandibular block rotation
Chapter 23. Secondary septorhinoplasty
Chapter 24. Bone harvesting from the iliac crest
Chapter 25. Autologous fat grafting (lipofilling)
Chapter 26. Nasal–upper lip complex
Chapter 27. Zygomatic arch augmentation and reduction
Chapter 28. Segment osteotomies
Chapter 29. Periodontally accelerated osteogenic orthodontics: a treatment case

Part C
Chapter 30. Anesthesia in dysgnathia surgery

A comprehensive guide to interdisciplinary treatment approaches for dysgnathia correction based on considerations of both orofacial function and facial esthetics. Written by international experts with over 30 years of surgical experience, this book shares valuable insights gained through close collaboration with orthodontists, dental practitioners, prosthodontists, ENT specialists, speech therapists, and more. The integration of intraoral distraction surgery into orthognathic procedures is explored with a special focus on severe cases. The wealth of treatment strategies and solutions presented within these pages will navigate readers through the intricate pathways of managing complex craniofacial malformations.

• Step-by-step guide for documentation, diagnosis, and planning of orthognathic surgical procedures
• Comprehensive methods and techniques for dysgnathia correction
• Identifying potential dangers and limitations
• Indications for interdisciplinary treatment planning
• Effective treatment sequences and surgical planning
• Descriptions of analog and digital approaches
• Strategies for choosing between the maxilla and mandible first approaches
• Practical tips and tricks for successful outcomes
• Balancing function and esthetics in treatment strategies
• In-depth case reports highlighting complex scenarios
• Long-term results and their significance in treatment evaluation

This invaluable resource serves as an unwavering compass for the treatment of both simple and complex craniofacial malformations, guiding practitioners on their surgical journey, providing the knowledge, techniques, and insights needed to deliver exceptional patient care and achieve outstanding surgical outcomes.

Konrad Wangerin studied medicine and dentistry at the Universities of Münster and Cologne and in Munich at the Technical University and Ludwig Maximilians University, Germany. His specialization in Maxillofacial Surgery followed from 1979 to1982 at the Ludwig Maximilians University of Munich and at the Christian-Albrecht University of Kiel, Germany. Afterwards he became Senior registrar and finished his PhD 1988 in Kiel. In 1990 he moved to the Department of Plastic, Maxillofacial, and Reconstructive Surgery at Marienhospital Stuttgart, Germany, became Chief Surgeon in 1991, and in 1994 was appointed as Adjunct Professor of the Medical Faculty of the University of Kiel and Medical Director at Marienhospital. By 1994 he had operated the first intraoral mandibular distraction worldwide and invented several intraoral distractors for the mandible and maxilla, gaining huge experience in distraction work and lecturing and operating around the world. In 2002 he was awarded an Honorary Degree from the Technical University of Cluj-Napoca, Romania. After his retirement in 2011, he continued as Senior Director in the Medius Clinic Ostfildern-Ruit, and since 2014 he has worked in the private office for maxillofacial and oral surgery together with Dr Roman Beniashvili, at Schorndorf, near Stuttgart.

Caroline Fedder studied medicine and dentistry at the Medizinische Hochschule Hannover, Germany, and University of Wales College of Medicine, United Kingdom, from 1996 and completed her thesis (Dr med) 2005 in Hannover. She started her medical specialization in maxillofacial surgery in the private Stadtparkpraxis in Hannover, continued at the University Hospital Zürich, Switzerland, and finished 2010 at Katharinenhospital Stuttgart, Germany. 

She joined Konrad Wangerin's department at the Marienhospital Stuttgart, where she continued her additional specialization in Orthognatic Surgery.

In 2014 both she and Konrad Wangerin moved to the medius Clinic Ostfildern-Ruit where she became Senior Registrar and in 2019 gained the specialization Plastic Operations. In the same year, she co-founded the clinic for maxillofacial and plastic facial surgery of the Alb-Fils-Clinics Göppingen, Germany, and became leading Senior Registrar. Dr Fedder regularly lectures on orthognatic surgery, especially in interdisciplinary symposia with orthodontists, and dedicates her time to facilitating open access to knowledge and high quality training for surgeons in orthognatic surgery.