Correction of jaw deformities involving simultaneous osteotomy of the mandible and maxilla. 1978

H H Lindorf, and E W Steinhäuser

A one-stage surgical correction of gnathic deformities involving both jaws is described. It permits both the establishment of a normal occlusion and correct alignment of the occlusal plane to the skull. The osteotomy commences with the mandible. Its new position is oriented to the (as yet) untouched maxilla with the aid of an intermediate occlusal splint produced as a result of cephalometric evaluation and cast model surgery. The mandible is secured at its osteotomy sites by bone screws, in the correct final position. The maxilla is then oriented to the mandible, now correctly positioned with the aid of a second, preformed occlusal splint again produced on the basis of cast model surgery. Following intermaxillary fixation and internal wire suspension the splint is left in place until bony consolidation has taken place. External fixation is not required. The procedure enables the cephalometrically established measurements for the movements of both jaws to be easily reproduced with a high degree of accuracy. The technique is described in detail and discussed on the basis of clinical examples.

UI MeSH Term Description Entries
D007103 Immobilization The restriction of the MOVEMENT of whole or part of the body by physical means (RESTRAINT, PHYSICAL) or chemically by ANALGESIA, or the use of TRANQUILIZING AGENTS or NEUROMUSCULAR NONDEPOLARIZING AGENTS. It includes experimental protocols used to evaluate the physiologic effects of immobility. Hypokinesia, Experimental,Experimental Hypokinesia,Experimental Hypokinesias,Hypokinesias, Experimental
D007569 Jaw Abnormalities Congenital absence of or defects in structures of the jaw. Abnormalities, Jaw,Abnormality, Jaw,Jaw Abnormality
D008310 Malocclusion Such malposition and contact of the maxillary and mandibular teeth as to interfere with the highest efficiency during the excursive movements of the jaw that are essential for mastication. (Jablonski, Illustrated Dictionary of Dentistry, 1982) Angle's Classification,Crossbite,Tooth Crowding,Cross Bite,Angle Classification,Angles Classification,Bite, Cross,Bites, Cross,Classification, Angle's,Cross Bites,Crossbites,Crowding, Tooth,Crowdings, Tooth,Malocclusions
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D008437 Maxilla One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS. Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D010027 Osteotomy The surgical cutting of a bone. (Dorland, 28th ed) Osteotomies
D010347 Patient Care Planning Usually a written medical and nursing care program designed for a particular patient. Nursing Care Plans,Goals of Care,Plans, Nursing Care,Care Goal,Care Goals,Care Plan, Nursing,Care Planning, Patient,Care Plans, Nursing,Nursing Care Plan,Plan, Nursing Care,Planning, Patient Care
D002508 Cephalometry The measurement of the dimensions of the HEAD. Craniometry
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013165 Splints Rigid or flexible appliances that are used to maintain a displaced or movable part in position, or to maintain the position of and protect an injured part. Dynamic Orthoses,Dynamic Splint,Dynamic Splinting,Dynamic Splints,Static Orthoses,Static Splint,Static Splinting,Static Splints,Dynamic Splintings,Splint,Splint, Dynamic,Splint, Static,Splinting, Dynamic,Splinting, Static,Splints, Dynamic,Splints, Static,Static Orthose

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